To assess the risk of breast cancer relapse associated with temporary interruption of endocrine therapy (ET) to permit pregnancy.
Secondary objective:
To evaluate factors associated with pregnancy success after interruption ofendocrine therapy.
Endpoints
Primary endpoint:
Breast cancer free interval (BCFI) defined as the time from enrollment inthe study to the first invasive BC event (local, regional, or distantrecurrence or a new invasive contralateral BC).
Secondary endpoints:
Menstruation recovery and pattern.
Pregnancy (determined by pregnancy test).
Pregnancy outcome: full term pregnancy, caesarean section, abortion,miscarriage, ectopic, stillbirth.
Breastfeeding; pattern of breastfeeding (duration, use ipsilateral breast ifprevious breast conservation, side exclusivity).
Use of assisted reproductive technology (ART).
Adherence to endocrine treatment assessed by: Treatment resumption after the ~2 year ET break and total duration of at least 5 years of ET.
Distant recurrence-free interval (DRFI), defined as the time fromenrollment in the study to the first BC recurrence in a distant site,excluding second (non-breast) primary cancers and contralateral breastcancer.
Eligibility Criteria
Please refer to the protocol for all inclusion criteria and details
Age ≥ 18 and ≤ 42 years at enrollment.
Has received adjuvant endocrine therapy (SERM alone, GnRH analogueplus SERM or AI) for ≥18 months but ≤30 months for early breast cancer.
The adjuvant endocrine therapy must have stopped within 1 month priorto enrollment.
Breast cancer for which patient is receiving endocrine therapy must havebeen histologically-proven stage I-III, endocrine-responsive (i.e., estrogenand/or progesterone receptor positive, according to local definition ofpositive, determined using immunohistochemistry (IHC)), and treatedwith curative intent. Note:
Patients with synchronous bilateral invasive breast cancer (diagnosedhistologically within 2 months) are eligible.
Patient with invasive breast cancer or synchronous bilateral invasivebreast cancer (diagnosed histologically within 2 months) duringpregnancy are eligible.
Patients with BRCA1/2 mutations are eligible.
Patients could have received neo/adjuvant chemotherapy, or other systemic therapy (e.g., neo/adjuvant HER2-targeted therapy) accordingto institutional policy and patient’s desire.
Written consent to biological material submission, indicating the patienthas been informed of and agrees to tissue and blood material use, transferand handling