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ESR1Real World Assessment Prevalence Study
Sponsor: Institut fuer Frauengesundheit
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
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