Cryoablation of Low Risk Small Breast Cancer- ICE3 Trial
Cryoablation of Low Risk Breast Cancer Less Than 1.5 cm: An Evaluation of Local Recurrence (Ice3 Trial)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Arizona
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Glendale, Arizona, United States, 85306
- Ironwood Cancer & Research Centers
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California
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Santa Ana, California, United States, 92705
- BreastLink
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Connecticut
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Trumbull, Connecticut, United States, 06611
- Bridgeport Hospital, Yale Medical School
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Georgia
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Dalton, Georgia, United States, 30720
- Dalton Surgical Group
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Indiana
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Indianapolis, Indiana, United States, 46202-5116
- Indiana University
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Michigan
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Detroit, Michigan, United States, 48201
- Karmanos Cancer Institute
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Flint, Michigan, United States, 48507
- Regional Medical Imaging
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Troy, Michigan, United States, 48085
- Comprehensive Breast Care
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New Jersey
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Freehold, New Jersey, United States, 07728
- CentraState Medical Center
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New Mexico
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Albuquerque, New Mexico, United States, 87114
- Breast Specialty care/ Presbyterian Hospital
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New York
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New York, New York, United States, 10065
- Weill Cornell Medical College
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New York, New York, United States, 10467
- Montefiore Medical Center
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New York, New York, United States, 10011
- Mount Sinai Beth Israel
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New York, New York, United States, 10032
- Columbia University/ NY Presbyterian hospital
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Ohio
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Cincinnati, Ohio, United States, 45227
- Cincinnati Breast Surgeons Inc.
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Cleveland, Ohio, United States, 44106
- University Hospitals Cleveland Medical Center
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- Thomas Jefferson University Hospital
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Tennessee
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Germantown, Tennessee, United States, 38138
- West Clinic
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Texas
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Plano, Texas, United States, 75075
- Complete Breast Care
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Competent to sign informed consent
Diagnosis of invasive ductal breast carcinoma by core needle biopsy, meeting the following criteria:
- 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.
- 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.
- Nottingham grade 1-2. Specifically, nuclear and mitotic scores must be less than or equal to 2.
- Estrogen receptor-positive, progesterone receptor-positive, HER2 negative
- Age>= 50
- Breast size adequate for safe cryoablation
- Lesion must be sonographically visible at the time of treatment.
- 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:
- Presence of lobular carcinoma
- Presence of luminal B pathology
- Nottingham score of 3 (specially nuclear and mitotic score>2)
- Presence of microinvasion, or invasive breast carcinoma with extensive intraductal component (EIC)
- Presence of multifocal and/or multicentric in breast cancer
- Presence of multifocal calcifications
- Presence of prior or concurrent neoadjuvant chemotherapy for breast cancer
- Presence of prior en bloc open surgical biopsy and/or lumpectomy for diagnosis/treatment of the index breast cancer
- Patient that is not suitable to cryoablation procedure according to the physician opinion
- ER AND PR negative, or Her2 positive noted on pre-cryo biopsy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: single arm, open label
Early stage Breast cancers up to 1.5cm
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Local Inbreast Breast Tumor Recurrence (IBTR) Rate
Time Frame: up to 5 years
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6 months post cryoabltion, then annually for 5 years
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up to 5 years
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Breast Cancer Survival.
Time Frame: up to 5 years
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Breast Cancer Survival from the date of cryoablation until the date of death from breast cancer or up to the 60 months follow-up visit.
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up to 5 years
|
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Overall Survival
Time Frame: up to 5 years
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Overall survival from the date of the cryoablation until the date of death from any cause or up to the 60 months follow up visit
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up to 5 years
|
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Complete Primary Tumor Ablation Rate
Time Frame: up to 5 years from procedure date.
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Complete ablation of primary tumor up to 60 months after cryoablation, reported as the percentage of patients with complete tumor ablation.
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up to 5 years from procedure date.
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Improvement or Maintenance of Subject's Quality of Life
Time Frame: Baseline and 6 months
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Quality of life will be assessed using the NCCN Distress Thermometer, a 0-10 scale measuring patient distress (0 = no distress, 10 = extreme distress; higher scores indicate worse distress), collected at baseline and at 6 months follow-up visit.
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Baseline and 6 months
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Breast Cosmetics Satisfaction
Time Frame: Up to 5 years following procedure
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Participants and treating physicians rated satisfaction with cosmetic outcomes following breast cryoablation.
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Up to 5 years following procedure
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Regional Recurrence Rate
Time Frame: up to 5 years following procedure
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Regional Invasive breast tumor recurrence rate.
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up to 5 years following procedure
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Distant Metastases Survival Rate
Time Frame: up to 5 years following procedure
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Distant metastases survival rate, including contralateral Breast cancer
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up to 5 years following procedure
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Disease-free Survival (DFS)
Time Frame: up to 5 years
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DFS from the date of complete ablation of the primary tumor until the first disease event, where the disease event is defined as local (DCIS or invasive), regional, or distant breast cancer recurrence, or DCIS or invasive contralateral breast cancer.
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up to 5 years
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ICMBC-02
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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