ABLATE: Excision Followed by Radiofrequency Ablation for Breast Cancer
Study Details
Study Description
Brief Summary
The purpose of this study will be to evaluate, in a multi-center setting, the ability of radiofrequency ablation (RFA) of breast cancer lumpectomy sites to extend the "final" negative margin and consequently decrease the rates of re-operation. During the initial breast conservation procedure (lumpectomy), immediately following routine surgical resection of the tumor, radiofrequency energy (RFA) is applied to the wall (bed) of the fresh lumpectomy cavity, thus extending tumor free margin radially beyond the volume of the resected specimen.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Other: Surgery followed by RFA
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Device: Radiofrequency Ablation
Breast conservation surgery followed by Radiofrequency Ablation of the cavity
Other Names:
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Outcome Measures
Primary Outcome Measures
- Estimate the re-excision rate for close (<3mm) or positive margins [Post-surgery (defined as 2 weeks after surgery, to allow time for pathology to be completed)]
How many patients must go back for re-excision of margins
- Decrease local recurrence [Monitor throughout 5 year follow-up]
The patient will be followed closely from the time of surgery through a period of 5 years in order to assess the frequency of local recurrence, defined as a new diagnosis of cancer at or near the site of primary surgery. It is our thought that the addition of RFA to the standard surgical treatment will reduce the number of local recurrences.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patient is a female, ≥ 50 years of age
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The tumor size is ≤ 3 cm (on pre-study radiologic OR clinical exam)
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The tumor is unicentric and unilateral
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The tumor is not involving the skin
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Pathology confirms ductal in situ (DCIS) OR infiltrating ductal carcinoma (IDC), grade I-III
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If tumor is IDC, pathology must be hormone receptor positive (ER+ and/or PR+)
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Patient signs current written informed consent and HIPAA forms
Exclusion Criteria:
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Patient is under 50 years of age
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Patient is male
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Tumor > 3 cm in diameter
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Bilateral malignancy
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Clinically positive lymph nodes
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Tumor involving the skin
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Pathology confirms invasive lobular carcinoma
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Breast implants
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Less than 2 years disease-free survival from previous breast cancer
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Neoadjuvant chemotherapy or chemotherapy for another breast cancer within two years
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Arizona | Tucson | Arizona | United States | 85704 |
2 | University of Arkansas for Medical Sciences | Little Rock | Arkansas | United States | 72205 |
3 | Sharp Oncology (Comprehensive Breast Care of San Diego) | San Diego | California | United States | 92123 |
4 | Comprehensive Breast Care of Denver | Denver | Colorado | United States | 80218 |
5 | The University of Kansas Cancer Center | Westwood | Kansas | United States | 66205 |
6 | Columbia | New York | New York | United States | 10032 |
Sponsors and Collaborators
- University of Arkansas
- Angiodynamics, Inc.
Investigators
- Principal Investigator: Daniela Ochoa, MD, University of Arkansas
Study Documents (Full-Text)
None provided.More Information
Publications
- 104603
- NCT01420380