KVUS at Neoadjuvant CTx of Breast Cancer

NCT ID: NCT03385200

Last Updated: 2017-12-28

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

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-12

Study Completion Date

2019-12-12

Brief Summary

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Effect of the contrast-enhanced diagnostic ultrasound during neoadjuvant chemotherapy of breast cancer on the achieved tumor size reduction and tolerability of chemotherapy

Detailed Description

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The 5-year survival rate of breast cancer patients is decreasing in the advanced, metastatic stage from 99% to 26%. Therefore an optimization of the therapy of advanced breast cancer is urgently needed.

To increase the echogenicity of the blood in the ultrasound, microbubbles were developed working as stable, biocompatible contrast agent in ultrasound. Such a clinically approved ultrasound contrast agent is SonoVue® (Bracco International B.V., Amsterdam). SonoVue® is approved by the European Medicines Agency (EMA) (approval number EU/1/01/177/002) for the visualization of focal vascularization lesions of the liver and breast within Doppler sonography and is applied in breast cancer patients primarily for the purpose of diagnosis as well as to evaluate the response to the neoadjuvant used chemotherapy.

Animal studies using the contrast enhanced ultrasound have shown that the administration of this contrast agent increases the penetration and accumulation of drugs in the tumor as well as the permeability of the blood-brain barrier resulting in a precise and effective drug distribution. In the tumor animal model it could be shown that a combined treatment with chemotherapy and contrast enhanced ultrasound results in a decreased tumor growth and a prolonged survival. Patients with inoperable pancreatic cancer showed a reduced tumor growth and better tolerability of chemotherapy when administrating the contrast enhanced diagnostic ultrasound during palliative chemotherapy. This could be due to the better tumor response, but also due to the more targeted chemotherapy distribution.

The purpose of this study is to examine whether the use of the contrast enhanced diagnostic ultrasound during neoadjuvant chemotherapy results in an increased tumor regression in comparison to native ultrasound. It is an Investigator Initiated Trial and is funded by internal means.

Conditions

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Early Primary Breast Cancer

Keywords

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breast cancer, neoadjuvant chemotherapy, ultrasound, microbubbles

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parellel Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Application and measurement of tumor size using contrast agent-enhanced diagnostic and therapy supporting (with SonoVue®) ultrasound

Group Type ACTIVE_COMPARATOR

SonoVue

Intervention Type DRUG

As part of the study therapy supportive ultrasound will be performed with iv Infusion of the chemotherapeutic agent.

B

Application and measurement of tumor size using contrast agent-enhanced diagnostic ultrasound

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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SonoVue

As part of the study therapy supportive ultrasound will be performed with iv Infusion of the chemotherapeutic agent.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* written informed consent
* age \> 18 yrs
* histologically confirmed primary breast cancer including all intrinsic subtypes
* treatment with neoadjuvant chemotherapy
* persons who are legally competent and mentally able to follow the instructions of the study team

Exclusion Criteria

* hypersensitivity / allergy to sulfur hexafluoride, Macrogol 4000, distearoylphosphatidylcholine, dipalmitoylphosphatidylglycerol-sodium, palmitic acid
* right-left shunt,
* severe pulmonary hypertension (pulmonary arterial pressure \> 90 mmHg)
* uncontrolled systemic hypertension
* acute respiratory distress syndrome
* pregnancy
* commitment of the patient to any resident institution by order of any court or authority
* expectation of missing compliance
* alcohol or drug abuse
* patients who are in a relationship of dependence or in a working relationship to the sponsor, the investigator or his representative
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Univ.-Prof. Dr. med. F. Kiessling

UNKNOWN

Sponsor Role collaborator

RWTH Aachen University

OTHER

Sponsor Role lead

Responsible Party

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Elmar Stickeler

Univ.-Prof. Dr. med.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elmar Stickeler, niv.-Prof. Dr. med.

Role: PRINCIPAL_INVESTIGATOR

Department of Gynecology and Obstetrics

Locations

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Department of Gynecology and Obstetrics

Aachen, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Elmar Stickeler, Univ.-Prof. Dr. med.

Role: CONTACT

Phone: +49 241 80 88400

Email: [email protected]

Fabian Kiessling, Univ.-Prof. Dr. med.

Role: CONTACT

Phone: +49 241 80 80116

Email: [email protected]

Facility Contacts

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Elmar Stickeler, Univ.-Prof. Dr. med.

Role: primary

Other Identifiers

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16-134

Identifier Type: -

Identifier Source: org_study_id