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临床试验/NCT06288620
NCT06288620招募中不适用

A Prospective, Open-label, Single-arm Phase II Clinical Study to Evaluate the Efficacy and Safety of Microwave Ablation in the Treatment of Early-stage Unifocal Invasive Breast Cancer

The First Affiliated Hospital with Nanjing Medical University1 个研究点 分布在 1 个国家目标入组 77 人开始时间: 2024年2月25日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
入组人数
77
试验地点
1
主要终点
Complete ablation rate

研究概览

简要总结

Microwave Ablative (MWA) therapy, as a minimally invasive thermal therapy, has been attempted to treat breast cancer of small lesions . However, the optimal indications for MWA in the treatment of breast cancer is unknown. This prospective, open-label, single-arm phase II clinical study was conducted to evaluate the efficacy and safety of MWA in the treatment of early-stage unifocal invasive breast cancer, and to explore the immune activating effect.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • female patients aged 18-70 years;
  • patients with newly diagnosed invasive breast cancer confirmed by core needle biopsy;
  • the tumor smaller than 2cm in greatest diameter confirmed by US (ultrasonography), breast X-ray and breast MRI (contrast-enhanced magnetic resonance image ) were performed at the same time, and the difference of the largest diameter between breast US and MRI was less than 0.5 cm;
  • the single tumor without other suspicious lesions (BI-RADS (the Breast Imaging Recording and Data System) score ≥4) evaluated by breast US, X-ray and MRI;
  • the tumor without adhesion to chest wall, nipple or skin;
  • patients without distant metastasis;
  • Karnofsky performance status greater than 70%.

排除标准

  • multicentric or multifocal breast tumor;
  • the tumor located on nipple and areola area;
  • signs of extensive intraductal carcinoma on imaging examination (diffuse malignant calcification on breast X-ray or segmental distribution, non-mass enhancement, ductal or linear enhancement > 2.5 cm on MRI);
  • extensive intraductal component in invasive cancer (more than 50% of the tumor volume) confirmed by pathology;
  • invasive lobular carcinoma, metaplastic carcinoma or carcinoma with sclerosing adenosis;
  • patients who were pregnant or breastfeeding;
  • patients with evidence of coagulopathy, chronic liver diseases or renal failure;
  • patients with previous treatment including chemotherapy, targeted drug therapy, or local radiation therapy, etc;
  • patients with substance abuse, or mental or psychological disorders that may interfere with study compliance;
  • any condition that is unstable or likely to compromise the patient's safety and compliance;
  • patients enrolled in other clinical trials;
  • diseases or symptoms that other investigators consider unsuitable for participation.

研究组 & 干预措施

Microwave Ablation

Experimental

Preoperative US-guided microwave ablation of breast cancer

干预措施: Microwave Ablation (Procedure)

结局指标

主要结局

Complete ablation rate

时间窗: 1 day

The proportion of patients with complete ablation was calculated for all patients. Complete ablation was defined as: tissue section at the ablation margin that was negative by histochemical staining.

次要结局

  • Safety of microwave ablation(10 days)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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