ClinicalTrials.gg
RecruitingNCT03417115OPALUpdated Jun 5, 2026

Breast Cancer Registry Platform

An observational study in Breast Cancer, sponsored by iOMEDICO AG. Recruiting at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-05.

Sponsored by iOMEDICO AG · Observational

From the registry’s dates

  • Started Dec 2017; still recruiting 8 years 10 months later.

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
6,150
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 11 studies in Breast Neoplasms by iOMEDICO AG — 2 open to participants now, 2 under way, none of them phase 3. Breast Neoplasms · iOMEDICO AG.

Started
2017
the only one that year
Observational
6 of 11
2 open now
Registered
7th of 11
by date

Among the 11 studies in Breast Neoplasms by iOMEDICO AG, this one is the only one that started in 2017, is one of 6 observational ones, and was the 7th registered.

Breast Neoplasms

14,832 studies on the registry are indexed under Breast Neoplasms; 3,320 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

2 of the 11 studies in Breast Neoplasms by iOMEDICO AG are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

Where they have run

Who these studies take

Of the 2,399 Breast Neoplasms studies recruiting now, 1,570 (65%) set no upper age limit and 592 (25%) stop at 75 or younger; 103 take children under 18; 215 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 11 studies in Breast Neoplasms by iOMEDICO AG, or all of them as a file.
02

Study summary

The purpose of the project is to set up a national, prospective, longitudinal, multicenter cohort study with associated satellites, a tumor registry platform, to document uniform data on characteristics, molecular diagnostics, treatment and course of disease, to collect patient-reported outcomes and to establish a decentralized biobank for patients with breast cancer in Germany.

Read the detailed description

OPAL is a national, observational, prospective, longitudinal, multicenter cohort study (tumor registry platform) with the purpose to record information on the antineoplastic treatment of breast cancer in Germany. The registry will follow patients for up to five years. It will identify common therapeutic sequences and changes in the treatment of the disease. At inclusion, data in patient characteristics, comorbidities, tumor characteristics and previous treatments are collected. During the course of observation data on all systemic treatments, radiotherapies, surgeries, and outcome are documented.

Health-related quality of life in patients with breast cancer will be evaluated for up to five years.

03

Conditions studied

  • Breast Cancer

Browse trials for

Keywords

  • Breast Cancer
  • Epidemiology
  • Registry
  • Health Services Research
  • Germany
  • Palliative Treatment
  • Adjuvant Treatment
  • Neoadjuvant Treatment
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult female and male patients with breast cancer starting first systemic treatment for EBC or ABC.

Eligibility criteria

EBC cohort:

  • Female and male patients with early breast cancer (stage I-III defined as breast cancer that has not spread beyond the breast or the axillary lymph nodes)
  • Patients at the start of their initial systemic treatment for EBC, i.e. at start of treatment for patients receiving neoadjuvant therapy or at start of adjuvant treatment if no neoadjuvant therapy is given. Treatment can be cytotoxic, endocrine, or targeted substances, whatever was given first

ABC cohort I (prospective):

  • Female and male patients with advanced breast cancer (stage IV defined as synchrone or metachrone diagnosis of distant at inclusion)
  • Patients at the start of their initial systemic treatment for ABC, which can be cytotoxic, endocrine or targeting a specific signaling pathway, whatever is given first

ABC cohort II (retrospective):

  • Confirmed diagnosis of HR-positive, -negative ABC (stage IV defined as synchrone or metachrone diagnosis of distant metastases at inclusion)
  • Start of initial first-line systemic treatment for ABC, which can be cytotoxic, endocrine or targeting a specific signaling pathway, whatever is given first, between September 2021 and December 2025
  • Inclusion is possible regardless of whether patients are alive or deceased at the time of documentation; for patients alive: written

Prospective cohorts:

  • Written informed consent
  • Patients participating in the PRO module: signing of informed consent form and completion of baseline questionnaire before start of initial systemic treatment for EBC or systemic first-line treatment for ABC
  • All patients not participating in the PRO module: within six weeks after start of initial systemic treatment for EBC or systemic first-line treatment for ABC

All cohorts:

  • Age ≥ 18 years
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
6,150 participants (estimated)
Target follow-up
5 Years
Patient registry
Yes

