Treatment of Breast Fibroadenoma Targeted Tissue With HIFU (HIFU-003)
Treatment of Breast Fibroadenoma Targeted Tissue With High Intensity Focused Ultrasound (HIFU)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Michel NUTA, MD
- Phone Number: 633404004
- Email: michel.nuta@theraclion.com
Study Locations
-
-
New York
-
New York, New York, United States, 10016
- Bellevue Hospital Center
-
New York, New York, United States, 10032
- New York Columbia University Medical Center
-
New York, New York, United States
- Montefiore-Einstein Center for Cancer Care
-
-
Virginia
-
Charlottesville, Virginia, United States, 22903
- University of Virginia Health System
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Female patients 18 years or older diagnosed with breast fibroadenoma and presenting at least one fibroadenoma.
Diagnosis of fibroadenoma must be based on:
- Clinical examination
- Ultrasound image alone for patients under 35 years old. For women older than 35 years, a mammogram will be performed in addition to ultrasound. The BI-RADS score of this mammogram must be 2 or 3. BI-RADS score of 4 is eligible if biopsy indicates fibroadenoma with concordance.
- Histologic confirmation by core needle biopsy.
- Patient is a candidate for the surgery.
- The fibroadenoma treatment volume must be at least 5 mm and no more than 26 mm from the skin. This criterion should be evaluated immediately prior treatment, once the breast is immobilized and potentially compressed.
- The rib cage should not be in the prefocal ultrasound path or behind the target fibroadenoma (minimum distance from the posterior wall of the fibroadenoma must be at least 10 mm). This criterion shall be evaluated immediately prior to treatment, once breast is immobilized and potentially compressed.
- The fibroadenoma is 1 cm or greater at its largest dimension and no less than 7.5 mm in the anterior-posterior dimension (measured by ultrasound). Focal point for HIFU treatment must also be at least 3 mm from any border of the fibroadenoma.
- Patient's fibroadenoma size is greater or equal to 0.2 cc and less than 10 cc in volume (measured by ultrasound on the day of the procedure).
- Fibroadenoma is palpable.
- Pain ≥ 30mm/100mm measured on VAS as a maximum level during the last 30 days
- Anxiety ≥ 30mm/100mm measured on VAS as a maximum level during the last 30 days
- Patient has signed a written informed consent.
Exclusion Criteria:
- Patient is pregnant or nursing.
- Presence of calcified fibroadenoma. Calcification will be determined with mammography. In women > 35 years old, the diagnostic mammogram should be evaluated for calcification. In women ≤ 35 years old, a single view mammogram of the affected breast is sufficient for evaluation of calcification. Women ≤ 35 years old will be excluded based on the findings of calcification on a single view mammogram.
- Patient with history of breast cancer or history of laser or radiation therapy to the target breast.
- Patient with breast implants in the target breast.
- Patient with a breast cyst within the fibroadenoma to be treated.
- Patient's fibroadenoma not clearly visible on the ultrasound images (in B mode) at the inclusion visit.
- Patient participating in another clinical trial involving an investigational drug, device or biologic.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ECHOPULSE
ECHOPULSE HIFU
|
HIFU Under ultrasound guidance
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pain level assessment
Time Frame: 12 Months
|
visual analog scale
|
12 Months
|
|
Anxiety level assessment
Time Frame: 12 Months
|
visual analog scale
|
12 Months
|
|
Volume assessment
Time Frame: 12 Months
|
Ultrasound measurement
|
12 Months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The short (6-item) version of the State-Trait Anxiety Inventory (STAI)
Time Frame: inclusion visit (V0), Day 2/3, Day 7, 6 months, 12 months
|
inclusion visit (V0), Day 2/3, Day 7, 6 months, 12 months
|
|
|
Palpability of the breast fibroadenoma
Time Frame: inclusion visit (V0), Day 2/3, Day 7, 6 months, 12 months
|
Physician clinical examination
|
inclusion visit (V0), Day 2/3, Day 7, 6 months, 12 months
|
|
Freedom from additional procedures for fibroadenoma of the breast
Time Frame: Day 2/3, Day 7, 6 months, 12 months
|
Physician assessment concerning the need of additional procedures
|
Day 2/3, Day 7, 6 months, 12 months
|
|
Patient satisfaction
Time Frame: Month 6 and Months 12
|
Self assessment satisfaction questionnaire
|
Month 6 and Months 12
|
|
Safety endpoints include adverse events (AEs) and serious adverse events (SAEs) occurring at any time during the trial.
Time Frame: Day 0, Day 2/3, Day 7, 6 months, 12 months
|
Assessment and capture of adverse events
|
Day 0, Day 2/3, Day 7, 6 months, 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Michel NUTA, MD, Theraclion
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- HIFU/FA/003
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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