Efficacy and Accuracy of Combined Localization Versus Single Localization in Non-palpable Breast Cancer After Neoadjuvant Therapy
1 other identifier
interventional
110
1 country
1
Brief Summary
The standard method for localizing non-palpable breast cancer is currently clip localization, its positive margin rate still remains around 20-50%. This study aims to compare the accuracy and efficacy of single vs. combined breast tissue markers in localizing non-palpable breast cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable breast-cancer
Started Feb 2023
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
February 16, 2023
CompletedFirst Submitted
Initial submission to the registry
April 2, 2023
CompletedFirst Posted
Study publicly available on registry
May 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2025
CompletedJuly 3, 2024
July 1, 2024
2.8 years
April 2, 2023
July 1, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Marginal positive rate
Proportion of patients with positive margin (intraoperative freezing and postoperative pathological margin tissue showing cancer)
up to 3 months
Secondary Outcomes (3)
Re-operation rate.
up to 3 months
The proportion of breast-conserving surgery.
up to 3 months
IDFS
2 years, 3 years, and 5 years
Study Arms (2)
patients after neoadjuvant therapy-combined localization
EXPERIMENTALpatients after neoadjuvant therapy-single localization
ACTIVE COMPARATORInterventions
Positioning guide wire and marker clip in the center of the breast lesion
Positioning marker clip in the center of the breast lesion
Eligibility Criteria
You may qualify if:
- female patients, age≥18 year
- A score of ≥ 2 on the Eastern Cooperative Oncology Group scale
- Patients pathologically diagnosed with breast cancer by core-needle biopsy, received neoadjuvant treatment and the lesion becomes non-palpable before enrollment.
- Patients are willing to undergo breast conserving surgery and have no contraindications to breast conserving surgery
You may not qualify if:
- Inflammatory breast cancer or Paget's disease
- Breast deformities and other conditions that impact breast conservation success rate
- Patients with contraindications to breast-conserving surgery, as well as those with systemic diseases, mental disorders, or other subjective reasons that may affect their ability to participate in the trial. Patients with severe bleeding disorders or coagulation disorders were also excluded.
- Pregnancy or lactation
- Patients with hook-wire, radioactive 125I seed or other localization techniques in the breast cancer lesions before enrollment
- Patients with stage IV diseases or unresectable lesions in either breast
- Patients combined with other diseases that may affect survival
- Patients with multicentric breast cancer lesions or lesions \> 5 cm in diameter on imaging examinations
- Patients who have previously undergone radical mastectomy for ipsilateral breast cancer or chest wall radiotherapy
- Patients with history of ipsilateral breast cancer radical mastectomy or chest wall radiotherapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sun Yat-sen University Sun Yat-sen Memorial Hospital
Guangzhou, Guangdong, 510120, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Professor
Study Record Dates
First Submitted
April 2, 2023
First Posted
May 1, 2023
Study Start
February 16, 2023
Primary Completion
December 1, 2025
Study Completion
December 1, 2025
Last Updated
July 3, 2024
Record last verified: 2024-07