Percutaneous Irreversible Electroportion for Unresectable Breast Cancer
Safety and Efficacy of Irreversible Electroporation (IRE) for Breast Cancer
1 other identifier
interventional
30
1 country
1
Brief Summary
This trial is studying how well Irreversible Electroportion (IRE) therapy works in treating patients with breast cancer. IRE kills tumor cells by Electrical impulses creating nano-pore on the cell membrane and inducing target cell death.This may be an effective treatment for patients with unresectable breast cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable breast-cancer
Started Jan 2015
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
January 1, 2015
CompletedFirst Submitted
Initial submission to the registry
January 12, 2015
CompletedFirst Posted
Study publicly available on registry
January 19, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2021
CompletedSeptember 5, 2021
May 1, 2019
5.9 years
January 12, 2015
September 1, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Treatment efficacy as measured by modified Response Evaluation Criteria In Solid Tumors (RECIST) criteria by Computed Tomography (CT) or Magnetic Resonance (MR) imaging.
3 months post treatment to 24 months
Secondary Outcomes (1)
Safety using Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 criteria.
1 day post treatment to 3 weeks
Other Outcomes (1)
Adverse Events
1 day post surgery to 3 weeks
Study Arms (2)
NanoKnife LEDC System
EXPERIMENTAL90 pulses of 70 microseconds each in duration will be administered per electrode pair.
Control
NO INTERVENTIONThe patients without treatment
Interventions
Irreversible electroporation (IRE) is a method to induce irreversible disruption of cell membrane integrity (loss of cell homeostasis) resulting in cell death without the need for additional pharmacological injury. Because IRE is a non-thermal technique, changes associated with perfusion-mediated tissue cooling (or heating) are not relevant. While cells in the ablation region are destroyed, the underlying extracellular matrix is not damaged thus allowing tissues in the ablation zone to heal normally.
Eligibility Criteria
You may qualify if:
- Women 18 years or older with unresectable breast cancer, not amenable/willing to adenomammectomy.
- breast carcinoma diagnosed by core needle biopsy.
- Any menopausal status.
- No history of en bloc open surgical biopsy and/or lumpectomy for diagnostic/treatment of the index breast cancer.
- Tumor size ≤ 5.0 cm in greatest diameter. Largest size measured by required scans (mammogram, ultrasound and MRI) will be used to determine eligibility.
- Tumor enhancement on pre-study MRI.
- Tumor with \< 25% intraductal components in the aggregate.
- Progressed within 12 months from prior adjuvant or progressed within 1 month from prior advanced/metastatic endocrine breast cancer therapy,
- Non-pregnant and non-lactating. Patients of childbearing potential must have a negative serum or urine pregnancy test.
- Adequate breast size for safe IRE. Male breast cancer patients and female breast cancer patients with breasts too small to allow safe IRE are not eligible as the minimal thickness of the breast tissue does not lend itself to IRE. NOTE: For patients with breast implants, the treating physician must document that adequate distance exists between the lesion and the implant to ensure that the ablated lesion will not contact or jeopardize the implant.
- Adequate organ and marrow function, resolution of all toxic effects of prior therapy or surgical procedures
- Patient must agree to provide tumor tissue from metastatic tissue at baseline.
You may not qualify if:
- Patients with multifocal and/or multicentric ipsilateral breast cancer, multifocal calcifications, or evidence of excessive DCIS.
- History of rotational vacuum assisted core biopsies, en bloc open surgical biopsy and/or lumpectomy for diagnosis/treatment of the index breast cancer.
- Prior or planned neoadjuvant chemotherapy for breast cancer.
- Patients with thrombocytopenia and or any other coagulation abnormality
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
FUDA Cancer Hospital
Guangzhou, Guangdong, 510665, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Lizhi l Niu
FUDA Cancer Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 12, 2015
First Posted
January 19, 2015
Study Start
January 1, 2015
Primary Completion
December 1, 2020
Study Completion
January 1, 2021
Last Updated
September 5, 2021
Record last verified: 2019-05