Overview

Adult men and women with early-stage, IHC/FISH-defined HER2-positive breast cancer will have a MammaPrint®/BluePrint® assay performed on the diagnostic biopsy specimen, ordered by the treating Oncologist as standard care

Eligibility

Inclusion Criteria:

• Age ≥ 18 years of age at time of consent
• ECOG performance status 0, 1, or 2
• Histologically confirmed invasive breast cancer documented by core needle or surgical biopsy with 90 days prior to study registration.
• HER2-positive by IHC or FISH according to ASCO/CAP 2018 guidelines
• HER2-enriched subtype on the MammaPrint/BluePrint gene expression profile within 90 days prior to study registration.
• Curative resection of primary breast tumor(s) is planned; ipsilateral axillary nodes will be sampled by sentinel lymph node biopsy or axillary dissection
• Treating Oncologist recommends neoadjuvant chemotherapy
• No evidence of distant metastatic disease
• AJCC clinical stage: cT1c-T3, cN0-N2
• Baseline left ventricular ejection fraction (LVEF) of at least 50% on Echo or MUGA scan within 90 days prior to registration.

Adequate organ function as defined below:

        Leukocytes ≥2,000/mm3 Platelet count ≥ 75,000/mm3 Absolute Neutrophil Count (ANC) ≥
        1,000/mm3 Hemoglobin (Hgb) ≥ 9.0 g/dL Creatinine/Calculated Creatine clearance (CrCI) Cr <
        1.5 x upper limit of normal (ULN) or CrCl ≥ 50 mL/min using the Cockcroft-Gault formula
        Bilirubin ≤ 1.5 × ULN. Subjects with Gilbert's syndrome may have a bilirubin > 1.5 × ULN,
        if no evidence of biliary obstruction exists Aspartate aminotransferase (AST) ≤ 2.5 × ULN
        Alanine aminotransferase (ALT) ≤ 2.5 × ULN
          -  Patients with synchronous bilateral primary breast tumors or multiple ipsilateral
             primary breast tumors are eligible if the treating Oncologist determines that the
             assigned treatment regimen is appropriate therapy for all primary tumors requiring
             chemotherapy.
          -  Able to provide written informed consent and HIPAA authorization for release of
             personal health information, via an approved UIC Institutional Review Board (IRB)
             informed consent form and HIPAA authorization. or the Legally Authorized
             Representative (LAR) is able to provide consent and HIPAA authorization.
          -  Women of childbearing potential must agree to use a barrier form of contraception if
             they are sexually active with a male partner and cannot be pregnant or breast-feeding.
             A negative serum or urine pregnancy test is required per institutional practice
             guidelines.
          -  As determined at the discretion of the enrolling physician or protocol designee,
             ability of the subject to understand and comply with study procedures for the entire
             length of the study.
          -  Patients with history of HIV/AIDS (acquired immunodeficiency syndrome) are eligible
             for this study if they are receiving anti-retroviral therapy and it does not include
             any medications known to alter metabolism or tolerability of component drugs in the
             protocol treatment regimen and the following criteria is met:
             - Patients without a history of AIDS-defining opportunistic infections within the past
             12 months.
          -  Patients with Hepatitis B (HBV): chronic carriers of HBV infection (HBsAg-positive) or
             individuals who have serologic evidence of a resolved prior HBV infection (i.e.,
             HBsAg-negative and anti-HBc-positive) are eligible if they are receiving appropriate
             suppressive antiviral therapy that does not include medications known to alter
             metabolism or tolerability of component drugs in the protocol treatment (see Appendix)
             prior to initiation of cancer therapy, and liver function tests meet study eligibility
             criteria.
          -  Patients with Hepatitis C (HCV): patients with a history of HCV infection who have
             completed curative antiviral treatment are eligible if the HCV RNA viral load is below
             the limit of quantification within 90 days of study enrollment. Patients on concurrent
             HCV treatment must have HCV RNA viral load below the limit of quantification within 30
             days of study enrollment. Patients must also meet liver function test eligibility
             requirements and antiviral therapy does not include medications known to alter
             metabolism or tolerability of component drugs in the protocol treatment
        Exclusion Criteria
          -  Any prior therapy for this breast cancer
          -  Active infection requiring systemic therapy at the time of study registration
          -  Pregnant or nursing
          -  Any prior or concurrent malignancy whose natural history or treatment has the
             potential to interfere with the safety or efficacy assessment of this investigational
             regimen, as determined by the treating medical oncologist.
          -  Any mental or medical condition that prevents the patient from giving informed consent
             or participating in the trial.
          -  Other major comorbidity (e.g., compromised liver function, major cardiovascular or
             cerebrovascular event within the past 6 months, uncontrolled diabetes mellitus or
             hypertension), as determined by treating physician.
          -  Any contraindication for any chemotherapy drug used in the assigned regimen.
          -  Baseline sensory neuropathy > grade 1
          -  History of hypersensitivity to any of the drugs in the treatment regimen. Patients
             with history of hypersensitivity may be treated on this protocol with either
             nab-paclitaxel or docetaxel.
          -  Prisoners