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Active, not recruitingNCT07924527TCX079Updated Nov 9, 2026

Predicting Benefit From Anthracycline-Free Adjuvant Chemotherapy in High-Risk HER2-Negative Breast Cancer

An observational study in Breast Neoplasms and HER2-negative Breast Cancer, sponsored by Peking Union Medical College Hospital. Active, not recruiting at 1 site in China. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Peking Union Medical College Hospital · Observational

Updated Nov 9, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
100
Ages
18 Years and older
Sex
Female
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Study summary

This is an observational cohort study. Investigators do not assign any intervention to participants. Chemotherapy was received in a completed clinical trial or is determined by the treating physicians as part of routine care, and study results will not be used to guide treatment.

The study aims to identify clinicopathological and molecular features associated with outcomes after anthracycline-free or anthracycline-containing chemotherapy in women with high-risk, HER2-negative early breast cancer. Existing clinical and follow-up data and archived tumor tissue from participants of a trial completed at Peking Union Medical College Hospital (NCT01354522; enrollment ended in 2013) will be analyzed with gene expression, metabolic, and digital pathology methods to develop a prediction model. Tumor tissue remaining after routine surgery or biopsy will also be collected, with informed consent, from up to 50 additional patients for single-cell sequencing. All analyses are exploratory.

02

Conditions studied

  • Breast Neoplasms
  • HER2-negative Breast Cancer

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Keywords

  • anthracycline-free
  • capecitabine
  • adjuvant chemotherapy
  • prediction model
  • tumor metabolism
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 100 is below the median of 184 across 3,235 observational studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Peking Union Medical College Hospital is the lead sponsor of 1,155 studies on the registry; 475 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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
Sampling method
Non-probability sample

Study population

Women with high-risk, HER2-negative early breast cancer treated at Peking Union Medical College Hospital, including participants of NCT01354522 and patients undergoing surgery or biopsy during the study period.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Female, aged 18 years or older
  • confirmed invasive breast cancer
  • -negative: immunohistochemistry (IHC) 0 or 1+, or IHC 2+ with negative in situ hybridization
  • High-risk disease: node-positive, or node-negative with tumor size >= 2 cm and at least one of the following: histological grade 3, estrogen receptor- and progesterone receptor-negative, or Ki-67 >= 14%
  • No distant
  • Received or scheduled to receive anthracycline-containing or anthracycline-free or adjuvant chemotherapy
  • Tumor tissue available for molecular analysis
  • Written (prospective part) or waiver of consent approved by the ethics committee (archived samples)

Exclusion criteria

Exclusion Criteria:

  • -positive disease
  • Bilateral invasive breast cancer
  • Prior or concurrent other than breast cancer
  • Pregnancy or lactation
  • Tissue specimens failing quality control for molecular analysis
  • Substantially missing clinicopathological or follow-up data
Terms in these criteria, in plain language(6)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

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.

Metastases

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

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • Anthracycline-free chemotherapy cohort

    Patients who received or are scheduled to receive anthracycline-free chemotherapy, such as docetaxel, cyclophosphamide, and capecitabine (TCX), as part of routine care or a previous clinical trial.

    Drug: Anthracycline-free chemotherapy

  • Anthracycline-containing chemotherapy cohort

    Patients who received or are scheduled to receive anthracycline-containing chemotherapy, such as docetaxel, an anthracycline, and cyclophosphamide (TAC), as part of routine care or a previous clinical trial.

    Drug: Anthracycline-containing chemotherapy

Interventions

  • Received as part of routine clinical care or a previous trial; not assigned by this study.

    Also known as: docetaxel, Cyclophosphamide, capecitabine

  • Received as part of routine clinical care or a previous trial; not assigned by this study.

    Also known as: docetaxel, epirubicin, cyclophosphamide

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What researchers measure

Primary outcomes

  1. Performance of the prediction model for disease-free survival

    Discrimination and calibration of the model for disease-free survival (DFS), assessed with internal validation. DFS is defined as the time from surgery to locoregional or distant recurrence, second primary malignancy, or death from any cause.

    Time frame: 5 years after surgery

Secondary outcomes

  1. Overall survival

    Time from surgery to death from any cause.

    Time frame: 5 years after surgery

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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 May 2026 (actual). Primary completion is estimated for Dec 2027, 19 months after the start.

Of 1,191 non-industry observational studies under Breast Neoplasms, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 139. This study's planned 19 months is below that.

Counting every sponsor, half of 1,380 studies reached it within 55 months; a quarter within 25 and three quarters within 126.

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

Registered
Oct 31, 2026
First posted
Nov 9, 2026
StartActual
May 1, 2026
Primary completionEst.
Dec 1, 2027
CompletionEst.
Dec 1, 2027
Last update
Nov 9, 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.
Registered
First appeared on the registry. No changes since
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

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Registry details

Key details

Study ID
NCT07924527
Responsible party
Yu Song (Attending Physician, Peking Union Medical College Hospital) — Principal investigator
First posted
Nov 9, 2026
Start date
May 1, 2026
Primary completion
Dec 1, 2027 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Nov 9, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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