KARMA Kontrast Evaluating Contrast Enhanced Mammography in Early Detection of Breast Cancer
KARMA Kontrast - a Controlled Clinical Trial Evaluating Contrast Enhanced Mammography in Early Detection of Breast Cancer
1 other identifier
interventional
420
1 country
1
Brief Summary
Women taking part in the National Mammography Screening Program, examined at Södersjukhuset Breast Centre at Södra station in Stockholm and recalled because of suspicion of breast cancer will be invited to participate. A Contrast Enhanced Mammography will be added to the standard of care procedures for investigating a suspicion of breast cancer and blinded from each other 2 radiologists will evaluate either the Contrast Enhanced Mammography or the standard of care examinations. When comparing the potentially extra findings with Contrast Enhanced Mammography will be calculated. Potential side effects together with the patient experience will also be evaluated.
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 Oct 2021
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
First Submitted
Initial submission to the registry
October 1, 2020
CompletedFirst Posted
Study publicly available on registry
October 8, 2020
CompletedStudy Start
First participant enrolled
October 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
May 31, 2024
CompletedNovember 18, 2023
November 1, 2023
2.5 years
October 1, 2020
November 15, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Sensitivity of Contrast Enhanced Mammography
Evaluating sensitivity of Contrast Enhanced Mammography in detecting multifocality and/or contralateral breast cancer, compared to standard breast radiology work-up methods.
1 day
Secondary Outcomes (6)
Specificity of Contrast Enhanced Mammography
1 day
Safety of Contrast Enhanced Mammography
30 days
Patient acceptance of Contrast Enhanced Mammography
30 days
Tumor size assessment
1 day
Mammographic density influence on the performance of Contrast Enhanced Mammography
1 day
- +1 more secondary outcomes
Study Arms (1)
Contrast Enhanced Mammography
OTHERAll included women go through a Contrast Enhanced Mammography added to the standard of care examinations.
Interventions
A modality for examining breast conditions which is already approved and used but the evaluation of its role in a recalled screening population is limited. Intravenous iodine contrast is given prior to the mammogram.
Eligibility Criteria
You may qualify if:
- Female
- Age: \>25 - \<85 years
- Recalled after Mx screening based on abnormal mammographic findings or refered for breast cancer related symtoms
- The woman has read, understood and signed the Informed Consent Form (ICF)
You may not qualify if:
- Previous breast cancer
- A breast biopsy performed within 6 weeks preceding the study
- Recent exposure (during the last week) to iodine contrast media.
- Pregnancy
- Current breast feeding
- Diagnosed with a pheochromocytoma or a paraganglioma
- Diagnosed with myeloma or other malignant plasma cell disease
- Diagnosed with myasthenia gravis
- A renal failure or kidney disorder with increased risk for developing renal failure (single kidney or kidney transplanted)
- Diabetes (other than dietary treated)
- Heart failure or liver failure
- Intake of potentially nephrotoxic substances (daily intake of NSAID, nephrotoxic antibiotics or nephrotoxic chemotherapy)
- Iodine contrast allergy
- Uncontrolled thyrotoxicosis
- A history of severe allergy
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Karolinska Institutetlead
- Stockholm South General Hospitalcollaborator
Study Sites (1)
Bröstcentrum, Södersjukhuset
Stockholm, Sweden
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Per Hall, MD PhD
Karolinska Institutet
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Masking Details
- The added Contrast Enhanced Mammography will be evaluated by a radiologist blinded from the radiologists evaluating the standard of care examinations.
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
October 1, 2020
First Posted
October 8, 2020
Study Start
October 1, 2021
Primary Completion
April 1, 2024
Study Completion
May 31, 2024
Last Updated
November 18, 2023
Record last verified: 2023-11