- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07447414
Luminal Breast Cancer Cryoablation (LUBRECA)
Cryoablation for the Treatment of Luminal Early Breast Cancer
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a prospective transversal study that will include 140 postmenopausal women with unifocal invasive breast cancer diagnosed with core or vacuum-assisted biopsy, up to 2 cm measured in ultrasound and contrast enhanced mammography, without metastatic lymph nodes in axillary ultrasound, hormone receptor positive and human epidermal factor receptor 2 (HER) negative. Patients with invasive lobular carcinoma, extensive intraductal component, not suitable for surgery or with metastatic disease will be excluded.
Participants will receive cryoablation treatment of the tumor and, after, they will undergo radio-guided surgical resection. The presence of residual viable tumoral cells will be evaluated in the surgical specimen. Axillary evaluation during surgery and adjuvant treatment will be planned accordant to the usual clinical practice.
Cryoablation and surgery side effects and tolerance will be evaluated.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Lucía Graña López, PhD
- Phone Number: 0034982296234
- Email: grana.lopez.lucia@gmail.com
Study Locations
-
-
Lugo
-
Lugo, Lugo, Spain, 27003
- Recruiting
- Hospital Universitario Lucus Augusti
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Postmenopausal women diagnosed with invasive breast cancer by core needle biopsy or vacuum-assisted biopsy
- Unifocal
- Lesion ≤ 2 cm (on ultrasound and contrast enhanced mammography)
- No axillary lymphadenopathy on ultrasound
- No axillary lymph node involvement on ultrasound.
- Luminal tumor (estrogen and/or progesterone receptor positive)
- HER2 negative
- Signed informed consent
Exclusion Criteria:
- Infiltrating lobular carcinoma
- Extensive in situ component
- Multifocality or multicentricity
- Contraindication for contrast mammography
- Not candidate for surgery
- Distant metastasis -
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Other: Breast cancer
Early stage luminal breast cancers up to 2 cm
|
The appropriate cryoprobe (10G or 13G) will be selected depending on the size of the tumor.
After injecting local anesthesia, the cryoprobe will be inserted along the longest diameter of the lesion.
The tip of the needle will be advanced so that the freezing center is located in the middle of the tumor.
Two freezing cycles will be performed, separated by a thawing cycle, all three of the same duration, which depends on the size of the tumor.
The goal is a freezing volume with a lethal zone covering the lesion and a safety margin of at least 1 cm.
Ultrasound allows real-time monitoring of the expansion of the ice ball during cryoablation.
To avoid burning the skin, we will inject warm sterile saline solution when the distance between the ice and the skin surface is less than 0.5 cm
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cryoablation success rate
Time Frame: 30days after cryoablation
|
Absence of tumor cells in a surgical specimen
|
30days after cryoablation
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of patients who are free of cryoablation related complications per CTCAE v 5.0
Time Frame: One day and one week after cryoablation
|
One day and one week after cryoablation
|
|
|
Patient tolerance to cryoablation and surgery
Time Frame: 60 days after cryoablation
|
Physicians Global Assessment to measure quality of life (0-10)
|
60 days after cryoablation
|
|
Analyze the impact of broadening the inclusion criteria comparing to previous trials
Time Frame: 36 months
|
Subgroup analysis: comparing the efficacy of cryoablation in tumors: ≤ 1.5 cm / 1.5-2 cm; grade I-II / grade III; invasive ductal/ others (mucinous, cribriform, tubular, papillary, micropapillary...); proliferation index (ki67) ≤ 20% / 21-50% / > 50%.
|
36 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Lucía Graña López, PhD, Hospital Universitario Lucus Augusti
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2025/476
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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