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Post-Mastectomy Surveillance to Detect Recurrence in Breast Cancer Patients

Primary Purpose

Breast Cancer

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
post mastectomy ultrasound
Sponsored by
Providence Health & Services
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional screening trial for Breast Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • must be ≥ 18 years of age.
  • histologic diagnosis of invasive (ductal or lobular) or in situ (ductal) breast cancer (American Joint Committee on Cancer, 7th edition stage 0, I, II, III, or IV) -previously treated with mastectomy

Exclusion Criteria:

  • pregnant or breast feeding.
  • cannot tolerate lying supine for breast ultrasound examination.
  • mastectomy for lobular carcinoma in situ, atypical ductal hyperplasia, or extensive microcalcifications in the absence of concurrent DCIS or invasive breast cancer

Sites / Locations

  • Providence Regional Cancer Partnership

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Ultrasound

Arm Description

post mastectomy ultrasound

Outcomes

Primary Outcome Measures

To determine the number of breast cancer recurrences following mastectomy detected by surgeon-performed ultrasound.
To determine the number of breast cancer recurrences following mastectomy detected by surgeon-performed ultrasound during a three year trial period.

Secondary Outcome Measures

The sensitivity of surgeon performed breast ultrasound to detect breast cancer recurrence after mastectomy will be measured.
Sensitivity measures the proportion of patients that have pathologically confirmed breast cancer recurrences that were correctly identified as such by surgeon performed ultrasound.

Full Information

First Posted
December 29, 2015
Last Updated
August 27, 2019
Sponsor
Providence Health & Services
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1. Study Identification

Unique Protocol Identification Number
NCT02688725
Brief Title
Post-Mastectomy Surveillance to Detect Recurrence in Breast Cancer Patients
Official Title
Post-Mastectomy Surveillance to Detect Locally Recurrent Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Unknown status
Study Start Date
December 2014 (undefined)
Primary Completion Date
December 2019 (Anticipated)
Study Completion Date
December 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Providence Health & Services

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Currently, there is no standard recommendation for using imaging studies to check patients for breast cancer recurrence who have been treated with mastectomy. The investigator proposes performing in-office ultrasound examinations of these patients to determine if this would be helpful in identifying an expected 5-7% of patients with breast cancer recurrences following mastectomy.
Detailed Description
The investigator hypothesizes that surgeon-directed ultrasound is a feasible, accurate, and cost-effective strategy for local recurrence surveillance in breast cancer patients after mastectomy. Toward examining these hypotheses, the investigators propose the following Specific Aims: Aim I: To determine the number of breast cancer recurrences following mastectomy detected by surgeon-performed ultrasound. Aim II: To determine the sensitivity and specificity of surgeon-performed ultrasound for the detection of post-mastectomy breast cancer recurrence. Aim III: To estimate the cost of performing surgeon-directed ultrasound for the detection of post-mastectomy breast cancer recurrence from the perspective of a third party payer relative to standard surveillance alone.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer

7. Study Design

Primary Purpose
Screening
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Ultrasound
Arm Type
Experimental
Arm Description
post mastectomy ultrasound
Intervention Type
Device
Intervention Name(s)
post mastectomy ultrasound
Intervention Description
post mastectomy ultrasound
Primary Outcome Measure Information:
Title
To determine the number of breast cancer recurrences following mastectomy detected by surgeon-performed ultrasound.
Description
To determine the number of breast cancer recurrences following mastectomy detected by surgeon-performed ultrasound during a three year trial period.
Time Frame
3 years
Secondary Outcome Measure Information:
Title
The sensitivity of surgeon performed breast ultrasound to detect breast cancer recurrence after mastectomy will be measured.
Description
Sensitivity measures the proportion of patients that have pathologically confirmed breast cancer recurrences that were correctly identified as such by surgeon performed ultrasound.
Time Frame
3 years

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: must be ≥ 18 years of age. histologic diagnosis of invasive (ductal or lobular) or in situ (ductal) breast cancer (American Joint Committee on Cancer, 7th edition stage 0, I, II, III, or IV) -previously treated with mastectomy Exclusion Criteria: pregnant or breast feeding. cannot tolerate lying supine for breast ultrasound examination. mastectomy for lobular carcinoma in situ, atypical ductal hyperplasia, or extensive microcalcifications in the absence of concurrent DCIS or invasive breast cancer
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Steve Martinez, MD, MAS,FACS
Organizational Affiliation
Providence Health & Services
Official's Role
Principal Investigator
Facility Information:
Facility Name
Providence Regional Cancer Partnership
City
Everett
State/Province
Washington
ZIP/Postal Code
98201
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Post-Mastectomy Surveillance to Detect Recurrence in Breast Cancer Patients

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