Tundra Space

Tundra Space

Clinical Research Directory

Browse clinical research sites, groups, and studies.

Back to Studies
NOT YET RECRUITING
NCT07817212
NA

ESR1Real World Assessment Prevalence Study

Sponsor: Institut fuer Frauengesundheit

View on ClinicalTrials.gov

Summary

Many patients with hormone receptor-positive, human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced breast cancer in the first therapy line is endocrine sensitive. For these patients the established 1st line standard therapy is a combination of a CDK4/6 inhibitor and an aromatase inhibitor. This combination therapy is usually given until clinical progression. Recent studies suggest that a detection of a somatic ESR1 mutation in the ctDNA can be clinically used to prompt an earlier change from the aromatase inhibitor to a selective estrogen receptor degrader. For implementation in the clinical routine it is important to gain knowledge about the dynamics of ESR1 mutation in HR+/HER2- advanced breast cancer patients during their first line therapy. At the beginning of the first line therapy about 5-8% of patients show an ESR1 mutation. An identification of patients with resistance to aromatase inhibitors at that timepoint might not be feasible and cost-efficient. At the timepoint of clinical progression up to 30-40% of patients will have acquired an ESR1 mutation. Knowledge about the mutation frequencies at different timepoints will be very helpful to direct testing strategies for implementing testing broadly in a population. The aim of this study is to test ESR1 mutation frequencies in groups of patients (single time test per patient) with no clinical progression and different durations under first-line treatment with aromatase inhibitor and CDK4/4 inhibitor.

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

1550

Start Date

2026-10-01

Completion Date

2027-12-31

Last Updated

2026-09-14

Healthy Volunteers

No

Interventions

DIAGNOSTIC_TEST

ESR1 testing

Study procedures comprise of a blood sample for ESR1 mutation testing and blood samples for translational research. ESR1 test results from a central testing facility are communicated back to the study site. Treatment of patients will continue as per discretion of the treating physician and will be documented during a single timepoint 3 months post inclusion.

Locations (21)

ANregiomed gKU, AöR, Klinikum Ansbach

Ansbach, Germany

Hämato-Onkologische Praxis im Medicum; Brustzentrum

Bremen, Germany

Allgemeines Krankenhaus Celle; Brustzentrum

Celle, Germany

Universitätsklinikum Carl Gustav Carus Dresden, Frauenklinik

Dresden, Germany

Kostara Gyn. Onkoloy Clinic Research UG

Düsseldorf, Germany

Universitätsklinikum Erlangen, Frauenklinik

Erlangen, Germany

Universitätsklinikum; Frauenheilkunde, Geburtshilfe & Reproduktionsmedizin

Homburg, Germany

Frauenarztpraxis Baerens

Ilsede, Germany

OncoStudies Lörrach, Onkologie Dreiländereck

Loerrach, Germany

Rotkreuzklinikum München; Brustzentrum

München, Germany

Hämatologie OnkologieMünchen Pasing MVZ GmbH

München, Germany

MVZ Media Vita am St. Franziskus Hospital; Frauenklinik

Münster, Germany

Universitätsklinikum Münster; Frauenklinik

Münster, Germany

Klinikum Ernst von Bergmann; Frauenheilkunde

Potsdam, Germany

medicum Rosenheim MVZ GmbH; Innere Onkologie

Rosenheim, Germany

Kreiskrankenhaus Torgau; Brustzentrum

Torgau, Germany

Universitätsklinikum Tübingen; Department für Frauengesundheit

Tübingen, Germany

Medizinische Studiengesellschaft Nord-West GmbH; Onkologie

Westerstede, Germany

Helios Dr. Horst Schmidt Kliniken; Gynäkologie

Wiesbaden, Germany

Frauenärzte am Schloß; Praxis für Gynäkologie und Geburtshilfe

Wolfenbüttel, Germany

Universitätsklinik Würzburg; Frauenklinik und Poliklinik

Würzburg, Germany