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CompletedNCT01975142Updated Nov 24, 2025

Validity of HER2-amplified Circulating Tumor Cells to Select Metastatic Breast Cancer Considered HER2-negative for Trastuzumab-emtansine (T-DM1) Treatment.

A Phase 2 interventional study of Trastuzumab - Emtansine in Metastatic Breast Cancer, HER2 Negative Primary Tumor, sponsored by Institut Curie. Completed at 10 sites in France. Open to female participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-11-24.

Sponsored by Institut Curie · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
155
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
Female
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Study summary

Patients with metastatic breast cancer considered HER2 negative are screened for HER2-amplified circulating tumor cells. If at least HER2-amplified circulating tumor cell is detected, patients are treated by Trastuzumab - Emtansine (T-DM1) in a single arm phase II with an adaptive design.

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Conditions studied

  • Metastatic Breast Cancer, HER2 Negative Primary Tumor

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Keywords

  • Metastatic breast cancer
  • HER2 negative primary tumor
  • CTC HER2 positive
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 155 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Institut Curie is the lead sponsor of 134 studies on the registry; 28 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

Inclusion criteria for screening:

  • Breast adenocarcinoma considered HER2-negative on the primary tumour or unknown status HER2
  • A least one metastatic site and/or inoperable loco-regional relapse
  • Measurable disease (RECIST v1.1)
  • Age from 18 to 75 years
  • Performance status of 0-2
  • Efficient contraceptive in non-menopause women

Inclusion criteria for treatment :

  • At least 1 (Cohort " L ") or 3 (cohort " H ") HER2 amplified CTC
  • Performance status of 0-2
  • Adequate cardiac function
  • Adequate hematological and biochemical blood tests

Exclusion Criteria:

  • Life expectancy of less than 3 months
  • Previous history of any other stage III or IV invasive cancer
  • Male breast cancer
  • Uncontrolled brain metastases
  • Significant cumulated exposure to anthracyclines
  • Current or previous significant history of cardio-vascular/pulmonary disease
  • Previous use of trastuzumab
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
155 participants (actual)

Study arms

  • Experimental
    TDM-1

    Drug: Trastuzumab - Emtansine

Interventions

  • DrugTrastuzumab - Emtansine
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What researchers measure

Primary outcomes

  1. Tumor response rate to T-DM1 in patients with HER2 amplified circulating tumor cells

    Assessment every 6 weeks.

    Time frame: Until disease progression (estimated duration : 1 year)

Secondary outcomes

  1. Detection rate of HER2 amplified circulating tumor cells, heterogeneity rate between circulating tumor cells and correlations with patient characteristics

    Time frame: 1 month

  2. Technical failure rate and reproducibility of HER2 FISH on circulating tumor cells

    Time frame: 1 month

  3. Correlation between HER2 FISH and immunofluorescence on circulating tumor cells

    Time frame: 1 month

  4. Progression-free survival

    Time frame: 4 years

  5. Disease control rate (responses and stable diseases)

    Time frame: Until disease progression (estimated duration : 1 year)

  6. Correlation between treatment efficacy and HER2 FISH results (level of amplification, absolute number and percentage of amplified cells)

    Time frame: Until disease progression (estimated duration : 1 year)

  7. Changes in CTC numbers during treatment

    Time frame: Until disease progression (estimated duration : 1 year)

  8. Circulating tumor DNA before and during treatment

    Time frame: Until disease progression (estimated duration : 1 year)

  9. Treatment toxicity

    Toxicity of the treatment from first intake until disease progression

    Time frame: Until disease progression (estimated duration : 1 year)

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Study locations

10 sites
  • Clinique Victor Hugo
    Le Mans, 72000, France
  • Institut de Cancérologie HARTMANN
    Levallois-Perret, 92309, France
  • Centre Oscar Lambret
    Lille, 59020, France
  • Chu de Limoges
    Limoges, 87042, France
  • Centre Val d'Aurelle - P. Lamarque
    Montpellier, 34298, France
  • Institut Curie
    Paris, 75005, France
  • Chu Saint-Louis
    Paris, 75475, France
  • Institut Curie - Hôpital René HUGENIN
    Saint-Cloud, SAINT-CLOUD, France
  • Centre Catherine de Sienne
    Vandœuvre-lès-Nancy, 54519, France
  • Institut de Cancérologie de Lorraine
    Vandœuvre-lès-Nancy, 54519, France
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References and documents

Publications

  • Jacot W, Cottu P, Berger F, Dubot C, Venat-Bouvet L, Lortholary A, Bourgeois H, Bollet M, Servent V, Luporsi E, Espie M, Guiu S, D'Hondt V, Dieras V, Sablin MP, Brain E, Neffati S, Pierga JY, Bidard FC. Actionability of HER2-amplified circulating tumor cells in HER2-negative metastatic breast cancer: the CirCe T-DM1 trial. Breast Cancer Res. 2019 Nov 14;21(1):121. doi: 10.1186/s13058-019-1215-z. PubMed 31727113 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01975142
Lead sponsor
Institut Curie
Responsible party
Sponsor
First posted
Nov 4, 2013
Start date
Nov 7, 2013
Primary completion
Feb 13, 2018
Completion
Jan 21, 2019
Last update
Nov 24, 2025

Oversight

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

Not currently enrolling

This study is completed, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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