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CompletedNCT01548677TREAT-CTCUpdated Mar 13, 2019

Efficacy Study of Herceptin to Treat HER2-negative CTC Breast Cancer

A Phase 2 interventional study of trastuzumab in Breast Cancer, Human Epidermal Growth Factor 2 Negative Carcinoma of Breast and Circulating Tumor Cells, sponsored by European Organisation for Research and Treatment of Cancer - EORTC. Completed at 80 sites in 4 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-13.

Sponsored by European Organisation for Research and Treatment of Cancer - EORTC · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
1,317
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This is a randomized phase II trial for patients with HER2 negative primary Breast Cancer (BC) who after completing (neo) adjuvant chemotherapy and surgery have detectable circulating tumour cells (CTC) in peripheral blood.

Eligible patients will be randomised in 1:1 ratio to either the trastuzumab arm or the observation arm.

Read the detailed description

This is a randomized phase II trial for patients with HER2 negative primary BC who after completing (neo) adjuvant chemotherapy and surgery have detectable CTC(s) in peripheral blood (see eligibility criteria for details). Eligible patients will be randomized in 1:1 ratio to either the trastuzumab arm or the observation arm. Patients randomized to the trastuzumab arm will receive a total of 6 intravenous (IV) administrations every 3 weeks (loading dose 8 mg/kg IV and 5 cycles at 6 mg/kg every 3 weeks). Patients randomized to observation arm shall be observed for 18 weeks. Left ventricular ejection fraction (LVEF) assessment (MUGA and/or ECHO) will be done at baseline for all patients to be randomized. The next LVEF assessments of weeks 9 and week 18 will be done only in patients randomized to trastuzumab arm. Patient registered but with CTC negative result will not be followed-up.

02

Conditions studied

  • Breast Cancer
  • Human Epidermal Growth Factor 2 Negative Carcinoma of Breast
  • Circulating Tumor Cells

Keywords

  • Circulating Tumour Cells
  • HER2 negative primary breast cancer
  • HER2 positive CTC
  • Trastuzumab
03

In context

Breast Neoplasms

12,815 studies on the registry are indexed under Breast Neoplasms; 2,920 are open to participants now.

This study's enrollment of 1,317 is above the median of 72 across 9,494 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

European Organisation for Research and Treatment of Cancer - EORTC is the lead sponsor of 352 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

  • Age ≥ 18 years
  • Written informed consent must be given according to ICH/GCP, and national/local regulations
  • Availability of peripheral blood draw for CTC blood test
  • Tumor block or minimum 10 unstained slides of 4 μm of primary tumor must be available prior to registration for centralized HER2 testing
  • ER status available
  • Adequately excised non-metastatic and non-relapsed operable primary invasive HER2-negative adeno-carcinoma of the breast *:
  • the patient should have completed either
  • adjuvant chemotherapy or
  • neoadjuvant chemotherapy; in this case residual invasive disease in breast or lymph nodes is required (no complete pathological response) no further adjuvant chemotherapy treatment planned. Prior chemotherapy with doxorubicin restricted to a total dose of 360 mg/m2 or with epirubicin restricted to a total dose of 720 mg/m2 is allowed
  • No prior use of anti-HER2 therapy for any reason or immunotherapy for BC
  • No concomitant use of bisphosphonate therapy or denosumab for any reason. Prior use of these agents is allowed provided that last treatment has been received at least 4 weeks before registration in the study
  • No prior mediastinal irradiation except internal mammary node irradiation for the present BC
  • Concomitant adjuvant hormonal therapy or radiotherapy (if applicable) is allowed upon physician's choice
  • The interval between definitive surgery (neoadjuvant population) or end of adjuvant chemotherapy (adjuvant population) and registration must be at least 3 weeks but no more than 24 weeks
  • No evidence of unresolved or unstable toxicity from prior surgery, adjuvant chemotherapy or radiotherapy
  • No history of prior invasive breast carcinoma, except for the BC diagnosed and treated before entry. Unifocal or multifocal unilateral (one breast) or unifocal or multifocal synchronous bilateral breast (both breasts) cancer are acceptable if all invasive tumor foci are HER2- negative. History of previous ductal carcinoma in situ is allowed
  • No history of any malignant neoplasms in the past 5 years except for curatively treated basal and squamous cell carcinoma of the skin
  • No prior autologous or allogeneic stem cell transplantation
  • No history of serious cardiac illness or medical conditions, including but not confined to:
  • History of documented congestive heart failure
  • High risk uncontrolled arrhythmias
  • Angina pectoris requiring anti-anginal medication
  • Clinically significant valvular heart disease
  • Evidence of transmural infarction on ECG
  • Poorly controlled hypertension (e.g. systolic > 180 mm Hg or diastolic > 100 mm Hg)
  • No history of other concurrent serious diseases that may interfere with planned treatment, including severe pulmonary conditions
  • Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration
  • WHO performance status 0-1
  • No concurrent participation in another trial
  • No clinically significant active infections
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,317 participants (actual)

Study arms

  • No intervention
    observation

    18 weeks

  • Experimental
    Herceptin (trastuzumab)

    18 weeks

    Drug: trastuzumab

Interventions

  • 8 mg/kg of loading dose IV over 90 minutes for the first cycle, followed by 6 mg/kg IV over 60 minutes every 3 weeks for the 5 subsequent cycles.

