Tomosynthesis (TS) Versus Ultrasonography (US) in Women With Dense Breast
ASTOUND
1 other identifier
interventional
4,000
1 country
1
Brief Summary
Hypothesis The study aims to demonstrate at least equivalence, or non-significant difference between TS and US in women with dense breast screened negative at 2D Mammography. If the equivalence between TS and US will be demonstrated, US may be substituted by TS with great benefits for the patients and for the healthcare resources. Aims
- 1.Assess if TS may detect additional cancers in dense breast that approximate US detection capability but with less false positive findings than US.
- 2.If TS detects new cancers in dense breast similarly to US (approximate rate or marginally lower rate), evaluate the the true positive/false positive ratio.
- 3.Cost-analysis. In case of less false positives detected by TS, the true-positive / false positive trade-off might be strongly in favour of TS with a great potential of costs reduction.
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 Dec 2012
Longer than P75 for not_applicable breast-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2012
CompletedFirst Submitted
Initial submission to the registry
February 10, 2014
CompletedFirst Posted
Study publicly available on registry
February 19, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2018
CompletedDecember 2, 2015
November 1, 2015
5.6 years
February 10, 2014
November 30, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
1) Sensitivity of TS
We want to verify if TS may detect additional cancers in dense breast that approximate US detection capability but with less false positive findings than US.
up to 36 months
Secondary Outcomes (1)
2) Specificity of TS
up to 36 months
Study Arms (2)
Tomosynthesis
ACTIVE COMPARATORTomosynthesis will be compared to Ultrasound
Ultrasound
OTHERUltrasound (sensitivity and specificity) will be compared to Tomosynthesis
Interventions
Tomosynthesis will be used as normally employed in clinical practice
Eligibility Criteria
You may qualify if:
- Asymptomatic subjects \<50 years of age presenting for mammography, with the exception of those that, on previous mammograms are found to have breast density 1-2 according to the Breast Imaging Reporting and Data System (BIRADS D1-2). - Asymptomatic subjects ≥ 50 years of age who request mammography and have breast density BIRADS 3-4.
- No history of breast cancer - Written informed consent
You may not qualify if:
- Pregnant and breast feeding women
- Unable to tolerate breast compression
- Breast implants
- Unable to understand or execute written informed consent
- Unable or unwilling to agree to follow-up during observation period
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Genovalead
- University of Sydneycollaborator
Study Sites (1)
UNIGE
Genova, Genova, 16132, Italy
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alberto S Tagliafico, MD
UNIGE
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
February 10, 2014
First Posted
February 19, 2014
Study Start
December 1, 2012
Primary Completion
July 1, 2018
Study Completion
July 1, 2018
Last Updated
December 2, 2015
Record last verified: 2015-11