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Pre-Surgical MRI + Mammography for Breast Cancer

Phase 3
Waitlist Available
Research Sponsored by Alliance for Clinical Trials in Oncology
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients with ER negative/PR negative (< 10% by IHC staining) and HER-2 positive tumors as per the 2013 ASCO CAP guidelines
Pathologically confirmed diagnosis of breast cancer, clinical stage I-II (T1-3 N0 M0, T0-2 N1 M0) by needle biopsy
Must not have
Patients scheduled to receive neoadjuvant chemotherapy or partial breast irradiation following breast conserving surgery
Patients with bilateral breast cancer
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights

Summary

This trial is testing whether adding an MRI to the standard mammogram improves accuracy in diagnosing breast tumors before surgery.

Who is the study for?
This trial is for women over 18 with stage I-II breast cancer, who haven't had chemotherapy in the last 6 months, and are eligible for breast conserving therapy. They must not be pregnant or breastfeeding, have no history of bilateral breast cancer or previous invasive breast cancer in the same side, and cannot have BRCA gene mutations.Check my eligibility
What is being tested?
The study tests if using MRI before surgery leads to better outcomes than just mammography. It's checking whether MRI can improve tumor evaluation and surgical planning for patients with specific types of tumors that are ER/PR negative (<10%) and HER-2 positive/negative.See study design
What are the potential side effects?
Potential side effects may include discomfort from lying still during the MRI scan, reactions to the contrast agent gadolinium such as nausea or a rash, anxiety due to claustrophobia inside the MRI machine, and very rarely kidney issues related to gadolinium.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My cancer is ER/PR negative and HER2 positive according to specific guidelines.
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My breast cancer is in the early stages (I or II) and was confirmed by a needle biopsy.
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I can have an MRI and use the contrast dye gadolinium.
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My breast cancer is not driven by estrogen, progesterone, or HER2.
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I am 18 years old or older.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I am scheduled for chemotherapy or targeted radiation before breast surgery.
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I have cancer in both of my breasts.
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I have had breast cancer or DCIS in the same breast before.
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I am male.
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I am a woman who cannot have breast-conserving therapy based on imaging results.
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I am scheduled for several lumpectomies due to cancer in multiple locations.
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My diagnosis was confirmed through surgery.
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I have harmful changes in my BRCA genes.
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I have a history of sickle cell disease.
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I cannot receive IV contrast due to health reasons.
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I weigh less than the MRI table's maximum limit.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 5 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Local-regional recurrence (LRR)
Secondary outcome measures
Breast cancer specific survival will be measured
Conversion rate to mastectomy secondary to persistent positive margins or poor cosmesis
Disease-free survival (DFS)
+5 more

Trial Design

2Treatment groups
Experimental Treatment
Group I: Arm 2 (experimental)Experimental Treatment3 Interventions
Patients undergo a clinical breast examination, mammography with ultrasound of breast and regional nodes and breast MRI followed by breast conserving surgery or mastectomy.
Group II: Arm 1 (control)Experimental Treatment2 Interventions
Patients undergo a clinical breast examination and mammography with ultrasound of the breast and regional nodes followed by breast conserving surgery.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Breast surgery
2016
Completed Phase 2
~1580
Magnetic resonance imaging
2016
Completed Phase 3
~1240
Mammography
2015
N/A
~1450

Find a Location

Who is running the clinical trial?

Alliance for Clinical Trials in OncologyLead Sponsor
512 Previous Clinical Trials
217,309 Total Patients Enrolled
75 Trials studying Breast Cancer
40,143 Patients Enrolled for Breast Cancer
National Cancer Institute (NCI)NIH
13,748 Previous Clinical Trials
40,959,084 Total Patients Enrolled
944 Trials studying Breast Cancer
1,544,008 Patients Enrolled for Breast Cancer
American College of Radiology Imaging NetworkNETWORK
39 Previous Clinical Trials
465,643 Total Patients Enrolled
8 Trials studying Breast Cancer
51,457 Patients Enrolled for Breast Cancer

Media Library

Breast surgery Clinical Trial Eligibility Overview. Trial Name: NCT01805076 — Phase 3
Breast Cancer Research Study Groups: Arm 1 (control), Arm 2 (experimental)
Breast Cancer Clinical Trial 2023: Breast surgery Highlights & Side Effects. Trial Name: NCT01805076 — Phase 3
Breast surgery 2023 Treatment Timeline for Medical Study. Trial Name: NCT01805076 — Phase 3
~14 spots leftby Feb 2025