Groups and cohorts

  • Advanced breast cancer - Her2 positive

    Patients with HER2-positive advanced breast cancer

  • Advanced breast cancer - triple negative

    Patients with triple negative advanced breast cancer

  • Advanced breast cancer - HR positive, Her2 negative

    Patients with HR positive, Her2 negative advanced breast cancer

  • Early breast cancer - HER2 positive

    Patients with HER2 positive early breast cancer

  • Early breast cancer - triple negative

    Patients with triple negative early breast cancer

  • Early breast cancer - HR positive, HER2 negative

    Patients with HR positive, HER2 negative early breast cancer

06

What researchers measure

Primary outcomes

  1. Treatment reality

    Description of treatment reality (Course of systemic treatments and sequential treatments) applied in German routine practice measured as the frequency of the various systemic treatments applied per line of therapy.

    Time frame: 5 years

Secondary outcomes

  1. Best Response

    Documentation of response rates per line of treatment.

    Time frame: 5 years

  2. Progression-free survival

    Documentation of progression-free survival per line of treatment.

    Time frame: 5 years

  3. Overall survival

    Documentation of date of death.

    Time frame: 5 years

  4. Health-related quality of life (Patient-reported outcome)

    EORTC QLQ-C30 core questionnaire and additional items.

    Time frame: 3.5 years

  5. Disease-free survival

    Documentation of disease-free survival.

    Time frame: 5 years

07

Study locations

1 of 1 sites recruiting
  • Multiple sites all over germany
    Many Locations, Germany
    Recruiting
08

References and documents

Publications

  • Marschner P, Ringwald K, Thill M, Zahn MO, Welt A, Nusch A, Kaltenecker G, Rodemer Y, Hagen V, Schock C, Kruggel L, Kaiser-Osterhues A, Klein D, Haug N, Stickeler E, Harbeck N, Wockel A, Marschner N, Decker T; OPAL Registry Group. Prediction of dose reductions and impact of reduced starting doses of CDK4/6i on effectiveness in HR-positive/HER2-negative metastatic breast cancer: Real-world data from the OPAL registry. Int J Cancer. 2026 Jul 1;159(1):244-256. doi: 10.1002/ijc.70433. Epub 2026 Mar 18. PubMed 41851017 ↗
  • Thill M, Zahn MO, Welt A, Nusch A, Zaiss M, Engelken K, Kaltenecker G, Ringwald K, Gratzke K, Dille S, Kruggel L, Janicke M, Schulz H, Hagen V, Fricker R, Stickeler E, Harbeck N, Wockel A, Decker T. Head-to-head comparison of palbociclib and ribociclib in first-line treatment of HR-positive/HER2-negative metastatic breast cancer with real-world data from the OPAL registry. Int J Cancer. 2025 May 1;156(9):1770-1782. doi: 10.1002/ijc.35296. Epub 2024 Dec 20. PubMed 39707595 ↗
  • Thill M, Zahn MO, Welt A, Stickeler E, Nusch A, Fietz T, Rauh J, Wetzel N, Kruggel L, Janicke M, Marschner N, Harbeck N, Wockel A, Decker T; OPAL study group. Treatment and outcome in metastatic lobular breast cancer in the prospective German research platform OPAL. Breast Cancer Res Treat. 2023 Apr;198(3):545-553. doi: 10.1007/s10549-023-06882-7. Epub 2023 Feb 18. PubMed 36807725 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Dec 2017 (actual). Primary completion is estimated for Jun 2032, 174 months after the start.

Of 189 industry-sponsored observational studies under Breast Neoplasms, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 70. This study's planned 174 months is above that.

Counting every sponsor, half of 1,381 studies reached it within 55 months; a quarter within 25 and three quarters within 125.

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

Registered
Jan 24, 2018
First posted
Jan 31, 2018
StartActual
Dec 22, 2017
Primary completionEst.
Jun 2032
CompletionEst.
Jun 2032
Last update
Jun 5, 2026
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 Jun 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03417115
Lead sponsor
iOMEDICO AG
Responsible party
Sponsor
First posted
Jan 31, 2018
Start date
Dec 22, 2017
Primary completion
Jun 2032 (estimated)
Completion
Jun 2032 (estimated)
Last update
Jun 5, 2026

Study contacts

Lisa Kruggel
Contact
info@iomedico.com
+49 761 15242-0
Ursula Dietrich
Contact
info@iomedico.com
+49 761 15242-0
Norbert Marschner, MD
study chair · Praxis für interdisziplinäre Onkologie & Hämatologie

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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