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OncoMatch/Clinical Trials/NCT04768426

Serial Circulating Tumor DNA (ctDNA) Monitoring During Adjuvant Capecitabine in Early Triple-negative Breast Cancer

Is NCT04768426 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Capecitabine for triple negative breast cancer.

Phase 2RecruitingStanford UniversityNCT04768426Data as of May 2026

Treatment: CapecitabineThe purpose of the study is to evaluate the use of a circulating tumor DNA (ctDNA) assay, ie, a "liquid biopsy," as a tool to identify triple-negative breast cancer (TNBC) patients who will or will not experience benefit from treatment with capecitabine. Participants will be monitored for changes in ctDNA in the blood over time received during capecitabine treatment. Results of ctDNA analysis will be correlated to genetic characteristics of individual tumors. This may inform future clinical trials in which patients could receive a different treatment than capecitabine to reduce their risk of breast cancer relapse.

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Extracted eligibility criteria

Cancer type

Triple-Negative Breast Cancer

Breast Carcinoma

Biomarker criteria

Required: ESR1 low expression (<10%)

Estrogen receptors (ER) ... status <10%

Required: PR (PGR) low expression (<10%)

Progesterone receptors (PR) status <10%

Disease stage

Required: Stage I, II, III

Excluded: Stage IV

Anatomic stage I - III triple-negative breast cancer at diagnosis; No evidence of metastatic disease.

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Min 1 prior line

Must have received: neoadjuvant chemotherapy — neoadjuvant

Residual disease following at least 4 cycles of neoadjuvant chemotherapy

Must have received: surgical resection — definitive

Has not had definitive surgical resection [excluded]

Cannot have received: investigational agent

Exception: allowed if >4 weeks prior to study initiation

Investigational agents within 4 weeks of study initiation

Lab requirements

Blood counts

ANC ≥ 1,500 cells/μL; Platelets ≥ 100,000 cells/μL

Kidney function

Serum creatinine ≤ 1.5 x ULN; or calculated creatinine clearance > 50 mL/min using Cockcroft Gault formula

Liver function

Bilirubin ≤ 1.5 x ULN (≤ 5 x ULN if Gilbert's syndrome); AST and ALT ≤ 2.5 x ULN

Adequate hematologic function: Absolute neutrophil count (ANC) ≥ 1,500 cells/μL (≥ 1,500/mm3); Platelets ≥ 100,000 cells/μL (≥ 100,000/mm3) Adequate hepatic function: Bilirubin ≤ 1.5 times the specific institutional upper limit of normal (ULN). Exception: If Gilbert's syndrome; then ≤ 5 times ULN. Aspartate transaminase (AST) and alanine transaminase (ALT) each ≤ 2.5 x ULN Adequate renal function: Serum creatinine ≤ 1.5 x ULN; or calculated creatinine clearance > 50 mL/min using the Cockcroft Gault formula.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Stanford University · Stanford, California

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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