- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07613151
Negative Hormone Receptor and APOcrine Lobular Invasive Breast Cancer (NAPOLI)
May 23, 2026 updated by: Ferrucci Massimo, Istituto Oncologico Veneto IRCCS
NAPOLI Study: Negative Hormone Receptor and APOcrine Lobular Invasive Breast Cancer - A Retrospective Multicenter Observational Study
The NAPOLI Study is a retrospective multicenter observational study designed to characterize negative hormone receptor and apocrine lobular invasive breast cancer.
The study will collect real-world clinicopathological, molecular, therapeutic and outcome data from patients diagnosed and treated at participating centers.
The aim is to describe the clinical behavior, pathological features, receptor profile, treatments received and oncologic outcomes of this rare breast cancer subtype.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Estimated)
250
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Massimo Ferrucci, MD PhD
- Phone Number: 049 821 5500
- Email: massimoferrucci@gmail.com
Study Contact Backup
- Name: Daniele Passeri, MD
- Phone Number: +39 333 383 9397
- Email: daniele.passeri.1995@gmail.com
Study Locations
-
-
-
Padova, Italy
- Recruiting
- Veneto Institute of Oncology
-
Contact:
- Massimo Ferrucci, MD PhD
- Phone Number: 049 821 5500
- Email: massimoferrucci@gmail.com
-
Contact:
- Daniele Passeri, MD
- Phone Number: +393333839397
- Email: daniele.passeri.1995@gmail.com
-
Sub-Investigator:
- Francesco Milardi
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
N/A
Sampling Method
Non-Probability Sample
Study Population
Patients diagnosed between January 1, 2010 and December 31, 2025 will be included.
Follow-up will be collected until the most recent available clinical update.
Description
Inclusion Criteria:
- Female or male patients aged ≥18 years.
- Histologically confirmed invasive lobular carcinoma of the breast.
- Presence of apocrine differentiation/features documented in pathology report or confirmed by local pathology review.
- Negative hormone receptors.
- Diagnosis and/or treatment at one of the participating centers.
- Availability of essential clinicopathological data.
- Availability of follow-up data, when applicable.
Exclusion Criteria:
- Pure ductal carcinoma without lobular invasive component.
- Metastatic tumor to the breast from non-breast primary cancer.
- Insufficient pathological documentation to confirm eligibility.
- Missing essential clinical data.
- Patients who denied consent for retrospective data use, where applicable by local regulations.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinicopathological characterization of apocrine invasive lobular breast carcinoma
Time Frame: Through study completion, an average of 5 years
|
Measured by descriptive analysis of tumor size, grade, nodal status, ER, PgR, HER2, Ki-67, androgen receptor, stage, histological features and treatment received.
|
Through study completion, an average of 5 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Disease-Free Survival
Time Frame: Through study completion, an average of 5 years
|
Through study completion, an average of 5 years
|
|
|
Overall Survival
Time Frame: Through study completion, an average of 5 years
|
Through study completion, an average of 5 years
|
|
|
Recurrence Rate
Time Frame: Through study completion, an average of 5 years
|
Measured as local, regional or distant recurrence.
|
Through study completion, an average of 5 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Chair: Francesco Milardi, MD, Veneto Institute of Oncology IRCCS
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Collins LC, Cole KS, Marotti JD, Hu R, Schnitt SJ, Tamimi RM. Androgen receptor expression in breast cancer in relation to molecular phenotype: results from the Nurses' Health Study. Mod Pathol. 2011 Jul;24(7):924-31. doi: 10.1038/modpathol.2011.54. Epub 2011 May 6.
- Cserni G. Invasive lobular carcinoma of the breast: we diagnose it, but do we know what it is? Pathologica. 2024 Oct;116(5):273-284. doi: 10.32074/1591-951X-1043.
