Cryoablation of Low Risk Small Breast Cancer- Ice3 Trial
Study Details
Study Description
Brief Summary
To evaluate the efficacy of cryoablation without lumpectomy and its impact on local and distant recurrence of early stage breast cancer .
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Other: single arm, open label Early stage Breast cancers up to 1.5cm |
Device: Ice-Sense3TM
|
Outcome Measures
Primary Outcome Measures
- local Inbreast Breast Tumor Recurrence (IBTR) rate. [up to 5 years]
6 months post cryoabltion , then annually for 5 years
Secondary Outcome Measures
- Complete ablation of primary tumor up to 60 months after cryoablation [up to 5 years from procedure date.]
Complete ablation of primary tumor
- Improvement or maintenance of subject's quality of life. [at 6 months compare to the base line]
Quality of life will be assesed using NCCN DISTRESS THERMOMETER
- Breast cosmetics satisfaction. [6 months after cryoablation]
subjects and physician satisfaction from the cosmetic results
- Regional and distant Invasive breast tumor recurrence rate. [up to 5 years]
Regional and distant Invasive breast tumor recurrence rate.
- Disease-free Survival (DFS),Overall survival including breast Cancer Survival. [up to 5 years]
DFS from cryoablation procedure and up to 5 years of FU
Eligibility Criteria
Criteria
Inclusion Criteria:
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Competent to sign informed consent
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Diagnosis of invasive ductal breast carcinoma by core needle biopsy, meeting the following criteria:
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Unifocal primary disease NOTE: Patients with multifocal and/or multicentric in breast cancer, or evidence of EIC are NOT eligible. Patients with contralateral disease will remain eligible.
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Tumor size ≤1.5 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 AND ≤1.5 cm in Anterior/ Posterior dimension. Tumor size ≤1.5 cm in greatest diameter as measured by breast ultrasound, mammogram and/or MRI. The largest dimension measured will be used to determine eligibility.
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Nottingham grade 1-2. Specifically, nuclear and mitotic scores must be less than or equal to 2.
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Estrogen receptor positive, progesterone receptor positive, HER2 negative
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Age>= 50
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Breast size adequate for safe cryoablation
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Lesion must be sonographically visible at the time of treatment.
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History of previously treated ipsilateral or contralateral breast carcinoma is not an exclusion criteria if the investigator is certain newly diagnosed carcinoma is new unifocal primary tumor.
Exclusion Criteria:
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Presence of lobular carcinoma
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Presence of luminal B pathology
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Nottingham score of 3 (specially nuclear and mitotic score>2)
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Presence of microinvasion, or invasive breast carcinoma with extensive intraductal component (EIC) 4. Presence of multifocal and/or multicentric in breast cancer 5. Presence of multifocal calcifications 6. Presence of prior or concurrent neoadjuvant chemotherapy for breast cancer
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Ironwood Cancer & Research Centers | Glendale | Arizona | United States | 85306 |
2 | BreastLink | Santa Ana | California | United States | 92705 |
3 | Bridgeport Hospital, Yale Medical School | Trumbull | Connecticut | United States | 06611 |
4 | Dalton Surgical Group | Dalton | Georgia | United States | 30720 |
5 | Indiana University | Indianapolis | Indiana | United States | 46202-5116 |
6 | Karmanos Cancer Institute | Detroit | Michigan | United States | 48201 |
7 | Regional Medical Imaging | Flint | Michigan | United States | 48507 |
8 | Comprehensive Breast Care | Troy | Michigan | United States | 48085 |
9 | CentraState Medical Center | Freehold | New Jersey | United States | 07728 |
10 | Breast Specialty care/ Presbyterian Hospital | Albuquerque | New Mexico | United States | 87114 |
11 | Mount Sinai Beth Israel | New York | New York | United States | 10011 |
12 | Columbia University/ NY Presbyterian hospital | New York | New York | United States | 10032 |
13 | Weill Cornell Medical College | New York | New York | United States | 10065 |
14 | Montefiore Medical Center | New York | New York | United States | 10467 |
15 | Cincinnati Breast Surgeons Inc. | Cincinnati | Ohio | United States | 45227 |
16 | University hospitals cleveland medical center | Cleveland | Ohio | United States | 44106 |
17 | Thomas Jefferson University hospital | Philadelphia | Pennsylvania | United States | 19107 |
18 | West Clinic | Germantown | Tennessee | United States | 38138 |
19 | Complete Breast Care | Plano | Texas | United States | 75075 |
Sponsors and Collaborators
- IceCure Medical Ltd.
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ICMBC-02