Post-Marketing Study for Early-Stage Low-Risk Breast Cancer Treatment Using ProSense® Cryoablation (ChoICE Trial)
Post Marketing Data Collection on Use of ProSense® Cryoablation System With Adjuvant Endocrine Therapy for the Treatment of Patients With Low-Risk, Early-Stage Breast Cancer (ChoICE Trial)
The FDA has granted marketing authorization for the ProSense® Cryoablation System for the local treatment of patients aged 70 years or older with low-risk early-stage breast cancer who are also receiving adjuvant hormone therapy.
This clinical trial is designed to collect additional data on the safety and effectiveness of cryoablation when used as part of routine clinical care. Specifically, the study will evaluate recurrence rates following the procedure for up to 5 years post-treatment.
In addition, linkage to claims data will be used to assess long-term outcomes, including breast cancer-related surgeries, mammograms and other breast imaging procedures, breast biopsies, and all-cause mortality.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Ronit Lipson, Clinical Trial Manager
- Telefonnummer: +972-522337768
- E-Mail: ronitl@Icecure-medical.com
Studieren Sie die Kontaktsicherung
- Name: Eidan Loushi Clinical Operations Specialist, M.Sc.
- Telefonnummer: +972-548118632
- E-Mail: eidanl@icecure-medical.com
Studienorte
-
-
California
-
Glendale, California, Vereinigte Staaten, 91206
- Rekrutierung
- Glendale Adventist Medical Center d/b/a Adventist Health Glendale
-
Kontakt:
- Lily Villalobos
- Telefonnummer: 818-539-9185
- E-Mail: villall3@ah.org
-
Hauptermittler:
- Dennis Holmes, Doctor, MD
-
-
Oregon
-
Portland, Oregon, Vereinigte Staaten, 97227
- Rekrutierung
- Legacy Medical Group-Surgical Oncology at Good Samaritan
-
Hauptermittler:
- Nathalie Johnson
-
Kontakt:
- Oncology Clinical Research
- Telefonnummer: 503-413-8199
- E-Mail: oncologyresearch@lhs.org
-
-
Tennessee
-
Germantown, Tennessee, Vereinigte Staaten, 38138
- Rekrutierung
- The West Clinic, PC dba West Cancer Center
-
Kontakt:
- Lucy Lasher
- Telefonnummer: 901-683-0055
- E-Mail: IRBApprovals@westclinic.com
-
Hauptermittler:
- Richard Gilmore, Doctor, MD
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
-
Provision of a signed and dated informed consent form.
-
Age ≥70
-
Diagnosis of invasive ductal breast carcinoma (IDC) by core needle biopsy, meeting the following criteria:
- Unifocal primary disease
- Tumor size ≤1.5 cm in greatest diameter
- Estrogen receptor positive, Progesterone receptor positive, and HER2 negative
- Low-risk tumor biology, defined as Ki67<15% or confirmed by genomic testing. In cases where Ki67 is ≥15%, low-risk status must be confirmed by genomic testing, which will prevail.
-
Lesions must be sonographically visible at the time of treatment
-
Clinically negative lymph node (N0).
Exclusion Criteria:
- Presence of lobular carcinoma.
- Presence of microinvasion or invasive breast carcinoma with extensive intraductal component (EIC), defined as DCIS component comprising ≥25%.
- Evidence of lymphovascular invasion.
- Presence of multifocal and/or multicentric breast cancer.
- Presence of multifocal suspicious calcifications.
- Presence of inflammatory features.
- Previous ipsilateral breast radiation
- Neoadjuvant endocrine treatment is provided to reduce the tumor size.
- Prior or concurrent neoadjuvant chemotherapy, biological therapy, or other targeted neo-therapies.
- Prior en bloc open surgical biopsy and/or lumpectomy for diagnosis/treatment of the index breast cancer.
- Allergy to local anesthesia.
