🏛️ Verified NIH Record • Updated 2026-06-16

Testing the Role of FDG-PET/CT to Predict Response to Therapy Prior to Surgery for HER2-positive Breast Cancer, The DIRECT Trial (NCT05710328)

Interim FDG-PET/CT for PreDIcting REsponse of HER2+ Breast Cancer to Neoadjuvant Therapy: DIRECT Trial

🔵 Active, Not Recruiting Phase2 💊 Investigational Drug / Biologic Sponsor: ECOG-ACRIN Cancer Research Group

🩺 Plain-English Summary (8th-Grade Level)

This phase II trial tests how well an imaging procedure called fludeoxyglucose F-18 (FDG) positron emission tomography/computed tomography (PET/CT) works in predicting response to standard of care chemotherapy prior to surgery in patients with HER2-positive stage IIa-IIIc breast cancer. FDG is a radioactive tracer that is given in a vein before PET/CT imaging and helps to identify areas of active cancer. PET and CT are imaging techniques that make detailed, computerized pictures of areas inside the body. The use of FDG-PET/CT may help doctors better decide if a patient needs more or less treatment before surgery in order to get the best response. This study evaluates whether FDG-PET/CT is useful in predicting a patient's response to standard of care chemotherapy.

Who can join: Review the eligibility criteria below.

Location: University of Alabama at Birmingham Cancer Center — Birmingham, Alabama

Age range: 18 Years

🧪 Interventions in This Study

📋 "Do I Qualify?" — 1-Minute Self Screener

Instant Checklist

Full eligibility criteria are available on the official NIH protocol. View the criteria ↗

📍 All Participating Trial Locations (102 Sites)

Showing the first 25 of 102 sites.

  • University of Alabama at Birmingham Cancer Center — Birmingham, Alabama
  • Cancer Center at Saint Joseph's — Phoenix, Arizona
  • Los Angeles General Medical Center — Los Angeles, California
  • USC / Norris Comprehensive Cancer Center — Los Angeles, California
  • Saint John's Cancer Institute — Santa Monica, California
  • Sibley Memorial Hospital — Washington D.C., District of Columbia
  • Mayo Clinic in Florida — Jacksonville, Florida
  • Hawaii Cancer Care Inc - Waterfront Plaza — Honolulu, Hawaii
  • Queen's Cancer Cenrer - POB I — Honolulu, Hawaii
  • Queen's Medical Center — Honolulu, Hawaii
  • University of Hawaii Cancer Center — Honolulu, Hawaii
  • Queen's Cancer Center - Kuakini — Honolulu, Hawaii
  • Kapiolani Medical Center for Women and Children — Honolulu, Hawaii
  • Castle Medical Center — Kailua, Hawaii
  • Wilcox Memorial Hospital and Kauai Medical Clinic — Lihue, Hawaii
  • Hawaii Cancer Care - Westridge — ‘Aiea, Hawaii
  • Saint Luke's Cancer Institute - Twin Falls — Twin Falls, Idaho
  • Northwestern University — Chicago, Illinois
  • Carle at The Riverfront — Danville, Illinois
  • Northwestern Medicine Cancer Center Kishwaukee — DeKalb, Illinois
  • Carle Physician Group-Effingham — Effingham, Illinois
  • Northwestern Medicine Cancer Center Delnor — Geneva, Illinois
  • Northwestern Medicine Lake Forest Hospital — Lake Forest, Illinois
  • Carle Physician Group-Mattoon/Charleston — Mattoon, Illinois
  • Carle Cancer Center — Urbana, Illinois

💰 Cost, Insurance & Patient Rights

  • 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
  • Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
  • Voluntary Participation: You may withdraw at any time without affecting your standard medical care.

💡 How to Participate

  1. Check the checklist above to see if you may qualify.
  2. Review the official NIH record below to find the coordinating site.
  3. Ask about the visit schedule, what is covered at no cost, and any travel support.
  4. Confirm with your own doctor before making a decision.
🏛️ View Official NIH Record ↗