Excisional Vacuum-Assisted Breast Biopsy

NCT ID: NCT05932758

Last Updated: 2023-07-21

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

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-17

Study Completion Date

2025-07-31

Brief Summary

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The goal of this prospective cohort study is to evaluate the possibility of vacuum-assisted excisional biopsy (VAE) to completely remove the pathology in case of small lesions for Atypical Ductal Hyperplasia (ADH) and low-intermediate grade Ductal Carcinoma in Situ (DCIS).

Detailed Description

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Surgery is the current standard of care of breast lesions like the Ductal Carcinoma In Situ (DCIS) and the Atypical Ductal Hyperplasia (ADH). However, the survival benefit of surgical resection in patients with such lesions appears to be low, especially for ADH and low-grade DCIS where comorbidity of surgery and prior depression have been reported as important factors related to worse quality of life in these women.

Patients with suspicious breast lesions (BIRADS\>3) who are candidates for vacuum assisted breast biopsy will be prospectively select and enroll if the radiological lesion diameter is less than 15 mm.

The investigators will select those patients in whom after an initial sequence of sampling (12 cores), and will check the complete macroscopic removal of the lesion (with radiograms of the biopsied part of the breast). Those patients (complete macroscopic removal, with real-time verification during the procedure) will be randomized into two groups. A first group of patients will finish the biopsy procedure after the first collection sequence (12 cores, 3 grams of tissue taken and complete macroscopic removal). A second group of patients (randomized subdivision) will undergo a second sequence of biopsy samples (other 4 cores and 1 gram of tissue taken) in the same session: the material collected will be sent separately to the pathologist.

Conditions

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Atypical Ductal Hyperplasia Ductal Carcinoma in Situ

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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no excisional biopsy

Patients in this arm underwent to an initial sequence of sampling (less than 4 g of tissue sampled)

Group Type OTHER

Not excisional biopsy

Intervention Type PROCEDURE

biopsy with less than 4 g of tissue sampled

excisional biosy

Patients in this arm will undergo a second sequence of biopsy samples (at least 4g sampled)

Group Type EXPERIMENTAL

Vacuum-assisted excisional biopsy

Intervention Type PROCEDURE

at least 4g of tissue sampled (excisional biopsy)

Interventions

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Vacuum-assisted excisional biopsy

at least 4g of tissue sampled (excisional biopsy)

Intervention Type PROCEDURE

Not excisional biopsy

biopsy with less than 4 g of tissue sampled

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with suspicious breast lesions (BIRADS \>3)
* Patients with a lesion \<= of 15mm.
* Capable and willing to comply the specific informed consent form
* Patients with ADH biopsy results or low intermediate-grade DCIS
* Patients who will undergo surgery

Exclusion Criteria

\- Patients with psychiatric, addictive, or any disorder, which compromises ability to give informed consent for participation in this study
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Ministero della Salute, Italy

OTHER

Sponsor Role collaborator

European Institute of Oncology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Luca Nicosia, MD

Role: PRINCIPAL_INVESTIGATOR

European Institute of Oncology IRCCS

Locations

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Breast Imaging Division, Radiology Department, IEO European Institute of Oncology IRCCS

Milan, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Luca Nicosia, MD

Role: CONTACT

+390294372449

Claudia Sangalli, MSc

Role: CONTACT

Facility Contacts

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Luca Nicosia, MD

Role: primary

References

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Nicosia L, Mariano L, Latronico A, Bozzini AC, Bellerba F, Gaeta A, Pesapane F, Mazzarol G, Fusco N, Corso G, Sangalli C, Gialain C, Lazzeroni M, Raimondi S, Cassano E. Exploring non-surgical alternatives for low to intermediate-grade in situ ductal carcinoma of the breast using vacuum-assisted excision: the VACIS protocol. Front Med (Lausanne). 2024 Sep 24;11:1467738. doi: 10.3389/fmed.2024.1467738. eCollection 2024.

Reference Type DERIVED
PMID: 39380737 (View on PubMed)

Other Identifiers

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IEO 1856

Identifier Type: -

Identifier Source: org_study_id

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