Official Title
FATLAS: Comprehensive Multi-level Characterization of Systemic and Mammary Adiposity in Breast Cancer Patients.
Brief Title
FATLAS: Comprehensive Multi-level Characterization of Systemic and Mammary Adiposity in Breast Cancer Patients.
Protocol ID
NCT04200768
Lead Sponsor
Universitaire Ziekenhuizen KU Leuven
Brief Summary
FATLAS is a prospective, interventional, non Investigational Medicinal Product (IMP)
study aiming to characterize the micro- and macroenvironment of breast cancer according
to patient adiposity in different histological and molecular subtypes.
The macroscopic profiling of the patient's adiposity will be based on Body Mass Index
(BMI), bioimpedance analysis and waist-to-hip ratio. Blood samples will be taken for
lipidomic analyses and for hormonal and immuno assays. Microscopic profiling of adiposity
and inflammation will be done on fresh frozen (FF) and Formalin-Fixed Paraffin-Embedded
(FFPE) samples from the tumour resection specimen and will consist of histological
characterization, immuno assays, multiplex immunohistochemistry, DNA sequencing and
single nuclei RNA sequencing both in the tumour and in adjacent normal mammary tissue.
Study Period
-
Enrollment Count
150 participants
Eligibility Criteria
Inclusion Criteria:
Inclusion of 30 lean (BMI 18.5 - 24.9 kg/m²), 30 overweight (BMI 25 - 29.9 kg/m²), and 30
obese (BMI ≥ 30 kg/m²) patients with histological confirmation of Invasive Ductal
Carcinoma (IDC) on core diagnostic biopsy; 5 lean, 5 overweight and 5 obese Inflammatory
Breast Cancer (IBC) patients; 15 lean, 15 overweight and 15 obese patients with
histological confirmation of Invasive Lobular Carcinoma (ILC) on core diagnostic biopsy
and 20 male subjects with any type of breast cancer that meet following criteria:
- be willing and able to provide written informed consent for this study;
- be willing to provide plasma/blood and tissue samples;
- be willing to have clinical measures of adiposity taken;
- have stage I, II or III disease (so non-metastatic) with any clinical lymph node
status;
- be scheduled for surgical resection of the tumour in UZ Leuven.
- have a tumour size of ≥ 1.5 cm in order to have sufficient tumour material for the
biomarker analysis. Exceptions will be made for IBC patients, as in some cases no
residual tumour will be found after neoadjuvant treatment;
- be treatment naïve, i.e. not having received systemic breast cancer treatment prior
to surgery. An exception is made for the IBC patients, as they will often have
received first line neoadjuvant chemotherapy before surgery. IBC patients that do
not undergo surgery after neoadjuvant treatment (e.g. because of inoperability of
the patient) will not be included;
Exclusion Criteria:
- pregnancy at time of diagnosis;
- personal history of breast cancer (relapse/second primary);
- mixed invasive tumour type on core biopsy or special type of breast carcinoma beside
pure ILC;
- history of an additional malignancy that is progressing or that has required active
treatment in the 5 years prior to breast cancer diagnosis. Exceptions include basal
cell carcinoma of the skin or squamous cell carcinoma of the skin that have
undergone potentially curative therapy or in situ cervical cancer;
- presence of an immune dysregulatory disease or condition which requires active
immune modulatory treatment of any kind, or has required treatment in the past two
years. Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid
replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered
a form of systemic treatment;
- history or current evidence of any condition, therapy, or laboratory abnormality
that might confound the results of the trial in the opinion of the treating
investigator.
Filters
Breast Neoplasms
NA
RECRUITING
ADULT
OLDER_ADULT