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Study identifier: NCT07214532 Synced from ClinicalTrials.gov · July 29, 2026
● Recruiting

Signatera-Guided CDK4/6 Inhibitor Therapy in Breast Cancer

Condition: Breast Neoplasms · Carcinoma, Ductal, Breast · Receptors, Estrogen (for ER-positive Requirement)  ·  Sponsor: Natera, Inc.

PhaseNA
Planned participants725
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

The purpose of this study is to evaluate the efficacy and safety of ctDNA-guided initiation of CDK4/6 inhibitor therapy using the Signatera™ Designed on Genome test (referred to as "Signatera Genome") in participants with intermediate-risk HR+/HER2- early-stage breast cancer. Based on ctDNA test results, participants will either start CDK4/6 inhibitor therapy in addition to hormone therapy or continue hormone therapy with ongoing ctDNA surveillance. This study will compare outcomes to historical controls from the NataLEE trial to determine whether ctDNA-guided timing maintains efficacy while reducing unnecessary treatment. Participants will be followed for up to 9 years with regular blood draws, hormone therapy, imaging as needed, and quality-of-life assessments.

This description comes directly from the study's public registry record.

Talk to the study team

Kayla Gelow, MS  ·  844-778-4700  ·  kgelow@natera.com

Jessica Reyes, BS  ·  844-778-4700  ·  jguilford@natera.com

Always discuss trial participation with your own doctor first.

Locations (39)

University of Alabama at BirminghamBirmingham, Alabama, United StatesNot Yet Recruiting
Mayo Clinic ArizonaPhoenix, Arizona, United StatesNot Yet Recruiting
Honor Health Research InstituteScottsdale, Arizona, United StatesNot Yet Recruiting
University of Arizona Cancer CenterTucson, Arizona, United StatesNot Yet Recruiting
Adventist Health/AIS Cancer CenterBakersfield, California, United StatesNot Yet Recruiting
Marin Cancer CareGreenbrae, California, United StatesNot Yet Recruiting
Loma Linda UniversityLoma Linda, California, United StatesNot Yet Recruiting
UCLA David Geffen School of MedicineSanta Monica, California, United StatesNot Yet Recruiting
Stockton Hematology Oncology Medical GroupStockton, California, United StatesRecruiting
Kaiser Permanente NorCalVallejo, California, United StatesNot Yet Recruiting
Hartford Healthcare InstituteHartford, Connecticut, United StatesNot Yet Recruiting
Yale Cancer CenterNew Haven, Connecticut, United StatesNot Yet Recruiting

+ 27 more locations — full list on the registry record.

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Source record: clinicaltrials.gov/study/NCT07214532