Cryoablation of Small Breast Tumors in Early Stage Breast Cancer
FROST
Freezing Alone Instead of Resection Of Small Breast Tumors: A Study of Cryoablation in the Management of Early Stage Breast Cancer
1 other identifier
interventional
200
1 country
12
Brief Summary
This study examines the use of cryoablation as an alternative to surgery in the treatment of early stage invasive breast cancer. The hypothesis is that cryoablation will complete ablation and destroy the tumor in a selected population of women who may otherwise be adequately treated with surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable breast-cancer
Started Nov 2013
Longer than P75 for not_applicable breast-cancer
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2013
CompletedFirst Submitted
Initial submission to the registry
November 6, 2013
CompletedFirst Posted
Study publicly available on registry
November 25, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2023
CompletedApril 20, 2018
April 1, 2018
8.1 years
November 6, 2013
April 19, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Tumor ablation occurence
Successful tumor ablation will be defined as absence of residual viable invasive or in situ carcinoma. Will be determined at 6-month post-cryoablation biopsy. Residual disease will require surgery.
Within 6 months
Secondary Outcomes (3)
Local tumor recurrence
Within 5 years
Satisfactory breast cosmesis results
5 Years
Adverse event assessment
5 years
Study Arms (2)
Low Risk - Age 70+
OTHERAge 70+. Patients treated with the Visica 2 Treatment System, followed by adjuvant therapies
Moderate Risk - Age 50-69
OTHERAge between 50-69. Patients treated with the Visica 2 Treatment System, followed by adjuvant therapies
Interventions
Cryoablation
Eligibility Criteria
You may qualify if:
- Age ≥ 50
- Unifocal primary invasive breast carcinoma diagnosed by core needle biopsy
- Maximum tumor size ≤1.5 cm in its greatest diameter
- Ultrasound visible lesion(s)
- Clinically node negative, hormone receptor positive (+). HER2 negative (-), with \<25% intraductal component in the aggregate.
- Unilateral or bilateral disease meeting study criteria
- Physical and emotional ability to undergo baseline and follow-up breast MRIs and serial breast cosmesis analysis
- Patient agrees to receive a 5 year minimum course of endocrine therapy following cryoablation for control of systemic disease
You may not qualify if:
- Prior treatment (e.g., open surgical biopsy, lumpectomy) of index cancer
- Ductal carcinoma in-situ with microinvasions (T1mic)
- Multifocal or multicentric invasive breast carcinoma
- Prior or planned neoadjuvant systemic therapy for breast cancer
- Tumor with ≥25% IDC components
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (12)
Arizona Breastnet
Scottsdale, Arizona, 85260, United States
90210 Surgery Medical Center
Beverly Hills, California, 90210, United States
City of Hope
Duarte, California, 91010, United States
Epic Care
Emeryville, California, 94608, United States
Diagnostic Center for Women, LLC
Miami, Florida, 33173, United States
Naples Community Hospital
Naples, Florida, 34109, United States
Ascension Crittenton Hospital
Rochester, Michigan, 48307, United States
Lankenau Medical Center
Wynnewood, Pennsylvania, 19096, United States
Rhode Island Hospital
Providence, Rhode Island, 02903, United States
Knoxville Comprehensive Breast Center
Knoxville, Tennessee, 37909, United States
Texas Tech University Health Sciences Center
Lubbock, Texas, 79416, United States
Ogden Regional Hospital
Ogden, Utah, 84405, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dennis R. Holmes, MD, FACS
90210 Surgery Medical Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 6, 2013
First Posted
November 25, 2013
Study Start
November 1, 2013
Primary Completion
December 1, 2021
Study Completion
June 1, 2023
Last Updated
April 20, 2018
Record last verified: 2018-04