RNA Disruption Assay (RDA) Response Prediction in Neoadjuvant Chemotherapy Breast Cancer Treatment
RNA Disruption Assay (RDA) Response Prediction in Neoadjuvant Chemotherapy Breast Cancer Treatment
The purpose of this study is to determine the optimal time to use the Tumor RNA Disruption
 Assay (RDA) as a predictor of pathological complete response (pCR) in patients with breast
 cancer treated with neoadjuvant chemotherapy.

 This is important because the earlier non-responders are identified, the greater is the
 impact of reducing side effects of ineffective treatments.

 The study hypothesis is that the RDA score will accurately predict for tumor response after
 one cycle of chemotherapy.
This prospective clinical trial will determine if the tumor RDA score can predict for pCR
 after the first, second, and third cycles of chemotherapy in women with breast cancer treated
 with neoadjuvant therapy. Tumor RDA score will also be measured after the first dose of any
 new chemotherapy agent if residual palpable disease is present.

 Data will be collected until accrual target of 30 patients is met. All patients will undergo
 core needle biopsy of the breast tumor and analysis of ER, PR, and HER-2-Neu receptors.
 Patients will receive neoadjuvant therapy as recommended by their treating physicians. All
 chemotherapy regimens will be acceptable for participation in this study. Usually, these
 regimens are between 6 to 8 cycles, often with a switch of chemotherapy regimens after 3 to 4
 cycles.

 Evaluation of tumor size will be determined by 2 axis tumor measurement performed prior to,
 and after each chemotherapy treatment. The Tumor RDA score will be evaluated by performing
 fine needle aspiration (FNA) biopsies under local anesthetic, if the tumor is clinically
 palpable, after the first, second, and third cycles of chemotherapy. Tumor RDA score will
 also be determined if palpable tumor is present after the first cycle of any second
 chemotherapy agent.
Inclusion Criteria:

 -  Patients must be female.

 -  Patients must be 18 years of age or older.

 -  Patients with stage I, II, or III breast cancer that is greater or equal to 2 cm on
 clinical examination.

 -  Patients that have biopsy proven invasive breast cancer diagnosed by core needle
 biopsy

 -  Patients who are chemotherapy and radiotherapy naïve for the treatment of the current
 breast cancer.

 -  Patients that accept to undergo neoadjuvant chemotherapy.

 -  Patients with bilateral breast cancer are eligible.

 -  Patients that understand, accept, and have signed the approved written consent form.

 -  Patients will need to consent to be part of the study.

 Exclusion Criteria:

 Patients with one or more of the following conditions are ineligible for this study:

 -  Patients who have had previous surgery, chemotherapy or radiotherapy for the current
 breast cancer

 -  Patients who are pregnant or breast feeding.

 -  Psychiatric or addictive disorders or conditions or social factors that may preclude
 the patient from meeting study requirements.