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OncoMatch/Clinical Trials/NCT05183828

Effect of HSD3B1 (1245C) Gene Mutation on Treatment of Stage I-III Breast Cancer

Is NCT05183828 recruiting? Yes, currently enrolling (May 2026). This Phase 4 trial studies Letrozole for anatomic stage i breast cancer ajcc v8.

Phase 4RecruitingUniversity of WashingtonNCT05183828Data as of May 2026

Treatment: LetrozoleThis stage IV trial examines how a mutation in HSD3B1 (1245C) gene affects treatment of stage I-III breast cancer. This trial may help researchers determine if mutations in HSD3B1 decreases the efficacy of aromatase inhibitor therapy such as letrozole. Letrozole may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 overexpression (> 1% positive stained cells)

ER+ breast cancer (> 1% positive stained cells) based on the most recent tumor biopsy

Required: HER2 (ERBB2) negative (HER2-negative per ASCO/CAP 2018)

HER2-negative breast cancer based on the most recent tumor biopsy and documented by a local laboratory or medical record. HER2-negative tumor is defined per American Society of Clinical Oncology and the College of American Pathologists guidelines, 2018.

Required: MKI67 overexpression (Ki67 >= 10%)

Ki67 >= 10%

Disease stage

Required: Stage I, II, III

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: radiation therapy

Subjects who have received any prior therapy for breast cancer, including radiotherapy, surgery, and cytotoxic and endocrine treatments.

Cannot have received: surgery

Subjects who have received any prior therapy for breast cancer, including radiotherapy, surgery, and cytotoxic and endocrine treatments.

Cannot have received: cytotoxic chemotherapy

Subjects who have received any prior therapy for breast cancer, including radiotherapy, surgery, and cytotoxic and endocrine treatments.

Cannot have received: endocrine therapy

Subjects who have received any prior therapy for breast cancer, including radiotherapy, surgery, and cytotoxic and endocrine treatments.

Cannot have received: hormonal therapy

Exception: not within 1 year prior to study enrollment

The subject must not have had hormonal therapy for breast cancer treatment or for breast cancer prevention within 1 year prior to study enrollment.

Cannot have received: neoadjuvant chemotherapy

Subjects with plans to undergo neoadjuvant chemotherapy.

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

US trial sites

  • Fred Hutch/University of Washington Cancer Consortium · Seattle, Washington

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

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