Estrogen Receptor-negative Breast CancerPhase 3NCT01805076
MRI and Mammography Before Surgery in Patients With Stage I-II Breast Cancer
A Phase 3 study testing Breast surgery, Magnetic resonance imaging and Mammography in people with Estrogen Receptor-negative Breast Cancer and Progesterone Receptor-negative Breast Cancer, run by Alliance for Clinical Trials in Oncology at 179 sites in United States.
Trial summary
The purpose of this study is to test whether patients undergoing a breast MRI (magnetic resonance imaging) before breast surgery will have better results after the surgery. Breast tumors are routinely evaluated using mammograms and ultrasound before surgery. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Estrogen Receptor-negative Breast Cancer, Progesterone Receptor-negative Breast Cancer, Stage IA Breast Cancer
- What is being tested?
- Breast surgery, Magnetic resonance imaging and Mammography
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 319 participants
- Where
- 179 sitesUnited States
- Study dates
- 21 May 2014to 27 May 2025
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
- Female. Men are excluded from this study because the number of men with breast cancer is insufficient to provide a statistical basis for assessment of effects in this subpopulation of people with breast cancer.
- Pathologically confirmed diagnosis of breast cancer, clinical stage I-II (T1-3 N0 M0, T0-2 N1 M0). Diagnosis must be by needle biopsy; patients diagnosed by surgical excision are excluded.
- Patients must have either:
- Estrogen receptor (ER) negative/progesterone receptor (PR) negative (< 10% by immunohistochemistry IHC staining) and HER-2 negative breast cancer OR
- ER negative/PR negative (< 10% by IHC staining) and HER-2 positive tumors
- HER-2 status will be determined as per the 2013 ASCO CAP guidelines:
- HER-2 is considered positive if there is IHC 3+ staining or ISH positive using either single probe ISH or dual probe ISH
- HER-2 is considered negative if there is IHC 0 or 1+ staining or ISH negative using either single probe ISH or dual probe ISH
- No patients with previous ipsilateral invasive breast cancer or ductal carcinoma in situ (DCIS)
- No patients with bilateral breast cancer
- No patients with known deleterious mutations in breast cancer (BRCA) genes
- No current history of receiving hormonal therapy, tamoxifen, and or aromatase inhibitors for therapeutic measures
- No history of chemotherapy for cancer within 6 months prior to registration
- No patients scheduled to receive neoadjuvant chemotherapy or partial breast irradiation following breast conserving surgery
- Eligible for BCT based on clinical examination, mammography and, if standard practice at a given institution, ultrasound and/or tomogram. Women who cannot be appropriately selected for BCT based on these standard imaging studies, and for whom additional imaging is recommended to clarify local disease extent, will not be eligible for this trial.
- No patients with multicentric or multifocal disease scheduled to undergo multiple lumpectomies. Multifocal disease that can be encompassed in a single operative bed can be enrolled.
- Suitable to undergo MRI and receive the contrast agent gadolinium (exclusions follow):
- No history of untreatable claustrophobia
- No presence of metallic objects or implanted medical devices in body (i.e., cardiac pacemaker, aneurysm clips, surgical clips, prostheses, artificial hearts, valves with steel parts, metal fragments, shrapnel, tattoos near the eye, or steel implants)
- No history of sickle cell disease
- No contraindication to intravenous contrast administration
- No known allergy-like reaction to gadolinium or moderate or severe allergic reactions to one or more allergens as defined by the American College of Radiology (ACR); patient may be eligible if willing to undergo pre-treatment as defined by the institution's policy and/or ACR guidance
- No findings consistent with renal failure, as determined by glomerular filtration rate (GFR) < 30 mL/min/1.73 m^2 based on a creatinine level obtained within 28 days prior to registration
- Weight lower than that allowable by the MRI table
- No prior MRI of study breast within the 12 months prior to registration
- Non-pregnant and non-lactating. Patients of child-bearing potential must have a negative pregnancy test within 7 days prior to registration. Perimenopausal patients must be amenorrheic > 12 months to be considered not of child-bearing potential
- ≥ 18 years of age
- Signed study-specific informed consent prior to registration
Trial locations and contacts
179 sites in 1 country.
