- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02324205
Assessment of Diagnostic Accuracy and Performance of Digital Breast Tomosynthesis Compared to Mammography (ADAPT) (ADAPT)
February 5, 2019 updated by: GE Healthcare
Assessment of Diagnostic Accuracy and Performance of Digital Breast Tomosynthesis Compared to Mammography (ADAPT Trial) ADAPT-BX: Recruitment Plan for Initially Asymptomatic Women Referred for Breast Biopsy
The aim of this recruitment plan (ADAPT-BX) is to collect image and technical data on both digital breast tomosynthesis (DBT) and full-field digital mammography (FFDM), along with other subject data including histology results from biopsy specimen examination and cancer classification data from initially asymptomatic women referred for biopsy after recall from screening and diagnostic work-up.
These data will be included in a subsequent and prospectively planned pooled analysis described in a separate protocol (ADAPT-BIE) examining superiority of DBT to FFDM for breast cancer diagnosis and other clinical performance measures.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Detailed Description
ADAPT program consists of 2 recruitment plans (ADAPT-SCR and ADAPT-BX) followed by an off-line read of the images and data collected (ADAPT-BIE).
This study involves the comparison of two devices that can identify abnormalities in routine breast screening and diagnostic mammography.
Mammography is usually done with full-field digital mammography (FFDM), which takes flat, two-dimensional X-ray images of the breast.
Doctors use the two-dimensional images to look for cancers and other abnormal tissue.
The purpose of this study is to learn more about the accuracy of full-field digital mammography devices and a new mammography device called digital breast tomosynthesis (DBT).
DBT is similar to full-field digital mammography, but can also move around the breast to get X-ray images from different angles, which provides a three-dimensional view that doctors can use to look for cancers and abnormal tissue.
Subjects will be recruited from an initially asymptomatic population that have been referred for clinically indicated breast biopsy based on suspicious breast imaging results.
Subjects will undergo a DBT mammogram prior to biopsy.
If FFDM was not performed within 30 days, subjects will also undergo FFDM prior to biopsy.
Results of biopsy(ies) and histopathology, including lesion characteristics, will be recorded and considered as truth if positive for cancer status.
Subjects with negative or benign histological findings will be followed for approximately one year (10-16 months) by FFDM and any additional standard of care practice.
Study Type
Interventional
Enrollment (Actual)
196
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Villejuif, France, 94805
- Gustave Roussy
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Florida
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Boca Raton, Florida, United States, 33486
- Boca Raton Regional Hospital Christine E. Lynn Women's Health and Wellness Institute
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New Jersey
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Voorhees, New Jersey, United States, 08043
- Cooper Health - Cooper Breast Imaging Centers
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
30 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Women aged 30 years or older (≥30 years old);
- Initially asymptomatic women that underwent routine screening FFDM, breast ultrasound (U/S), breast magnetic resonance imaging (MRI) and/or DBT, followed by diagnostic work-up showing one of more abnormalities and referred for breast biopsy within of 30 days before study entry;
- Are able and willing to comply with study procedures;
- Have signed and dated the informed consent form;
- Documented as non-pregnant based on the investigator's medical judgment and in consideration of local clinical practice standards for evidence of non-pregnancy.
Exclusion Criteria:
- Have been previously included in this study;
- Have undergone diagnostic or surgical intervention(s) or procedure(s) on either breast, including mastectomy and cytopunction, before study-related imaging;
- Have breasts too large to be adequately positioned on 24 x 31 centimeter (cm) FFDM digital receptor without anatomical cut off during a DBT examination (or FFDM, if required);
- Have participated in (within the prior 30 days), another trial of an investigational product expected to interfere with study procedures or outcomes;
- Have breast implant(s);
- Have reconstructed breast(s).
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: DBT and FFDM
Subjects underwent 2D breast imaging with full-field digital mammography (FFDM) followed by 3D breast imaging with digital breast tomosynthesis (DBT).
Digital Breast Tomosynthesis: 3D imaging of the breast using Digital Breast Tomosynthesis (DBT) device.
Full-Field Digital Mammography: 2D imaging of the breast using Full-Field Digital Mammography (FFDM) device.
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Subjects underwent breast imaging using each device: DBT and FFDM.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants With DBT, FFDM and Biopsy Specimens Collected.
Time Frame: Approximately 8 weeks
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For each participant, obtain image data using two methods (DBT and FFDM) and obtain histology results of biopsy specimens from women referred for biopsy.
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Approximately 8 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Lesion Type Observed by FFDM Imaging
Time Frame: Approximately 8 weeks
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Lesions were characterized based on findings identified during image evaluations performed by qualified readers.
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Approximately 8 weeks
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Lesion Type Observed by DBT Imaging
Time Frame: Approximately 8 weeks
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Lesions were characterized based on findings identified during image evaluations performed by qualified researchers.
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Approximately 8 weeks
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Maximum Lesion Dimension as Observed by FFDM
Time Frame: Approximately 8 weeks
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Maximum Length of Lesions (measured in mm) when images were collected using FFDM.
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Approximately 8 weeks
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Maximum Lesion Dimension as Observed by DBT
Time Frame: Approximately 8 weeks
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Maximum length of lesions (measured in mm) when images were collected using DBT
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Approximately 8 weeks
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Biopsy Finding of Lesions Per Subject.
Time Frame: Approximately 8 weeks
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Describes histologic cancer and non-cancer findings of lesion biopsy.
Cancer status of lesions was reported per subject, not per lesion.
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Approximately 8 weeks
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Safety - Device Related Malfunctions
Time Frame: less than 16 months
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Number of device-related malfunctions by imaging modality.
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less than 16 months
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Corinne Balleyguier, MD, Gustave Roussy, Cancer Campus, Grand Paris
- Principal Investigator: Lydia Liao, MD, Cooper Health
- Principal Investigator: Kathy Schilling, MD, Boca Raton Regional Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
March 1, 2015
Primary Completion (Actual)
August 29, 2017
Study Completion (Actual)
August 29, 2017
Study Registration Dates
First Submitted
December 11, 2014
First Submitted That Met QC Criteria
December 23, 2014
First Posted (Estimate)
December 24, 2014
Study Record Updates
Last Update Posted (Actual)
February 26, 2019
Last Update Submitted That Met QC Criteria
February 5, 2019
Last Verified
February 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 124.03-2014-GES-0010_2
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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