Trial record 1 of 1 for:    NCT00723294
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Cryoablation Therapy in Treating Patients With Invasive Ductal Breast Cancer

This study is currently recruiting participants.
Verified February 2013 by National Cancer Institute (NCI)
Sponsor:
Collaborator:
Information provided by:
National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:
NCT00723294
First received: July 25, 2008
Last updated: February 12, 2013
Last verified: February 2013
  Purpose

RATIONALE: Cryoablation kills tumor cells by freezing them. This may be an effective treatment for patients with invasive ductal breast cancer.

PURPOSE: This phase II trial is studying how well cryoablation therapy works in treating patients with invasive ductal breast cancer.


Condition Intervention Phase
Breast Cancer
Procedure: cryosurgery
Procedure: therapeutic conventional surgery
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Primary Purpose: Treatment
Official Title: A Phase II Trial Exploring the Success of Cryoablation Therapy in the Treatment of Invasive Breast Carcinoma

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Rate of complete tumor ablation [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Negative predictive value of MRI [ Designated as safety issue: No ]
  • Adverse events [ Designated as safety issue: Yes ]
  • Pain assessment [ Designated as safety issue: No ]

Estimated Enrollment: 99
Study Start Date: September 2008
Estimated Primary Completion Date: March 2013 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • To determine the rate of complete tumor ablation in patients with invasive ductal breast carcinoma treated with cryoablation.

Secondary

  • To evaluate the negative predictive value of MRI in the post-ablation setting in detecting residual in situ or invasive breast carcinoma.
  • To describe the adverse events associated with cryoablation in these patients.
  • To prospectively gather pain assessment data before and after cryoablation and after surgical resection in these patients.
  • To explore technical variables that may affect the success of cryoablation in these patients.

OUTLINE: This is a multicenter study.

A cryoprobe is inserted percutaneously under ultrasound guidance into the targeted lesion. Patients undergo ablation using a freeze-thaw-freeze cycle lasting approximately 6-10-6 or 8-10-8 minutes, respectively. Patients undergo surgical resection and sentinel lymph node biopsy and/or axillary dissection within 28 days after completion of cryoablation.

Patients complete the Brief Pain Inventory before and after cryoablation and after surgery.

After completion of study treatment, patients are followed within 14 days.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of invasive ductal breast carcinoma by core needle biopsy, meeting the following criteria:

    • Unifocal primary disease
    • Tumor size ≤ 2.0 cm in greatest diameter in the axis parallel to the treatment probe AND ≤ 1.5 cm in the axis anti-parallel to the treatment probe
    • Tumor enhancement on baseline MRI
    • Tumor with < 25% intraductal components in the aggregate
  • Breast size adequate for safe cryoablation

    • For patients with breast implants, the treating physician must document that adequate distance exists between the lesion and the implant to ensure that the ablated lesion with not contact or jeopardize the implant
  • No lobular carcinoma, multifocal and/or multicentric ipsilateral breast cancer, multifocal calcifications, ductal carcinoma in situ (DCIS) with microinvasion, or invasive breast carcinoma

    • Contralateral disease allowed
  • HER2/neu status and Oncotype DX status (if needed) known
  • Hormone receptor status:

    • Estrogen receptor and progesterone receptor status known

PATIENT CHARACTERISTICS:

  • Menopausal status not specified
  • Not pregnant or nursing
  • Negative pregnancy test

PRIOR CONCURRENT THERAPY:

  • No prior en bloc open surgical biopsy and/or lumpectomy for diagnosis/treatment of the index breast cancer

    • Prior rotational and/or vacuum-assisted core biopsies allowed provided that no significant distortion is seen on imaging that could obscure visualization and detection of residual disease on MRI, or visualization of cancer on ultrasound for cryoablation procedure
  • No prior or concurrent neoadjuvant chemotherapy for breast cancer
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00723294

Locations
United States, Connecticut
Bridgeport Hospital Recruiting
Bridgeport, Connecticut, United States, 06610
Contact: Clinical Trials Office - Bridgeport Hospital     203-384-4869        
United States, Illinois
Northwest Community Hospital Recruiting
Arlington Heights, Illinois, United States, 60005
Contact: Michael R. Kinney     847-618-6660        
United States, Indiana
Indiana University Melvin and Bren Simon Cancer Center Recruiting
Indianapolis, Indiana, United States, 46202-5289
Contact: Clinical Trials Office - Indiana University Cancer Center     317-274-2552        
United States, Maryland
DeCesaris Cancer Institute at Anne Arundel Medical Center Recruiting
Annapolis, Maryland, United States, 21401
Contact: Lorraine Tafra, MD     443-481-5300        
United States, Michigan
University of Michigan Comprehensive Cancer Center Recruiting
Ann Arbor, Michigan, United States, 48109-0942
Contact: Clinical Trials Office - University of Michigan Comprehensive     800-865-1125        
United States, New York
New York Weill Cornell Cancer Center at Cornell University Recruiting
New York, New York, United States, 10021
Contact: Clinical Trials Office - New York Weill Cornell Cancer Center     212-746-1848        
United States, Ohio
Bethesda North Hospital Recruiting
Cincinnati, Ohio, United States, 45242
Contact: Susan Weinberg     513-745-1111        
United States, Pennsylvania
Penn State Hershey Cancer Institute at Milton S. Hershey Medical Center Recruiting
Hershey, Pennsylvania, United States, 17033-0850
Contact: Clinical Trials Office - Penn State Hershey Cancer Institute a     717-531-3779     CTO@hmc.psu.edu    
Lankenau Cancer Center at Lankenau Hospital Recruiting
Wynnewood, Pennsylvania, United States, 19096
Contact: Ned Z. Carp, MD     610-642-1908        
United States, Texas
M. D. Anderson Cancer Center at University of Texas Recruiting
Houston, Texas, United States, 77030-4009
Contact: Clinical Trials Office - M. D. Anderson Cancer Center at the U     713-792-3245        
United States, Washington
Bellingham Breast Center Recruiting
Bellingham, Washington, United States, 98225
Contact: Cary S. Kaufman     360-671-9877        
Sponsors and Collaborators
American College of Surgeons
Investigators
Study Chair: Rache M. Simmons, MD Weill Medical College of Cornell University
  More Information

Additional Information:
No publications provided

Responsible Party: David M. Ota, American College of Surgeons Oncology Group
ClinicalTrials.gov Identifier: NCT00723294     History of Changes
Other Study ID Numbers: CDR0000600976, ACOSOG-Z1072
Study First Received: July 25, 2008
Last Updated: February 12, 2013
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
invasive ductal breast carcinoma
male breast cancer
stage IA breast cancer
stage IB breast cancer
stage II breast cancer

Additional relevant MeSH terms:
Breast Neoplasms
Carcinoma, Ductal, Breast
Neoplasms by Site
Neoplasms
Breast Diseases
Skin Diseases
Carcinoma, Ductal
Adenocarcinoma
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms, Ductal, Lobular, and Medullary

ClinicalTrials.gov processed this record on June 17, 2013