- Any other reason defined as inoperable declared by a physician.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: Low-risk, Early satge breast cancer
FDA-Approved cryoablation procedure for the indicated population |
Cryoablation procedure, without resection, using the IceCure Medical ProSense® Cryoablation System. Patients will be also provided with adjuvant endocrine therapy for 5 years post-treatment. The IceCure ProSense® cryoablation system is intended for cryogenic destruction of tissue by the application of extreme cold temperatures. |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Confirmed Ipsilateral Breast Tumor Recurrence (IBTR) Rate
Zeitfenster: 5 Years
|
The percentage of patients who develop confirmed Ipsilateral Breast Tumor Recurrence (IBTR), up to 5 years after cryoablation. |
5 Years
|
|
Confirmed and suspected Ipsilateral Breast Tumor Recurrence (IBTR) Rate
Zeitfenster: 5 Years
|
The percentage of patients who develop confirmed and suspected Ipsilateral Breast Tumor Recurrence (IBTR), up to 5 years after cryoablation. |
5 Years
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Complete Primary Tumor Ablation Rate
Zeitfenster: 6 Months
|
The percentage of patients with complete tumor ablation, defined by adequate iceball coverage of the target tumor during the cryoablation procedure and absence of residual tumor at the 6-month follow-up. |
6 Months
|
|
Procedure duration (minutes)
Zeitfenster: The day of the procedure
|
Procedure duration, defined as the time from procedure initiation to procedure completion, measured in minutes |
The day of the procedure
|
|
Number of hospitalization days following the procedure
Zeitfenster: 6 Months
|
Length of post-procedural hospitalization (If needed), measured as the number of days from the procedure until hospital discharge. |
6 Months
|
|
Days to resume normal activity
Zeitfenster: 6 Months
|
Number of days after cryoablation until return to routine daily activities, as reported by the patient. |
6 Months
|
|
Number of procedure-related outpatient visits
Zeitfenster: 6 Months
|
Number of procedure-related outpatient visits post the procedure, which are unplanned in the study schedule of activities |
6 Months
|
|
Physician's satisfaction with the breast's cosmetic results
Zeitfenster: 6 Months
|
Assessed using the Sneeuw Questionnaire, an observer-rated assessment of cosmetic changes following treatment. Items are scored on a 4-point scale ranging from 1 (None) to 4 (Severe), with the overall cosmetic result rated from 1 (Poor) to 4 (Excellent). |
6 Months
|
|
Non-serious adverse events (related/non-related to device and procedure) and procedure-related complications.
Zeitfenster: 6 Months
|
Number, nature, and percentage of patients with non-serious adverse events (related/nonrelated to device and procedure) and procedure-related complications up to 6 months. |
6 Months
|
|
Local recurrence and Second primary breast cancer rates
Zeitfenster: 5 Years
|
The percentage of patients with local breast cancer recurrence or second primary breast cancer. |
5 Years
|
|
Patient's satisfaction with cosmetic outcomes
Zeitfenster: 5 Years
|
Patients' satisfaction will be assessed at 6-month follow-up and subsequent visits through 5 years using the 'Satisfaction with Breasts' scale from the BREAST-Q 2.0 Patient-Reported Outcome (PRO) Breast-Conserving Surgery module. Scores are reported on a 0 (Worst) to 100 (Best) scale. |
5 Years
|
|
Patients' Quality of life (QoL)
Zeitfenster: 5 Years
|
Improvement or maintenance of patient's quality of life will be evaluated at 6-month follow-up and subsequent visits through 5 years, compared to baseline, using two scales from the BREAST-Q 2.0 PRO Breast-Conserving Surgery module: Physical Well-Being: Chest, and Psychosocial Well-Being. BREAST-Q has domain scores reported on a 0 (Worst) to 100 (Best) scale. |
5 Years
|
|
Locoregional recurrence (LRR) rate
Zeitfenster: 5 Years
|
The percentage of patients who develop locoregional recurrence within 5 years post-procedure. |
5 Years
|
|
Disease-Free Survival (DFS) rate
Zeitfenster: 5 Years
|
The percentage of patients without evidence of IBTR, regional, or distant breast cancer recurrence, contralateral breast cancer, or death due to breast cancer. |
5 Years
|
|
Overall Survival (OS) rate
Zeitfenster: 5 Years
|
The percentage of participants who did not experience death due to any cause up to 5 years. |
5 Years
|
|
Breast cancer survival rate
Zeitfenster: 5 Years
|
The percentage of patients who did not experience death due to breast cancer up to 5 years. |
5 Years
|
|
Rate of discontinuation of routine follow-up procedures
Zeitfenster: 5 Years
|
The percentage of patients who discontinue routine breast-related follow-up procedures. |
5 Years
|
|
Serious adverse events (related/non-related to device and procedure).
Zeitfenster: 5 Years
|
The number, nature, and percentage of patients experiencing serious adverse events (SAEs), related and non-related to the device and procedure. |
5 Years
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- ICM-BC-003
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Produkt, das in den USA hergestellt und aus den USA exportiert wird
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .