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Diffuse Optical Tomography (DOT) for Monitoring Response to Neoadjuvant (Preoperative) Chemotherapy in Breast Cancer (DOT)

2013年5月2日 更新者:Yap Yoon Sim、National Cancer Centre, Singapore
The aim of the study is to determine if DOT can detect response early in breast cancer patients undergoing neoadjuvant chemotherapy.

研究概览

地位

终止

条件

详细说明

The pilot study will enrol up to ten patients over one year. Patients receiving neoadjuvant chemotherapy for breast cancer will undergo baseline clinical examination, mammography, ultrasound, MRI and DOT before commencement of treatment. DOT will be repeated at 1,3,6 weeks after chemotherapy, and at the end of each chemotherapy regimen. Ultrasound will be repeated every 6 weeks and at the end of treatment. Mammography and MRI will be repeated once at the end of treatment before surgery. A breast pathologist will evaluate the subtype of breast cancer and the pathologic response of the operative specimen at the end of treatment. Patient satisfaction questionnaires will be administered to evaluate their preferences for DOT, ultrasound, mammography and MRI scanning at the beginning and the end of the study.

研究类型

观察性的

注册 (实际的)

8

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Singapore、新加坡、169610
        • National Cancer Centre Singapore

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

21年 及以上 (成人、年长者)

接受健康志愿者

有资格学习的性别

女性

取样方法

非概率样本

研究人群

Approximately 60 patients are prescribed neaodjuvant chemotherapy for breast cancer at National Cancer Centre Singapore annually. Accrual is expected to be 10 patients per year. Up to 10 patients will be recruited for this study.

描述

Inclusion Criteria:

  • Patients receiving neoadjuvant chemotherapy for breast cancer.
  • Patients with locally advanced breast tumours or large operable tumours who require neoadjuvant treatment for downstaging.
  • Histological confirmation of invasive breast carcinoma.
  • Patients with metastatic disease may be eligible if they have oligometastatic disease and breast surgery after neoadjuvant chemotherapy is planned.
  • Signed informed consent
  • Age equal to or more than 21 years
  • Life expectancy greater than 12 weeks.
  • ECOG performance status 0-2

Exclusion Criteria:

  • Fungating or ulcerated tumours
  • Inability to provide informed consent
  • Anticipated inability to follow-up patient for response to chemotherapy
  • Any contraindication to undergoing ultrasound, MRI, MMG or DOT

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Parameters derived from the optical images acquired with the DOT system
大体时间:These parameters will be obtained from patients during neoadjuvant chemotherapy process, which is up to an average of 6 months

The primary parameters derived from the optical images acquired with the DOT system include: The volume of tumor microvasculature V, the total haemoglobin concentration (THC), and the blood volume index BVI (=VC).

Other available optical parameters are: blood oxygenation in the tumor microvasculature (SO2), its spatial distribution and dynamic fluctuation; dynamic blood perfusion.

These parameters will be compared with histopathological response.

These parameters will be obtained from patients during neoadjuvant chemotherapy process, which is up to an average of 6 months

次要结果测量

结果测量
措施说明
大体时间
Change in DOT parameters such as BVI, SO2, blood perfusion dynamic fluctuation
大体时间:These parameters will be obtained from patients during neoadjuvant chemotherapy process, which is up to an average of 6 months

The change in DOT parameters such as BVI, SO2, blood perfusion dynamic fluctuation will be correlated with response based on clinical examination, ultrasound, MMG and MRI.

Standard definitions for clinical response will be used to classify patients into four categories: complete response (CR), partial response (PR), progressive disease (PD) and stable disease (SD).

These parameters will be obtained from patients during neoadjuvant chemotherapy process, which is up to an average of 6 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Yoon Sim Yap, MBBS, FRACP、National Cancer Centre, Singapore

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2011年8月1日

初级完成 (实际的)

2013年5月1日

研究完成 (实际的)

2013年5月1日

研究注册日期

首次提交

2011年7月12日

首先提交符合 QC 标准的

2011年7月13日

首次发布 (估计)

2011年7月14日

研究记录更新

最后更新发布 (估计)

2013年5月3日

上次提交的符合 QC 标准的更新

2013年5月2日

最后验证

2013年5月1日

更多信息

与本研究相关的术语

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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