Avoiding Surgery in Estrogen Receptor Positive Atypical Ductal Hyperplasia and In-situ Carcinoma Treated With Endocrine Treatment Trial

NCT ID: NCT07245316

Last Updated: 2025-11-24

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

340 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-01

Study Completion Date

2032-12-31

Brief Summary

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This study aims to evaluate the 5-year invasive ipsilateral breast cancer incidence rate in patients with hormone-receptor positive, HER-2 negative atypical ductal hyperplasia or in-situ carcimona who omitted surgery and received endocrine therapy.

Detailed Description

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Conditions

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Ductal Carcinoma in Situ of the Breast

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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Active monitoring arm

Active monitoring with endocrine therapy in hormone-receptor positive, HER-2 negative DCIS, LCIS, ADH without surgery

Group Type EXPERIMENTAL

Avoiding surgery

Intervention Type PROCEDURE

Avoiding surgery in hormone-receptor positive atypical ductal hyperplasia and in-situ carcinoma treated with endocrine treatment

Interventions

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Avoiding surgery

Avoiding surgery in hormone-receptor positive atypical ductal hyperplasia and in-situ carcinoma treated with endocrine treatment

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Female patients aged ≥35 years.
2. Diagnosed with atypical ductal hyperplasia (ADH), ductal carcinoma in situ (DCIS), or lobular carcinoma in situ (LCIS) on core-needle biopsy, vacuum-assisted biopsy, or excisional biopsy.
3. Immunohistochemistry (IHC) performed on biopsy specimens confirming estrogen receptor (ER), progesterone receptor (PR), and HER2 status; eligible only if the ER Allred total score is ≥7 and HER2 status is negative.
4. All low- and intermediate-grade nuclear grades included; for high-grade lesions, only patients with a Ki-67 index ≤20% are eligible.
5. Lesion not definitely palpable on physical examination at diagnosis.
6. No prior breast surgery for ipsilateral or contralateral breast cancer, and no synchronous contralateral breast cancer.
7. Not diagnosed with pregnancy-associated breast cancer or breast cancer detected during lactation.
8. Negative serum or urine β-hCG prior to enrollment.
9. Provided written informed consent to participate in the study.

Exclusion Criteria

1. Pregnant patients.
2. Patients with clinically significant psychiatric disorders (e.g., major depressive disorder) or those currently receiving psychiatric or antipsychotic medications.
3. Concomitant diagnosis of invasive breast cancer.
4. Evidence of axillary lymph node metastasis.
5. Carriers of BRCA1/2 mutations.
6. Male patients.
7. History of diagnosis or treatment for breast cancer.
8. Presence or history of other malignancies besides breast cancer.
9. Concomitant diagnosis of pleomorphic LCIS.
Minimum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Jeong Eon Lee

OTHER

Sponsor Role lead

Responsible Party

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Jeong Eon Lee

Professor, Department of Surgery

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jeong Eon Lee, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Samsung Medical Center

Locations

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Samsung Medical Center

Seoul, , South Korea

Site Status

Countries

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South Korea

Central Contacts

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Jeong Eon Lee, MD, PhD

Role: CONTACT

+82-10-9933-0260

Facility Contacts

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Jeong Eon Lee, MD, PhD

Role: primary

+82-10-9933-0260

Other Identifiers

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SMC 2025-02-036

Identifier Type: -

Identifier Source: org_study_id

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