Extent of Breast Cancer and the Role of Pre-Operative Sonography and MRI

NCT ID: NCT02587663

Last Updated: 2019-05-16

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

COMPLETED

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-11-20

Study Completion Date

2012-11-20

Brief Summary

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This clinical trial studies mammography and targeted ultrasound with or without whole-breast ultrasound or contrast-enhanced magnetic resonance imaging (MRI) in finding out the extent of disease before surgery in patients with newly diagnosed breast cancer. New diagnostic imaging procedures, such as whole-breast ultrasound or contrast-enhanced MRI, may help find out how far breast cancer has spread. It is not yet known whether mammography and targeted ultrasound are more effective with or without whole-breast ultrasound or contrast-enhanced MRI in finding out how far breast cancer has spread.

Detailed Description

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PRIMARY OBJECTIVES:

I. To determine how surgical treatment is influenced by the three imaging arms.

II. To compare three imaging arms in terms of accurately measuring the size of the index lesion and the number and location of tumor foci (using surgical pathology as gold standard).

SECONDARY OBJECTIVES:

I. In women with dense breasts: To retrospectively compare the accuracy of three imaging arms in measuring the size of the index lesion and the number and location of tumor foci (using surgical pathology as the gold standard).

II. To report the incidence of synchronous contralateral breast cancers detected by the three imaging arms.

OUTLINE: Patients are assigned to 1 of 3 treatment groups.

GROUP 1: Patients undergo standard of care diagnostic imaging comprising bilateral mammography and targeted breast ultrasound.

GROUP 2: Patients undergo standard of care diagnostic imaging as in Group 1. Patients also undergo bilateral whole-breast ultrasound.

GROUP 3: Patients undergo standard of care diagnostic imaging as in Group 1. Patients also undergo bilateral breast contrast-enhanced MRI.

All patients undergo standard of care breast conserving surgery, or mastectomy if the tests indicate a change in the surgical plan.

Conditions

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Ductal Breast Carcinoma In Situ Stage IA Breast Cancer Stage IB Breast Cancer Stage II Breast Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Group 1 (standard of care)

Patients undergo standard of care diagnostic imaging comprising bilateral mammography and targeted breast ultrasound.

Group Type ACTIVE_COMPARATOR

Mammography

Intervention Type PROCEDURE

Undergo bilateral mammography

Therapeutic Conventional Surgery

Intervention Type PROCEDURE

Undergo breast conserving surgery

Ultrasonography

Intervention Type PROCEDURE

Undergo targeted breast ultrasound

Group 2 (bilateral whole-breast ultrasound)

Patients undergo standard of care diagnostic imaging as in Group 1. Patients also undergo bilateral whole-breast ultrasound.

Group Type EXPERIMENTAL

Mammography

Intervention Type PROCEDURE

Undergo bilateral mammography

Therapeutic Conventional Surgery

Intervention Type PROCEDURE

Undergo breast conserving surgery

Ultrasonography

Intervention Type PROCEDURE

Undergo bilateral whole-breast ultrasound

Ultrasonography

Intervention Type PROCEDURE

Undergo targeted breast ultrasound

Group 3 (bilateral breast contrast-enhanced MRI)

Patients undergo standard of care diagnostic imaging as in Group 1. Patients also undergo bilateral breast contrast-enhanced MRI.

Group Type EXPERIMENTAL

Contrast-enhanced Magnetic Resonance Imaging

Intervention Type PROCEDURE

Undergo bilateral breast contrast enhanced MRI

Mammography

Intervention Type PROCEDURE

Undergo bilateral mammography

Therapeutic Conventional Surgery

Intervention Type PROCEDURE

Undergo breast conserving surgery

Ultrasonography

Intervention Type PROCEDURE

Undergo targeted breast ultrasound

Gadolinium

Intervention Type OTHER

Contrast agent used in MRI

Interventions

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Contrast-enhanced Magnetic Resonance Imaging

Undergo bilateral breast contrast enhanced MRI

Intervention Type PROCEDURE

Mammography

Undergo bilateral mammography

Intervention Type PROCEDURE

Therapeutic Conventional Surgery

Undergo breast conserving surgery

Intervention Type PROCEDURE

Ultrasonography

Undergo bilateral whole-breast ultrasound

Intervention Type PROCEDURE

Ultrasonography

Undergo targeted breast ultrasound

Intervention Type PROCEDURE

Gadolinium

Contrast agent used in MRI

Intervention Type OTHER

Other Intervention Names

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CONTRAST ENHANCED MRI Contrast-enhanced MRI ULTRASOUND Ultrasound Imaging Ultrasound Test Ultrasound, Medical US ULTRASOUND Ultrasound Imaging Ultrasound Test Ultrasound, Medical US GBCA

Eligibility Criteria

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Inclusion Criteria

* Competent to provide informed consent
* Pathologically proven invasive breast cancer or ductal carcinoma in situ (DCIS) originally identified clinically or mammographically and diagnosed by percutaneous core biopsy
* Eligible for breast conserving surgery followed by radiation therapy

Exclusion Criteria

* Women with surgical excisional biopsy that diagnosed the breast cancer
* Women with clinical or mammographic findings where breast conserving surgery is not an option
* Women that clinically or mammographically have breast cancers that are fixed to skin
* Women receiving neoadjuvant chemotherapy prior to surgery
* Women having contraindications to contrast-enhanced (CE)-MRI examination (e.g., claustrophobia and allergy to gadolinium)
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

University of Southern California

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Linda Hovanessian-Larsen

Role: PRINCIPAL_INVESTIGATOR

University of Southern California

Locations

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USC / Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2011-01365

Identifier Type: REGISTRY

Identifier Source: secondary_id

1B-05-5

Identifier Type: OTHER

Identifier Source: secondary_id

P30CA014089

Identifier Type: NIH

Identifier Source: secondary_id

View Link

1B-05-5

Identifier Type: -

Identifier Source: org_study_id

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