Circulating Tumor Cells to Guide Chemotherapy for Metastatic Breast Cancer (CirCé01)
CirCe01 Study: Evaluation of the Use of Circulating Tumour Cells to Guide Chemotherapy From the 3rd Line of Chemotherapy for Metastatic Breast Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Dijon, France, 21079
- Centre Georges François Leclerc
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Le Mans, France, 72000
- Clinique Victor Hugo
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Limoges, France, 87042
- CHU Limoges
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Paris, France, 75475
- Hopital Saint Louis
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Paris, France, 75005
- Institut Curie
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Saint-Cloud, France, 92210
- Institut Rene Huguenin Curie
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Saint-Herblain, France, 44805
- Institut de Canacerologie de L'Ouest
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Women over the age of 18 years.
- WHO performance status: 0 to 4.
- Metastatic breast cancer.
- Progression after 2 lines of chemotherapy with decision to initiate third-line chemotherapy.
- Disease evaluable by CTC (CTC-positive before starting chemotherapy).
- Histology: lobular or ductal adenocarcinoma.
- Information of the patient and signature of the informed consent form by the patient or her legal representative.
Exclusion Criteria:
- Disease not evaluable by CTC (CTC-negative before starting chemotherapy).
- History of other potentially metastatic cancer (stage III or IV cancer) different from breast cancer.
- Histology other than lobular or ductal adenocarcinoma.
- Pregnant woman, women likely to become pregnant or nursing mothers.
- Persons deprived of their freedom or under guardianship.
- Women unable to comply with the medical follow-up of the study for geographical, social or mental reasons.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Circulating Tumor Cells
Centralized determination of CTC by CellSearch® technology (Veridex), the only technology currently validated in clinical practice for the early evaluation of response to chemotherapy of breast cancers.
This evaluation is performed by blood sampling comparing the CTC level before the first injection of each new line of chemotherapy.
Chemotherapy can only be continued in the case of a positive CTC response.
Discontinuation of chemotherapy can also be decided by the clinician on the basis of other clinical or radiological arguments.
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20ml of patient peripherical blood will be collected
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Other: Clinical and radiological criteria
Management of chemotherapy according to the usual clinical and radiological criteria adopted by the patient's attending physician.
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Clinical examination, tumoral evaluation
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Overall Survival
Time Frame: 7 years
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Overall survival (from date of randomization
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7 years
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Measure of safety and tolerability
Time Frame: 7 years
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A list of the most frequent toxicity was established.
The ranks 3 and 4 will be more specificaly collected.
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7 years
|
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Improvement of quality of life
Time Frame: 7 years
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7 years
|
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Time to progression, to discontinuation of therapy after 3rd line.
Time Frame: 7 years
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7 years
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Comparison of CTC with usual serum tumour markers
Time Frame: 7 years
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7 years
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Medico-economical analysis
Time Frame: 5 years
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5 years
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Estimate the clinical interest, in particular forecast, of the circulating tumoral DNA
Time Frame: 3 years
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3 years
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: PIERGA Jean-Yves, MD, Institut Curie
Publications and helpful links
General Publications
- Cabel L, Berger F, Cottu P, Loirat D, Rampanou A, Brain E, Cyrille S, Bourgeois H, Kiavue N, Deluche E, Ladoire S, Campone M, Pierga JY, Bidard FC. Clinical utility of circulating tumour cell-based monitoring of late-line chemotherapy for metastatic breast cancer: the randomised CirCe01 trial. Br J Cancer. 2021 Mar;124(7):1207-1213. doi: 10.1038/s41416-020-01227-3. Epub 2021 Jan 21.
- Helissey C, Berger F, Cottu P, Dieras V, Mignot L, Servois V, Bouleuc C, Asselain B, Pelissier S, Vaucher I, Pierga JY, Bidard FC. Circulating tumor cell thresholds and survival scores in advanced metastatic breast cancer: the observational step of the CirCe01 phase III trial. Cancer Lett. 2015 May 1;360(2):213-8. doi: 10.1016/j.canlet.2015.02.010. Epub 2015 Feb 17.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Skin Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Adenocarcinoma
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Breast Diseases
- Neoplastic Processes
- Neoplasm Metastasis
- Neoplasms, Ductal, Lobular, and Medullary
- Carcinoma, Ductal
- Breast Neoplasms
- Carcinoma, Ductal, Breast
- Neoplastic Cells, Circulating
- Investigative Techniques
- Specimen Handling
- Clinical Laboratory Techniques
- Diagnostic Techniques and Procedures
- Diagnosis
- Punctures
- Surgical Procedures, Operative
- Blood Specimen Collection
Other Study ID Numbers
Other Study ID Numbers
- IC 2009-03
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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