Tka Assay for CDK4/6i

Description

This clinical trial assesses whether using a test developed by DiviTum can identify optimal levels of CDK 4/6 inhibitor medications in the blood and whether assessing medical compliance and drug-drug interactions can optimize (improve) these levels in patients with estrogen receptor (ER) or progesterone receptor (PR) positive, and human epidermal growth factor receptor 2 (HER2)-negative breast cancer that has spread from where it first started (primary site) to other places in the body (metastatic) and are receiving CDK 4/6 inhibitors. CDK4/6 inhibitors in combination with endocrine therapy (ET) is first line treatment for metastatic hormone positive (ER/PR positive) breast cancer (mBC). Thymidine kinase is a biomarker (biological molecule found in blood, other body fluids, or tissues that is a sign of a condition or disease) that reflects cell proliferation (an increase in the number of cells as a result of cell growth and cell division). DiviTum-thymidine kinase activity (TKa) is a Food and Drug Administration approved assay which showed that a TKa is associated with the decreased likelihood of disease progression within 30 days or 60 days post testing. Using the DiviTum-TKa may improve medication compliance and remove potential drug-drug interactions in patients with ER/PR positive HER2-negative MBC.

Conditions

Anatomic Stage IV Breast Cancer AJCC v8, Metastatic HER2-Negative Breast Carcinoma

Study Overview

Study Details

Study overview

This clinical trial assesses whether using a test developed by DiviTum can identify optimal levels of CDK 4/6 inhibitor medications in the blood and whether assessing medical compliance and drug-drug interactions can optimize (improve) these levels in patients with estrogen receptor (ER) or progesterone receptor (PR) positive, and human epidermal growth factor receptor 2 (HER2)-negative breast cancer that has spread from where it first started (primary site) to other places in the body (metastatic) and are receiving CDK 4/6 inhibitors. CDK4/6 inhibitors in combination with endocrine therapy (ET) is first line treatment for metastatic hormone positive (ER/PR positive) breast cancer (mBC). Thymidine kinase is a biomarker (biological molecule found in blood, other body fluids, or tissues that is a sign of a condition or disease) that reflects cell proliferation (an increase in the number of cells as a result of cell growth and cell division). DiviTum-thymidine kinase activity (TKa) is a Food and Drug Administration approved assay which showed that a TKa is associated with the decreased likelihood of disease progression within 30 days or 60 days post testing. Using the DiviTum-TKa may improve medication compliance and remove potential drug-drug interactions in patients with ER/PR positive HER2-negative MBC.

Use of DiviTum-TKa as a Biomarker Assay for CDK4/6 Inhibitor Medication Compliance and Drug-Drug Interaction Assessment in ER/PR Positive Metastatic Breast Cancer

Tka Assay for CDK4/6i

Condition
Anatomic Stage IV Breast Cancer AJCC v8
Intervention / Treatment

-

Contacts and Locations

Derby

Smilow Cancer Hospital-Derby Care Center, Derby, Connecticut, United States, 06418

Fairfield

Smilow Cancer Hospital Care Center-Fairfield, Fairfield, Connecticut, United States, 06824

Glastonbury

Smilow Cancer Hospital Care Center at Glastonbury, Glastonbury, Connecticut, United States, 06033

Greenwich

Smilow Cancer Hospital Care Center at Greenwich, Greenwich, Connecticut, United States, 06830

Guilford

Smilow Cancer Hospital Care Center - Guilford, Guilford, Connecticut, United States, 06437

Hamden

Smilow Cancer Hospital-Hamden Care Center, Hamden, Connecticut, United States, 06518

Hartford

Smilow Cancer Hospital Care Center at Saint Francis, Hartford, Connecticut, United States, 06105

New Haven

Smilow Cancer Center/Yale-New Haven Hospital, New Haven, Connecticut, United States, 06510

New Haven

Yale-New Haven Hospital Saint Raphael Campus, New Haven, Connecticut, United States, 06511

New Haven

Yale University, New Haven, Connecticut, United States, 06520

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.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Participants must have histologically confirmed metastatic ER-positive (\> 10%), PR-positive or PR-negative, and HER2-negative (0 by immunohistochemistry \[IHC\] or if +1 or +2 by IHC, not amplified by fluorescence in situ hybridization \[FISH\]) breast cancer; ER positivity, PR positivity, and HER2 negativity as per the 2018 joint American Society of Clinical Oncology (ASCO)/College of American Pathologists (CAP) guidelines.
  • * Participants must be starting CDK4/6 inhibitor and endocrine therapy as part of first-line therapy per standard of care and be previously CDK4/6 inhibitor-naïve.
  • * Participants must be enrolled prior to starting CDK4/6 inhibitor therapy.
  • * Participants must be ≥ 18 years of age.
  • * Participants must have an Eastern Cooperative Oncology Group (ECOG) Performance Status \< 3.
  • * Willing and able to provide written informed consent for the trial.
  • * Participants without evidence of metastatic disease prior to registration.
  • * Participants with prior use of CDK4/6 inhibitor therapy.
  • * Participants who are unable to provide informed consent for the trial.

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

Yale University,

Mariya Rozenblit, PRINCIPAL_INVESTIGATOR, Yale University

Study Record Dates

2027-05-03