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Ultrasound-Guided Chemotherapy for Breast Cancer
N/A
Recruiting
Led By Gregory J Czarnota, PhD, MD
Research Sponsored by Sunnybrook Health Sciences Centre
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Diagnosis of breast cancer with a primary tumour >2cm in size
Eligible for neoadjuvant chemotherapy
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights
Study Summary
This trial is testing whether using ultrasound to guide chemotherapy treatment is more effective than the standard clinical approach.
Who is the study for?
This trial is for women over 18 with breast cancer tumors larger than 2cm who are eligible for chemotherapy. They must have normal liver enzymes, cardiac function, creatinine levels, and blood counts. It's not for those with skin diseases affecting the breast, inflammatory breast cancer, contraindications like pregnancy or past connective tissue disease.Check my eligibility
What is being tested?
The study tests if using quantitative ultrasound (QUS) to monitor cell death can guide adjustments in neoadjuvant chemotherapy more effectively than standard monitoring. The goal is to identify ineffective treatments early and switch to better options quickly.See study design
What are the potential side effects?
While the trial focuses on imaging rather than drugs, typical side effects of neoadjuvant chemotherapy may include nausea, fatigue, hair loss, increased risk of infection due to low blood cell counts and potential heart or kidney issues.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My breast cancer tumor is larger than 2cm.
Select...
I am eligible for chemotherapy before surgery.
Select...
My condition qualifies for chemotherapy.
Select...
My heart pumps well, with an ejection fraction of 55% or higher.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 5 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Measuring the rate of treatment response between the treatment groups
Secondary outcome measures
Clinical efficacy of quantitative ultrasound
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Adaptive Chemotherapy MonitoringExperimental Treatment1 Intervention
Patients who will be randomized to the experimental arm Adaptive Chemotherapy Monitoring and demonstrate Response (+) will continue until standard chemotherapy is completed. For patients who do not demonstrate response after 4 weeks of chemotherapy, an early switch to the second phase of chemotherapy could occur (Phase II/Taxane) At the discretion of the treating medical oncologist.
Patients will undergo Quantitative Ultrasound on the following time points: Pre-treatment, Weeks 1, 4, 8, 12 and Pre-Operatively. These QUS time points correspond to the following chemotherapy times.
Group II: Standard Neoadjuvant Chemotherapy MonitoringActive Control1 Intervention
Patients who will be randomized to the control arm with Standard Neoadjuvant Chemotherapy Monitoring will receive Phase I chemotherapy consisting of anthracycline-based treatment followed by Phase II chemotherapy consisting of taxane-based treatment.
Patients will be imaged but no modifications to treatment will occur in this trial arm depending on response by quantitative ultrasound.
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Who is running the clinical trial?
Sunnybrook Health Sciences CentreLead Sponsor
656 Previous Clinical Trials
1,551,068 Total Patients Enrolled
29 Trials studying Breast Cancer
16,656 Patients Enrolled for Breast Cancer
Gregory J Czarnota, PhD, MDPrincipal InvestigatorSunnybrook Health Sciences Centre
6 Previous Clinical Trials
1,770 Total Patients Enrolled
4 Trials studying Breast Cancer
1,700 Patients Enrolled for Breast Cancer
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Eligibility Criteria:
This trial includes the following eligibility criteria:- I do not have severe nerve damage.My cancer has spread to distant parts of my body.I need help with my daily activities due to my health condition.My breast cancer tumor is larger than 2cm.I have inflammatory breast cancer.I am a woman aged 18 or older.Your liver enzymes (AST and ALT) should be within a certain range, not too high.Your creatinine level in the blood is less than or equal to 175 micromoles per liter.I am not pregnant or breastfeeding.I am eligible for chemotherapy before surgery.My condition qualifies for chemotherapy.My heart pumps well, with an ejection fraction of 55% or higher.Your blood counts for hemoglobin, platelets, and neutrophils are within normal range.I have a history of connective tissue disease.I have had skin conditions affecting my breast.
Research Study Groups:
This trial has the following groups:- Group 1: Adaptive Chemotherapy Monitoring
- Group 2: Standard Neoadjuvant Chemotherapy Monitoring
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Is this research endeavor still accepting participants?
"As per clinicaltrials.gov, this experiment is presently recruiting subjects and was initially made available on June 13th 2018 with its last revision occurring on October 5th 2022."
Answered by AI
How many participants are contributing to this research endeavor?
"Affirmative. Information available on clinicaltrials.gov states that the research project, initially posted on June 13th 2018 is still actively enrolling participants. The trial seeks to recruit 120 patients from a single medical facility."
Answered by AI
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