NCT05800132

Brief Summary

The goal of this clinical trial is to compare, for the second reading of screening mammograms, the standard of care with an AI assisted scenario. The main questions it aims to answer are:

  • will the experimental pathway be non-inferior to the standard pathway?
  • will the experimental pathway be economically superior to the standard pathway? Participants will receive screening mammograms, as part of the breast cancer screening program. Researchers will compare the interpretation made by the second reader in the standard pathway with the AI assisted interpretation made by a different reader in the experimental pathway.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
5,000

participants targeted

Target at P75+ for not_applicable breast-cancer

Timeline
16mo left

Started Jun 2023

Typical duration for not_applicable breast-cancer

Geographic Reach
1 country

7 active sites

Status
recruiting

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 Progress70%
Jun 2023Sep 2027

First Submitted

Initial submission to the registry

March 23, 2023

Completed
13 days until next milestone

First Posted

Study publicly available on registry

April 5, 2023

Completed
2 months until next milestone

Study Start

First participant enrolled

June 1, 2023

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2025

Completed
2.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2027

Expected
Last Updated

April 12, 2024

Status Verified

April 1, 2024

Enrollment Period

2.2 years

First QC Date

March 23, 2023

Last Update Submit

April 11, 2024

Conditions

Keywords

artificial intelligencebreast cancer screeningsecond reading

Outcome Measures

Primary Outcomes (1)

  • Recall rate

    Number of patients that are called back for further examinations divided by the total number of patient receiving a second reading.

    End of the inclusion period 24 months

Secondary Outcomes (5)

  • Cancer detection rate

    End of the inclusion period 24 months

  • Sensitivity and Specificity

    End of the follow_up period 48 months

  • Economic impact

    End of the follow_up period 48 months

  • Time-to-results

    End of the inclusion period 24 months

  • Reading time

    End of the inclusion period 24 months

Study Arms (2)

L2 - Standard second read

NO INTERVENTION

Interpretation of mammograms done by a radiologist accredited to do second reading in France.

L2-AI - AI-assisted second read

EXPERIMENTAL

Interpretation of mammograms done by the AI-based device. Mammograms deemed suspicious by the AI (i.e., receiving an AI global score higher than a defined threshold) will be interpreted by a radiologist accredited to do second reading in France. Mammograms assessed as negative or low suspicious by the AI won't be further interpreted by a radiologist.

Device: MammoScreen

Interventions

Diagnostic reading aid for breast cancer screening

L2-AI - AI-assisted second read

Eligibility Criteria

Age50 Years - 74 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Affiliated to the French social security system
  • Whose mammograms meet the following characteristics: 4 (2 per breast, CC and MLO) meeting local regulatory standards and with correct DICOM metadata,
  • Whose mammograms have been determined to be normal or to have benign lesions by the radiologist who performed the first reading of the images (L1) in the framework of the organized breast cancer screening program
  • Having expressed her willingness to participate in the study, to undergo all the procedures and to make herself available for the expected duration of their participation,
  • Having completed and signed the informed consent form.

You may not qualify if:

  • Woman with breast implants,
  • With clinical symptoms of breast cancer,
  • With a history of breast surgery (breast reduction or surgery for benign lesion),
  • Pregnant or breastfeeding,
  • With medical conditions that may interfere with her ability to understand the requirements of the protocol or give informed consent,
  • Deprived of liberty by judicial or administrative order,
  • Participant whose mammogram images have at least one of the following defects: poor quality of the images, non-standard mammography (projection, magnification, compression), ML/LM/SIO/XCCL or XCCM view.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

Centre de radiologie Les Défensions

Aubagne, France

RECRUITING

Var Imagerie Medicale

Draguignan, France

RECRUITING

VAR IMAGERIE MEDICALE - Centre d'Imagerie Médicale Le Clipper

Fréjus, France

RECRUITING

VAR IMAGERIE MEDICALE - Clinique Les Lauriers

Fréjus, France

RECRUITING

Cabinet de Radiologie du Cabot

Marseille, France

COMPLETED

Centre de Sénologie Mermoz

Marseille, France

RECRUITING

VAR IMAGERIE MEDICALE - Centre d'Imagerie Médicale Epsilon

Saint-Raphaël, France

RECRUITING

MeSH Terms

Conditions

Breast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Study Officials

  • Brigitte Seradour

    Centre Régional de Coordination des Dépistages des Cancers (CRCDC) Région Sud PACA

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
SCREENING
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 23, 2023

First Posted

April 5, 2023

Study Start

June 1, 2023

Primary Completion

August 1, 2025

Study Completion (Estimated)

September 1, 2027

Last Updated

April 12, 2024

Record last verified: 2024-04

Data Sharing

IPD Sharing
Will not share

Locations