GeneSearch™ Breast Lymph Node (BLN) Assay Post Approval Study

Terminated

• Conditions: Breast Cancer
• Interventions: Device: GeneSearch™ Breast Lymph Node (BLN) Assay

• Registration Number: NCT00595296
• Lead Sponsor: Janssen Diagnostics, LLC

Brief Summary

This post-approval study is designed to determine the performance of the FDA-approved GeneSearch™ BLN Assay when compared to the site's standard of care permanent section histological evaluation, and when compared to more extensive histological evaluation when the assay is being used by clinicians to make surgical decisions on complete axillary dissections (ALND).

Detailed Description

The primary objective of this clinical study is to gather data to estimate the positive predictive concordance (PPC) between the GeneSearch™ BLN Assay and histology as routinely practiced, i.e., routine H\&E histology of sentinel lymph node(s) (SLN) and, when available, routine histology of non-sentinel axillary lymph nodes (ALN). This study will provide information on the assay that will augment the performance data gained in pre-market validation studies. In addition, with the assay being used for ALND decision-making, the metastatic status of the non-sentinel axillary nodes can be taken into account in the performance measures, i.e., if the patient's sentinel or non-sentinel nodes are histologically positive, the patient will be considered positive for the primary comparison to the assay results.

Study Timeline

• Study Start: 2007-12
• Study First Submitted: 2008-01-04
• Study First Submitted QC: 2008-01-04
• Study First Posted: 2008-01-16
• Primary Completion: 2009-12
• Study Completion: 2009-12
• Status Verified: 2016-01
• Last Update Submitted: 2016-01-11
• Last Update Posted: 2016-01-12

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 461

Inclusion Criteria

• Pre-operatively established diagnosis of invasive carcinoma of the breast
• Scheduled for axillary sentinel lymph node dissection as per standard of care at the clinical site for newly diagnosed breast cancer patients
• Patients for whom the GeneSearch™ BLN Assay will be used intra-operatively to make a decision for an axillary lymph node dissection
• 18 years of age or older
• Female or male
• Willing and able to give informed consent to participate in the study

Exclusion Criteria

• Previous diagnosis of lymphoma
• Subjects participating in other research studies that would interfere with their full participation in this study
• Patients and/or conditions with 'interfering substances' as listed in the IFU.
• Patients who have had any pre-operative treatment for breast cancer including neoadjuvant and/or hormonal intervention such as aromatase inhibitors or tamoxifen

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
1	GeneSearch™ Breast Lymph Node (BLN) Assay	All eligible patients.

Primary Outcome Measures

Name	Time	Method
To estimate the positive predictive concordance (PPC) between the GeneSearch™ BLN Assay and histology as routinely practiced.	1 week

Secondary Outcome Measures

Name	Time	Method
To estimate the positive predictive value (PPV) of the GeneSearch™ BLN Assay as measured against histology that is as accurate as possible in assessing whether a SLN is truly positive.	1 week
To gather data on size of metastases (micrometastases versus macrometastases) identified by histology to examine the assay performance for various levels of metastases.	1 week

Trial Locations

Locations (6)

Cedars-Sinai Medical Center; 🇺🇸 Los Angeles, California, United States

Georgetown University Medical Center; 🇺🇸 Washington, District of Columbia, United States

Woman's Hospital; 🇺🇸 Flowood, Mississippi, United States

Georgia Esoteric and Molecular Labs, LLC; 🇺🇸 Augusta, Georgia, United States

Morton Plant Hospital; 🇺🇸 Clearwater, Florida, United States

St. Anthony's Hospital; 🇺🇸 St. Petersburg, Florida, United States