Contrast-Enhanced Digital Mammography (CEDM) for Identifying a Change in Management of Women With Newly Diagnosed Breast Cancer
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Purpose
Enrolled women will undergo a bilateral 2-view DE-CEDM examination after administration of an iodinated contrast agent. Separate readers on-site will evaluate DE-CEDM+MX (standard mammography) and CE-BMRI+MX to determine the extent of disease. An integrated reading of both sets of images will be performed either by one or the two readers. DE-CEDM will not be used to change the diagnosis. Lesions that are confirmed as suspicious by MX, CE-BMRI, or follow-up breast ultrasound (US) will undergo biopsy. Truth about extent of disease will be based on histologic analysis of surgical specimens along with follow-up MX 10-15 months after the study exam. A randomized, blinded image evaluation will be done with 11 to 15 radiologist readers to compare DE-CEDM+MX and CE-BMRI+MX for assessment of disease extent.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer |
Other: DE-CEDM and CE-BMRI |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | A Multicenter, Open-Label, Crossover Trial to Assess Non-Inferiority of Dual Energy Contrast-Enhanced Digital Mammography (DE-CEDM) Compared to Contrast-Enhanced Breast Magnetic Resonance Imaging (CE-BMRI) for Identifying a Change in Patient Management in Women With Newly Diagnosed Breast Cancer |
- DE-CEDM - CE-BMRI Comparison for the identification of women whose clinical management would be changed. [ Time Frame: 15 months ] [ Designated as safety issue: No ]DE-CEDM - CE-BMRI Comparison for the identification of women whose clinical management would be changed (defined as: presence of additional foci in the contralateral breast, and/or presence of additional foci at least 2 cm from the primary cancer in the ipsilateral breast, and/or change in size of the primary by at least 2 cm).
| Estimated Enrollment: | 350 |
| Study Start Date: | April 2010 |
| Estimated Primary Completion Date: | October 2012 (Final data collection date for primary outcome measure) |
-
Other: DE-CEDM and CE-BMRI
Eligibility| Ages Eligible for Study: | 21 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Woman 21 years of age or older
- The subject is able and willing to comply with study procedures and signed and dated informed consent is obtained.
- Newly diagnosed with Breast Cancer (DCIS or invasive) identified through core biopsy or fine-needle aspiration (FNA) within last 30 days.
- Will have or have had a bilateral CE-BMRI performed within 30 days AFTER the new breast cancer diagnosis.
Exclusion Criteria:
- Woman who has already had a lumpectomy for the index lesion.
- Woman undergoing neoadjuvant chemotherapy treatment, hormone treatment or radiation therapy.
- Woman who is pregnant or who believe she may be pregnant.
- Woman who has breast implant.
- Woman who has a contraindication to the intravenous use of iodinated or gadolinium-chelated contrast agent (e.g., allergy to either agent or severely impaired renal function).
Contacts and Locations| United States, Washington | |
| Seattle Cancer Care Alliance | |
| Seattle, Washington, United States | |
| Belgium | |
| AZ St-Jan Brugge AV | |
| Brugges, Belgium | |
| Canada | |
| Sunnybrook Health Science Centre | |
| Toronto, Canada | |
| France | |
| Institut Goustave Roussy | |
| Villejuif, France | |
| Germany | |
| Institut fur Radiologie, Charite | |
| Berlin, Germany | |
More Information
No publications provided
| Responsible Party: | GE Healthcare |
| ClinicalTrials.gov Identifier: | NCT01303419 History of Changes |
| Other Study ID Numbers: | DE-CEDM-001 |
| Study First Received: | February 18, 2011 |
| Last Updated: | October 31, 2012 |
| Health Authority: | France: Institutional Ethical Committee Belgium: Ethics Committee Germany: Ethics Commission Canada: Ethics Review Committee United States: Institutional Review Board |
Keywords provided by GE Healthcare:
|
mammography |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases |
ClinicalTrials.gov processed this record on May 19, 2013