BreCLIM-2 - A RCT Investigating Local Treatment for Breast Cancer Liver Metastases (BreCLIM-2)
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ClinicalTrials.gov Identifier: NCT04079049 |
Recruitment Status :
Recruiting
First Posted : September 6, 2019
Last Update Posted : May 25, 2022
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Breast cancer is the second most common cancer in Sweden with an incidence of 8000 per year. The role of surgery for distant breast cancer metastasis beyond local lymph nodes remains controversial even though some reports suggest there might be a survival benefit from resection of oligometastases in the liver.
The purpose of this multicentre randomized clinical trial is to evaluate local treatment for breast cancer liver metastases, compared to systemic oncological treatment only. The primary endpoint is time to death from any cause, which will be compared using cox proportional hazard regression. The secondary endpoints are three years survival, progression-free survival, median overall survival and quality of life. The aim is also to evaluate overall safety and predictive factors for survival during oncological and surgical treatment. The overall purpose is to ameliorate treatment for advanced breast cancer.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Breast Cancer Liver Metastases | Procedure: Surgical intervention Drug: Control | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 200 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Breast Cancer Liver Metastases-2 - A Multicentre Randomized Clinical Trial Investigating Local Treatment for Breast Cancer Liver Metastases |
Actual Study Start Date : | January 1, 2020 |
Estimated Primary Completion Date : | December 31, 2029 |
Estimated Study Completion Date : | December 31, 2029 |

Arm | Intervention/treatment |
---|---|
Experimental: Surgical intervention
Surgical and oncological treatment
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Procedure: Surgical intervention
Surgical intervention by liver resection, ablation or stereotactic body radiotherapy as complement to oncological treatment |
Active Comparator: Control
Oncological treatment
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Drug: Control
Oncological treatment in control group |
- Survival [ Time Frame: Three years after randomization ]Time to death from any cause

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Signed informed consent
- >18 years old
- ECOG 0-1
- Breast cancer history
- Breast cancer liver metastasis verified by biopsy
- Patient amendable for liver surgery and pre- and postoperative oncological treatment
- 1-4 liver metastasis amendable to surgery with functional liver remnant volume >30%
- Liver metastasis (and skeletal metastasis) stable or responding to preoperative oncological treatment
Exclusion Criteria:
- Non-skeletal extrahepatic disease
- Non-resected primary tumour
- Pregnancy
- Progression of disease upon oncological treatment

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04079049
Contact: Oskar Hemmingsson, MD, PhD | 0046707197548 | oskar.hemmingsson@umu.se | |
Contact: Malin Sund, MD, PhD | 0046907850000 | malin.sund@umu.se |
Sweden | |
Umeå University Hospital | Recruiting |
Umeå, Sweden, 90185 | |
Contact: Oskar Hemmingsson, MD, PhD 0046 707197548 oskar.hemmingsson@umu.se | |
Contact: Anne Andersson, MD, PhD 0046 907850000 anne.andersson@umu.se |
Principal Investigator: | Oskar Hemmingsson, MD, PhD | Umeå University |
Responsible Party: | Umeå University |
ClinicalTrials.gov Identifier: | NCT04079049 |
Other Study ID Numbers: |
BreCLIM-2018-116-31M |
First Posted: | September 6, 2019 Key Record Dates |
Last Update Posted: | May 25, 2022 |
Last Verified: | May 2022 |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Breast Neoplasms Neoplasm Metastasis Liver Neoplasms Neoplasms by Site Neoplasms Breast Diseases |
Digestive System Neoplasms Liver Diseases Skin Diseases Neoplastic Processes Pathologic Processes Digestive System Diseases |