    Also known as: endocrine therapy, anti HER2 therapy

06

What researchers measure

Primary outcomes

  1. CTC detection

    To compare circulating tumour cell (CTC)detection rate at week 18 between trastuzumab treatment arm and observational arm.

    Time frame: 18 weeks post randomisation

Secondary outcomes

  1. RFI (recurrence free interval)

    Recurrence Free Interval (RFI) (key secondary endpoint) between trastuzumab and observation

    Time frame: 2 years after LPI (last patient in)

  2. IDFS (Invasive Disease Free Survival)

    Invasive Disease Free Survival between trastuzumab and observation

    Time frame: 2 years after LPI

  3. DFS (disease free survival)

    Disease Free survival between trastuzumab and observation

    Time frame: 2 years after LPI

  4. OS (overall survival)

    Overall Survival between trastuzumab and observation

    Time frame: 2 years after LPI

  5. CTC essay

    To evaluate in a clinical trial setting the feasibility, reliability, within patient reproducibility and variability of the assay for CTC(s)

    Time frame: 2 years after LPI

  6. CTC correlation

    To correlate CTC detection rate at baseline and/or week 18 with RFI, IDFS, DFS, OS

    Time frame: 2 years after LPI

  7. safety (cardiac)

    To assess safety, especially cardiac safety, of trastuzumab in women with HER2 negative primary tumors and CTC

    Time frame: 2 years after LPI

07

Study locations

80 sites
  • Onze Lieve Vrouw Ziekenhuis
    Aalst, Belgium
  • Hopital Universitaire Brugmann
    Brussels, Belgium
  • Hopitaux Universitaires Bordet-Erasme - Hopital Universitaire Erasme
    Brussels, Belgium
  • Hôpitaux Universitaires Bordet-Erasme - Institut Jules Bordet
    Brussels, Belgium
  • Hopital De Jolimont
    Haine-Saint-Paul, Belgium
  • U.Z. Leuven - Campus Gasthuisberg
    Leuven, Belgium
  • C.H.U. Sart-Tilman
    Liège, Belgium
  • Clinique et Maternité Sainte Elisabeth
    Namur, Belgium
  • AZ Damiaan
    Ostend, Belgium
  • Institut Bergonie
    Bordeaux, France
  • CHU de Brest
    Brest, France
  • Centre Regional Francois Baclesse
    Caen, France
  • Centre Hospitalier Alpes Léman
    Contamine-sur-Arve, France
  • Centre Hospitalier de la Dracénie
    Draguignan, France
  • CHU de Grenoble - La Tronche - Hôpital A. Michallon
    Grenoble, France
  • Centre Hospitalier Departemental Vendée
    La Roche-sur-Yon, France
  • Centre Hospitalier de Versailles - Hopital Andre Mignot
    Le Chesnay, France
  • CHU de Limoges - Hopital Dupuytren
    Limoges, France
  • Clinique de la Sauvegarde
    Lyon, France
  • Centre Hospitalier D'Annecy
    Metz-Tessy, France
  • Centre Hospitalier de Mont-de-Marsan
    Mont-de-Marsan, France
  • Centre Catherine De Sienne
    Nantes, France
  • Institut Curie
    Paris, France
  • Institut Curie - Hopital Rene Huguenin
    Saint-Cloud, France
  • Hopitaux Universitaires de Strasbourg - Hôpitaux Universitaires de Strasbourg - Hôpital civil
    Strasbourg, France
  • Hopitaux du Leman - Site Georges Pianta
    Thonon-les-Bains, France
  • CH de Valence
    Valence, France
  • Institut de Cancérologie de Lorraine
    Vandœuvre-lès-Nancy, France
  • Gustave Roussy
    Villejuif, France
  • Klinikum St. Marien
    Amberg, Germany
  • Gemeinschaftspraxis Augsburg
    Augsburg, Germany
  • Klinikum Augsburg
    Augsburg, Germany
  • Praxisklinik Krebsheilkunde für Frauen
    Berlin, Germany
  • Medizinischen Zentrum Bonn
    Bonn, Germany
  • Marienhospital Bottrop gGmbH
    Bottrop, Germany
  • Klinikum Sindelfingen-Boeblingen
    Böblingen, Germany
  • Gemeinschaftspraxis Lorenz / Hecker / Wesche
    Braunschweig, Germany
  • Onkologische-Hämatologischen Schwerpunktpraxis
    Bremen, Germany
  • Universitaetsklinikum Koeln
    Cologne, Germany
  • Onkologische Gemeinschaftspraxis
    Dresden, Germany
  • Universitaetsklinikum Carl Gustav Carus
    Dresden, Germany
  • Luisenkrankenhaus GmbH & Co. KG
    Düsseldorf, Germany
  • Universitaetsklinik Duesseldorf
    Düsseldorf, Germany
  • Universitaetsklinik Erlangen
    Erlangen, Germany
  • Universitaetsklinikum - Essen
    Essen, Germany
  • Staedtische Kliniken
    Esslingen am Neckar, Germany
  • Ev.-Luth. Diakonissenanstalt Flensburg
    Flensburg, Germany
  • Staedtische Kliniken Frankfurt Am Main-Hoechst
    Frankfurt am Main, Germany
  • Universitaetsklinikum Freiburg
    Freiburg im Breisgau, Germany
  • Universitaets-Krankenhaus Eppendorf
    Hamburg, Germany
  • Gynäkologisch-Onkologischen Schwerpunktpraxis
    Hanover, Germany
  • Medizinische Hochschule Hannover
    Hanover, Germany
  • Gemeinschaftspraxis Dr. Pourfard / Dr. Uleer
    Hildesheim, Germany
  • St. Marien-Klinik GmbH Frauenklinik der St. Vincentius-Kliniken gAG
    Karlsruhe, Germany
  • Universitaetsklinikum Schleswig-Holstein - Campus Kiel
    Kiel, Germany
  • Klinikum Landshut
    Landshut, Germany
  • Staedtisches Klinikum Leipzig - Klinikum St. Georg gGmbH
    Leipzig, Germany
  • Klinikum Ludwigsburg
    Ludwigsburg, Germany
  • Gemeinschaftspraxis Dr. Goldmann/ Dr. Ebert
    Lüneburg, Germany
  • UniversitaetsMedizin Mannheim
    Mannheim, Germany
  • Klinikum Schwaebisch-Gmuend
    Mutlangen, Germany
  • Gemeinschaftspraxis Prof. Salat / Dr. Stötzer
    München, Germany
  • Ludwig-Maximilians-Universitaet Muenchen - Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe - Innenstadt
    München, Germany
  • Muencher Onkol. Praxis Elisenhof
    München, Germany
  • Onkologische Praxis Oldenburg
    Oldenburg, Germany
  • Studienzentrum Onkologie Ravensburg
    Ravensburg, Germany
  • RoMed Klinikum Rosenheim
    Rosenheim, Germany
  • HELIOS Kliniken - HELIOS Klinik Rottweil
    Rottweil, Germany
  • HELIOS Kliniken - HELIOS Brustzentrums Nordachsen - HELIOS Klinik Schkeuditz
    Schkeuditz, Germany
  • Diakonie-Klinikum Schwäbisch Hall gGmbH
    Schwäbisch Hall, Germany
  • Leopoldina-Krankenhaus der Stadt Schweinfurt gGmbH
    Schweinfurt, Germany
  • Kliniken Landkreis Sigmaringen GmbH
    Sigmaringen, Germany
  • Klinikum Stuttgart
    Stuttgart, Germany
  • Klinikum Traunstein
    Traunstein, Germany
  • Gesellschaft für onkologische Studien, Praxismanagement und -Logistik
    Troisdorf, Germany
  • Eberhard Karls Universitaet Tuebingen - Universitaetsfrauenklinik Tuebingen
    Tübingen, Germany
  • Universitaetsklinikum Ulm
    Ulm, Germany
  • Gesundheitszentren Rhein-Neckar - GRN-Klinik Weinheim
    Weinheim, Germany
  • Onkologische Schwerpunktpraxis Wupperta
    Wuppertal, Germany
  • Oxford University Hospitals NHS Trust - Churchill Hospital
    Oxford, United Kingdom
08

