Phase II Study of Screening Brain MRIs in Stage IV Breast Cancer
Summary
The purpose of the study is to determine the incidence of asymptomatic brain metastasis in stage IV breast cancer by subtype (triple negative (TN), HER2+, and hormone receptor (HR)+).
Objective
Primary:
To determine the incidence of asymptomatic brain metastasis in metastatic breast cancer by subtype.
Secondary Objectives:
To determine the incidence of asymptomatic leptomeningeal disease in metastatic breast cancer by subtype.
To determine the number of brain metastases at initial diagnosis in metastatic breast cancer by subtype.
To determine the size of the largest brain metastasis at initial diagnosis in metastatic breast cancer by subtype.
To determine the number of patients requiring whole brain radiation therapy vs stereotactic radiation following brain metastasis diagnosis in metastatic breast cancer by subtype.
To determine overall survival following brain metastasis diagnosis in metastatic breast cancer by subtype.
To determine brain metastasis specific survival following brain metastasis diagnosis in metastatic breast cancer by subtype.
Prior diagnosis or treatment of brain metastases or leptomeningeal disease
Neurologic symptoms warranting standard screening brain MRI in the judgement of the treating physician at time of enrollment
Indications warranting screening brain MRI for other neurologic conditions at time of study entry
Patients with prior history of nonbreast cancer malignancies should have NED ≥ 2 years
Contraindication towards MRI imaging with gadolinium contrast
Chronic kidney disease stage IV or V or end stage renal disease (CrCl > Other exclusions may apply
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