A Multicenter "Ablate and Resect" Study of Novilase® Interstitial Laser Therapy for the Ablation of Small Breast Cancers

NCT ID: NCT01478438

Last Updated: 2021-03-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2021-08-31

Brief Summary

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This study will determine the rate of complete tumor ablation of small breast cancers (≤ 20mm) by Novilase Interstitial Laser Therapy (ILT), and determine the sensitivity and specificity of imaging (MRI, mammography and ultrasound) in detecting residual tumor post ILT ablation as correlated to histopathology from the post-ablation excision.

Detailed Description

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Conditions

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Malignant Tumor

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treat and Excise

All subjects will be treated with Interstitial Laser Therapy (ILT) followed by excision no later than 28 days post ablation.

Group Type EXPERIMENTAL

Novilase Interstitial Laser Therapy

Intervention Type DEVICE

Image guided Interstitial Laser Ablation of breast tumors

Interventions

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Novilase Interstitial Laser Therapy

Image guided Interstitial Laser Ablation of breast tumors

Intervention Type DEVICE

Other Intervention Names

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Novilase®

Eligibility Criteria

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Inclusion Criteria

* Females 18 to 80 years of age
* Tumor is well visualized through x-ray mammography or ultrasound imaging and amenable to image guidance therapy (a tumor which is well visualized through imaging can be identified from surrounding breast tissue and does not have margins
* obscured by other structures or artifacts on the images)
* Tumor must be well visualized (as defined above) on MRI
* Definitive pathologic diagnosis by needle core biopsy
* Unifocal malignant tumor that does not exceed 20mm in diameter and measures at least 5mm away from the skin and chest wall
* Cluster of microcalcifications that do not exceed 10 mm in diameter and measures at least 5mm away from the skin and chest wall
* Subjects with or without palpable lymph nodes
* Subjects with mammographic appearance of overall dense parenchymal tissue may be included, as long as a clearly evident marker is present at tumor site
* Subjects with less than 25% intraductal component
* Subject has no clinically significant co-morbidities (i.e. chronic illnesses existing simultaneously with and usually independent of breast cancer) that affect life expectancy. Subject has given written informed consent
* Subject agrees to comply with follow up visits

Exclusion Criteria

* Subjects younger than 18 years of age
* Pregnant or breast-feeding women
* Tumors poorly visualized by x-ray mammography or ultrasound imaging
* Women who are morbidly obese (\>300 lbs)
* Acute or chronic severe renal insufficiency (Glomerular filtration rate (GFR) \<30ml/min/1.73 sq.meters)
* Moderate to end-stage kidney disease and a history of severe asthma or allergies
* Tumors measuring greater than 20mm in diameter
* Subjects with advanced stage breast cancer
* Subjects with prior history of cancer in the ILT treated breast
* Subjects with recurrent breast cancer
* Subjects with lobular neoplasm, metastatic carcinoma to breast, sarcoma, Phylloides tumor, or Paget's disease
* Subjects with benign vascular tumor
* Subjects with benign lesions such as fibroadenoma, atypical ductal hyperplasia, sclerosing adenosis, Papilloma, fibrocystic disease of breast
* Subjects with DCIS with microinvasion
* Subjects with a cluster of microcalcifications whose diameter is larger than 10 mm.
* Subjects with extensive intraductal component and other characteristics not well visualized by imaging studies
* Subjects who are BRCA positive.
* Inability to lie prone or supine for one hour
* Currently participating or enrolled in another investigational treatment, device or drug study through follow up
* Undergoing concurrent neoadjuvant therapies for breast cancer
* Cardiac pacemaker or other metallic implants which would prevent patient from safely undergoing MRI scan
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Novian Health Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Barbara Schwartzberg, MD

Role: PRINCIPAL_INVESTIGATOR

Rose Medical Center - Rose Breast Center

Michael Shere, M.D.

Role: PRINCIPAL_INVESTIGATOR

North Bristol NHS Trust: Southmead Hospital - The Breast Care Centre

Locations

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The Breast Center of Southern Arizona

Tucson, Arizona, United States

Site Status

Rose Medical Center - Rose Breast Center

Denver, Colorado, United States

Site Status

St. Alexius Breast Care of St. Alexius Medical Center

Bartlett, Illinois, United States

Site Status

Advocate Lutheran General Hospital - Caldwell Breast Center

Park Ridge, Illinois, United States

Site Status

Walter Reed National Military Medical Center

Bethesda, Maryland, United States

Site Status

Columbia University Medical Center - Department of Surgery

New York, New York, United States

Site Status

University of Toledo - Eleanor N. Dana Cancer Center Breast Care

Toledo, Ohio, United States

Site Status

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status

Wheaton Franciscan Health System

Wauwatosa, Wisconsin, United States

Site Status

North Bristol NHS Trust: Southmead Hospital - The Breast Care Centre

Bristol, , United Kingdom

Site Status

Mid Essex Hospital Services NHS Trust: Broomfield Hospital - Breast Unit

Chelmsford, , United Kingdom

Site Status

Norfolk & Norwich University NHS Foundation Trusts: Norfolk and Norwich University Hospital

Norwich, , United Kingdom

Site Status

Countries

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United States United Kingdom

References

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Dowlatshahi K, Francescatti DS, Bloom KJ. Laser therapy for small breast cancers. Am J Surg. 2002 Oct;184(4):359-63. doi: 10.1016/s0002-9610(02)00942-x.

Reference Type BACKGROUND
PMID: 12383903 (View on PubMed)

Dowlatshahi K, Dieschbourg JJ, Bloom KJ. Laser therapy of breast cancer with 3-year follow-up. Breast J. 2004 May-Jun;10(3):240-3. doi: 10.1111/j.1075-122X.2004.21436.x.

Reference Type BACKGROUND
PMID: 15125752 (View on PubMed)

Related Links

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Other Identifiers

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BR-002

Identifier Type: -

Identifier Source: org_study_id

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