- Montagna E, Cancello G, Pagan E, Bagnardi V, Munzone E, Dellapasqua S, Viale G, Mazzarol G, Veronesi P, Galimberti V, Santomauro G, Colleoni M. Prognosis of selected triple negative apocrine breast cancer patients who did not receive adjuvant chemotherapy. Breast. 2020 Oct;53:138-142. doi: 10.1016/j.breast.2020.07.003. Epub 2020 Jul 24.
- Mills AM, E Gottlieb C, M Wendroth S, M Brenin C, Atkins KA. Pure Apocrine Carcinomas Represent a Clinicopathologically Distinct Androgen Receptor-Positive Subset of Triple-Negative Breast Cancers. Am J Surg Pathol. 2016 Aug;40(8):1109-16. doi: 10.1097/PAS.0000000000000671.
- Dai C, Ellisen LW. Revisiting Androgen Receptor Signaling in Breast Cancer. Oncologist. 2023 May 8;28(5):383-391. doi: 10.1093/oncolo/oyad049.
- Niemeier LA, Dabbs DJ, Beriwal S, Striebel JM, Bhargava R. Androgen receptor in breast cancer: expression in estrogen receptor-positive tumors and in estrogen receptor-negative tumors with apocrine differentiation. Mod Pathol. 2010 Feb;23(2):205-12. doi: 10.1038/modpathol.2009.159. Epub 2009 Nov 6.
- Ishii A, Oishi T, Kakuda Y, Yasui H, Kawata T, Muramatsu K, Takahashi K, Sugino T. Mixed pleomorphic lobular and apocrine carcinoma of the breast: A case report suggesting pathogenesis. Pathol Int. 2019 May;69(5):288-293. doi: 10.1111/pin.12781. Epub 2019 Feb 27.
- Kaya H, Aribal E, Yegen C. Apocrine differentiation in invasive pleomorphic lobular carcinoma with in situ ductal and lobular apocrine carcinoma: case report. Pathol Oncol Res. 2002;8(2):151-2. doi: 10.1007/BF03033728.
- Eusebi V, Millis RR, Cattani MG, et al. Apocrine differentiation in lobular carcinoma of the breast. Virchows Arch A Pathol Anat Histopathol. 1984.
- Yang C, Wang I, Yen Y. Apocrine carcinoma of the breast: Review. Forum Clin Oncol. 2023.
- Lehmann-Che J, Hamy AS, Porcher R, Barritault M, Bouhidel F, Habuellelah H, Leman-Detours S, de Roquancourt A, Cahen-Doidy L, Bourstyn E, de Cremoux P, de Bazelaire C, Albiter M, Giacchetti S, Cuvier C, Janin A, Espie M, de The H, Bertheau P. Molecular apocrine breast cancers are aggressive estrogen receptor negative tumors overexpressing either HER2 or GCDFP15. Breast Cancer Res. 2013 May 11;15(3):R37. doi: 10.1186/bcr3421.
- Vranic S, Feldman R, Gatalica Z. Apocrine carcinoma of the breast: A brief update on the molecular features and targetable biomarkers. Bosn J Basic Med Sci. 2017 Feb 21;17(1):9-11. doi: 10.17305/bjbms.2016.1811.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 1, 2026
Primary Completion (Estimated)
May 1, 2027
Study Completion (Estimated)
December 31, 2027
Study Registration Dates
First Submitted
May 19, 2026
First Submitted That Met QC Criteria
May 23, 2026
First Posted (Actual)
May 29, 2026
Study Record Updates
Last Update Posted (Actual)
May 29, 2026
Last Update Submitted That Met QC Criteria
May 23, 2026
Last Verified
May 1, 2026
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms by Histologic Type
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Skin Diseases
- Breast Diseases
- Carcinoma
- Neoplasms, Ductal, Lobular, and Medullary
- Breast Neoplasms
- Skin and Connective Tissue Diseases
- Neoplasms
- Carcinoma, Lobular
- Therapeutics
- Radiotherapy
- Combined Modality Therapy
- Drug Therapy
- Radiotherapy, Adjuvant
Other Study ID Numbers
- CESC IOV 2023-61
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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