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TerminatedNCT05435352PEAR-TNBCUpdated Jul 30, 2025

Image-based AI Predictive Biomarkers for Precision Neoadjuvant Triple-negative Breast Cancer Treatment

An observational study in Triple Negative Breast Cancer and Triple Negative Breast Neoplasms, sponsored by Ourotech, Inc.. Terminated at 3 sites in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-30.

Sponsored by Ourotech, Inc. · Observational

Why this study was terminated
Lack of funding
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
34
Ages
18 Years and older
Sex
All
01

Study summary

Pear Bio has developed an organ-on-a-chip device together with a computer vision pipeline through which the response of an individual patient's tumor to different chemotherapy regimens can be tested simultaneously ex vivo. This study will recruit patients with early TNBC who are planned for standard of care neoadjuvant chemotherapy followed by surgery. The oncologist will be blinded to the response on the Pear Bio tool (the assay will be run in parallel with the patient's neoadjuvant chemotherapy). The primary objective of this study is to establish the sensitivity and specificity of Pear Bio's test against patient outcomes (pathological complete response).

Read the detailed description

This is a multicenter, UK-based, observational pilot study that aims to determine the accuracy of a new assay, the Pear Bio tool, in predicting pathological complete response (pCR) in patients receiving neoadjuvant chemotherapy for early TNBC. Patients will undergo an additional, mandatory biopsy of the breast tumor before commencing neoadjuvant chemotherapy. The biopsy sample will be run on the Pear Bio tool while the patient receives their standard of care neoadjuvant chemotherapy. As such, for this study, the result from the Pear Bio tool will not be used to inform the choice of neoadjuvant chemotherapy and the treating oncologist will be blinded to the assay results. The pathological outcome from surgery (pCR vs non-pCR) will be collected and used to calculate the specificity of the assay as the primary endpoint of the study. Sensitivity, positive predictive value and negative predictive value will also be measured.

02

Conditions studied

  • Triple Negative Breast Cancer
  • Triple Negative Breast Neoplasms

Keywords

  • computer vision
  • cell culture
  • microtumor
  • functional testing
  • predictive biomarker
03

In context

Triple Negative Breast Neoplasms

1,140 studies on the registry are indexed under Triple Negative Breast Neoplasms; 442 are open to participants now.

This study's enrollment of 34 is below the median of 186 across 103 observational studies indexed under Triple Negative Breast Neoplasms.

Browse Triple Negative Breast Neoplasms studies →

Lead sponsor

Ourotech, Inc. is the lead sponsor of 4 studies on the registry; 1 is 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
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Early TNBC patients due to receive neoadjuvant therapy

Inclusion criteria

  • Able to give written informed consent prior to admission to this study.
  • Female or male aged ≥18 years.
  • Histologically confirmed invasive primary breast cancer which is triple-negative by the most recent ASCO/College of American Pathologists (CAP) guidelines.
  • Stage I-III breast cancer planned for neoadjuvant chemotherapy followed by surgery.
  • Primary breast tumor size ≥10 mm. For patients with bilateral tumors both of the breast tumors have to be TNBC and at least one has to be ≥10 mm.
  • Willing to undergo a mandatory additional core needle biopsy from the primary breast mass prior to starting neoadjuvant chemotherapy. Patients with bilateral breast cancer only need to have one tumor biopsied if both tumors are ≥10 mm.
  • Willing to donate 40mL of whole blood (cohort B only)

Exclusion criteria

Exclusion Criteria:

  • Inflammatory breast cancer.
  • Inoperable or metastatic TNBC.
  • Patients who have already commenced neoadjuvant chemotherapy.
  • Treatment concurrently or within 4 weeks of commencing neoadjuvant chemotherapy with any experimental therapies. Patients who are due to receive standard of care neoadjuvant chemotherapy on the control arm of a trial may be eligible after discussion with the medical monitor.
  • Secretory or adenoid cystic histological subtypes of triple-negative breast cancer.
  • Any other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding that, in the investigator's opinion, gives reasonable suspicion of a disease or condition that may affect the interpretation of the results, render the patient at high risk from treatment complications or interferes with obtaining informed consent.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
34 participants (actual)
Patient registry
No
Biospecimen retention
None retained

Groups and cohorts

  • Early TNBC patient Cohort A

    Early TNBC patients receiving neoadjuvant therapy and providing core needle biopsy. Any approved neoadjuvant therapy can be used based on physician's choice.

    Procedure: Core needle biopsy

  • Early TNBC patient Cohort B

    Early TNBC patients receiving neoadjuvant therapy and providing core needle biopsy and blood. Any approved neoadjuvant therapy can be used based on physician's choice.

    Procedure: Core needle biopsy

Interventions

  • ProcedureCore needle biopsy

    An additional core needle biopsy is taken to run the Pear Bio test. Test results are not used to inform treatment. Approved neoadjuvant therapy regimens are given to the patient as per standard of care to observe response.

06

What researchers measure

Primary outcomes

  1. Pathological complete response correlation accuracy (specificity)

    The specificity of Pear image-based biomarkers are established against patient pathological complete response (evaluated on surgical sample post-neoadjuvant therapy).

    Time frame: 6 months

Secondary outcomes

  1. Pathological complete response correlation accuracy (sensitivity)

    The sensitivity of Pear image-based biomarkers are established against patient pathological complete response (evaluated on surgical sample post-neoadjuvant therapy).

    Time frame: 6 months

  2. Pathological complete response correlation accuracy (positive predictive value)

    The positive predictive value of Pear image-based biomarkers are established against patient pathological complete response (evaluated on surgical sample post-neoadjuvant therapy).

    Time frame: 6 months

  3. Pathological complete response correlation accuracy (negative predictive value)

    The negative predictive value of Pear image-based biomarkers are established against patient pathological complete response (evaluated on surgical sample post-neoadjuvant therapy).

    Time frame: 6 months

Other outcomes

  1. Culture success rate

    The percentage of patient samples successfully arriving at central lab with \>100k live cells isolated and maintaining 70% cell viability after 4 days in culture with no treatment

    Time frame: 4 days

07

Study locations

3 sites
  • Barts Health NHS Trust
    London, EC1A 7BE, United Kingdom
  • The Royal Marsden NHS Foundation Trust
    London, United Kingdom
  • Manchester University NHS
    Manchester, United Kingdom
08

References and documents

Individual participant data

Plan to share: No — Pseudonymized data will be shared between study sites, such as treatment and outcome data for each patient. No publication will be made revealing individual patient data; only group-level data will be published.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05435352
Lead sponsor
Ourotech, Inc.
Collaborators
Barts & The London NHS Trust
Responsible party
Sponsor
First posted
Jun 28, 2022
Start date
Jun 6, 2022
Primary completion
Jul 25, 2025
Completion
Jul 25, 2025
Last update
Jul 30, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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

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