References and documents

Publications

  • Ignatiadis M, Rack B, Rothe F, Riethdorf S, Decraene C, Bonnefoi H, Dittrich C, Messina C, Beauvois M, Trapp E, Goulioti T, Tryfonidis K, Pantel K, Repollet M, Janni W, Piccart M, Sotiriou C, Litiere S, Pierga JY. Liquid biopsy-based clinical research in early breast cancer: The EORTC 90091-10093 Treat CTC trial. Eur J Cancer. 2016 Aug;63:97-104. doi: 10.1016/j.ejca.2016.04.024. Epub 2016 Jun 10. PubMed 27289552 ↗

Related links

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Apr 2013, a primary completion of Mar 2017 and a completion of Mar 2017. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 5, 2012
First posted
Mar 8, 2012
Start
Apr 2013
Primary completionActual
Mar 2017
CompletionActual
Mar 2017
Last update
Mar 13, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 13, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01548677
Collaborators
Hoffmann-La Roche, Janssen Diagnostics, LLC, SUCCESS, UNICANCER
Responsible party
Sponsor
First posted
Mar 8, 2012
Start date
Apr 2013
Primary completion
Mar 2017
Completion
Mar 2017
Last update
Mar 13, 2019

Study contacts

Michail Ignatiadis, MD
principal investigator · Institut Jules Bordet, Brussels, Belgium
Martine Piccart, MD
study chair · Institut Jules Bordet, Brussels, Belgium
Christos Sotiriou, MD
study chair · Institut Jules Bordet, Brussels, Belgium
Jean-Yves Pierga, MD
study chair · Institut Curie, Paris, France
Brigitte Rack, MD
study chair · Ludwig-Maximilians-Universitaet Muenchen - Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe - Innenstadt, Munich, Germany

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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