NCT05350059

Brief Summary

High Intensity Focused Ultrasound (HIFU) is a new method of treating solid tumours by thermally ablating them. It has been used in a number of different types of cancers but there is little information on its use in invasive breast cancer (IBC). The investigators aim to assess the efficacy and safety of HIFU in the treatment of IBC. In this study, fifteen otherwise healthy women diagnosed with small, early stage IBC will be treated with HIFU prior to conventional surgical treatment. The effects of HIFU on the resected tumour will be analysed pathologically and correlated with radiological findings. Immune response and participant experience will also be evaluated

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
15

participants targeted

Target at below P25 for not_applicable breast-cancer

Timeline
Completed

Started May 2022

Shorter than P25 for not_applicable breast-cancer

Status
unknown

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

First Submitted

Initial submission to the registry

March 1, 2022

Completed
2 months until next milestone

First Posted

Study publicly available on registry

April 27, 2022

Completed
4 days until next milestone

Study Start

First participant enrolled

May 1, 2022

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2022

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2022

Completed
Last Updated

April 27, 2022

Status Verified

April 1, 2022

Enrollment Period

4 months

First QC Date

March 1, 2022

Last Update Submit

April 26, 2022

Conditions

Keywords

breast cancerhigh intensity frequency ultrasound

Outcome Measures

Primary Outcomes (1)

  • To evaluate the efficacy of the HIFU treatment in achieving cancer ablation

    Volume of tumour ablation on histological examination of the surgically excised specimen expressed as a percentage of pretreatment tumour volume on MRI scan.

    1 month following intervention

Secondary Outcomes (3)

  • To evaluate the sensitivity and specificity of post-HIFU MRI in assessing HIFU efficacy when compared with histological evaluation of the resected specimen

    1 month following intervention

  • Assessment of the safety and toxicity of HIFU ablation

    1 month following intervention

  • To evaluate patient acceptance of HIFU treatment

    1 month following intervention

Study Arms (1)

High Intensity Focused Ultrasound (HIFU) treatment to breast cancer

EXPERIMENTAL

High-Intensity Focused Ultrasound (HIFU) in the Treatment of Early Breast Cancer prior to surgical resection

Device: High Intensity Focused Ultrasound (HIFU) to the Breast Cancer

Interventions

Breast cancer will be ablated using high intensity frequency ultrasound prior to breast surgery

High Intensity Focused Ultrasound (HIFU) treatment to breast cancer

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participant is willing and able to give informed consent for participation in the trial.
  • Female, aged 18 years or above.
  • Histologically confirmed breast cancer (invasive ductal cancer) by core biopsy, which is suitable for surgical resection.
  • Participants must have one non-metastatic, clinically palpable, invasive breast cancer measuring ≤2cm in its largest dimension, which can be visualised using diagnostic ultrasound.
  • All participants must have an adequate biopsy determination of oestrogen, progesterone, HER2 receptor status on pre-operative biopsy.
  • Adequate ECG, haematological, renal and hepatic function, as indicated, as would be required for imaging and surgery.
  • In the Investigator's opinion, is able and willing to comply with all trial requirements.

You may not qualify if:

  • Female participant who is pregnant.
  • Significant renal or hepatic impairment.
  • An inadequate biopsy determination of oestrogen, progesterone, HER2 receptor status on pre-operative biopsy.
  • Unable to visualize lesion or tumour boundaries clearly on ultrasound.
  • Subjects with tumours lying less than 5mm to overlying skin or less than 5mm to the underlying muscle on the diagnostic scan.
  • Any uncontrolled illness or any other medical problem that would preclude surgery.
  • The presence of any contraindication for magnetic resonance imaging, e.g. the presence of a heart pacemaker, a metallic foreign body (metal sliver) in the eye, or an aneurysm clip in the brain or severe claustrophobia.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Breast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Study Officials

  • Gurdeep S Mannu, MRCSEd DPhil

    University of Oxford

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Gurdeep S Mannu, MRCSEd DPhil

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: High Intensity Focused Ultrasound (HIFU) treatment to breast cancer
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 1, 2022

First Posted

April 27, 2022

Study Start

May 1, 2022

Primary Completion

September 1, 2022

Study Completion

November 1, 2022

Last Updated

April 27, 2022

Record last verified: 2022-04