179 sites in 1 country
United States179 sites
McFarland Clinic PC - Ames
Ames, Iowa, 50010
Saint Joseph Mercy Hospital
Ann Arbor, Michigan, 48106
Kaiser Permanente-Deer Valley Medical Center
Antioch, California, 94531
Fox Valley Surgical Associates Limited
Appleton, Wisconsin, 54911
ThedaCare Regional Cancer Center
Appleton, Wisconsin, 54911
ThedaCare Regional Medical Center - Appleton
Appleton, Wisconsin, 54911
Northwest Community Hospital
Arlington Heights, Illinois, 60005
IU Health West Hospital
Avon, Indiana, 46123
Saint Agnes Hospital
Baltimore, Maryland, 21229
Johns Hopkins University/Sidney Kimmel Cancer Center
Baltimore, Maryland, 21287
Walter Reed National Military Medical Center
Bethesda, Maryland, 20889-5600
Saint Luke's University Hospital-Bethlehem Campus
Bethlehem, Pennsylvania, 18015
Prisma Health Cancer Institute - Spartanburg
Boiling Springs, South Carolina, 29316
Saint Alphonsus Cancer Care Center-Boise
Boise, Idaho, 83706
Bryn Mawr Hospital
Bryn Mawr, Pennsylvania, 19010
Roswell Park Cancer Institute
Buffalo, New York, 14263
Memorial Hospital of Carbondale
Carbondale, Illinois, 62902
IU Health North Hospital
Carmel, Indiana, 46032
Physicians' Clinic of Iowa PC
Cedar Rapids, Iowa, 52402
Oncology Associates at Mercy Medical Center
Cedar Rapids, Iowa, 52403
Medical University of South Carolina
Charleston, South Carolina, 29425
University of Illinois
Chicago, Illinois, 60612
University of Chicago Comprehensive Cancer Center
Chicago, Illinois, 60637
Advocate Illinois Masonic Medical Center
Chicago, Illinois, 60657
Enloe Medical Center
Chico, California, 95926
Kootenai Health - Coeur d'Alene
Coeur d'Alene, Idaho, 83814
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
Cookeville Regional Medical Center
Cookeville, Tennessee, 38501
Baylor University Medical Center
Dallas, Texas, 75246
Dekalb Medical Center
Decatur, Georgia, 30033
Smilow Cancer Hospital-Derby Care Center
Derby, Connecticut, 06418
Wayne State University/Karmanos Cancer Institute
Detroit, Michigan, 48201
Henry Ford Hospital
Detroit, Michigan, 48202
Ascension Saint John Hospital
Detroit, Michigan, 48236
Duke University Medical Center
Durham, North Carolina, 27710
Prisma Health Cancer Institute - Easley
Easley, South Carolina, 29640
Elkhart Clinic
Elkhart, Indiana, 46514-2098
Michiana Hematology Oncology PC-Elkhart
Elkhart, Indiana, 46514
Bay Area Breast Surgeons Inc
Emeryville, California, 94608
Epic Care Partners in Cancer Care
Emeryville, California, 94608
NorthShore University HealthSystem-Evanston Hospital
Evanston, Illinois, 60201
Smilow Cancer Hospital Care Center-Fairfield
Fairfield, Connecticut, 06824
Sanford Broadway Medical Center
Fargo, North Dakota, 58122
Genesys Hurley Cancer Institute
Flint, Michigan, 48503
Brooke Army Medical Center
Fort Sam Houston, Texas, 78234
Parkview Hospital Randallia
Fort Wayne, Indiana, 46805
Parkview Regional Medical Center
Fort Wayne, Indiana, 46845
Kaiser Permanente-Fremont
Fremont, California, 94538
Kaiser Permanente-Fresno
Fresno, California, 93720
Kaiser Permanente-Gaithersburg Medical Center
Gaithersburg, Maryland, 20879
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
NorthShore University HealthSystem-Glenbrook Hospital
Glenview, Illinois, 60026
Aurora Cancer Care-Grafton
Grafton, Wisconsin, 53024
Mercy Health Saint Mary's
Grand Rapids, Michigan, 49503
Spectrum Health at Butterworth Campus
Grand Rapids, Michigan, 49503
Aurora BayCare Medical Center
Green Bay, Wisconsin, 54311
Prisma Health Cancer Institute - Butternut
Greenville, South Carolina, 29605
Prisma Health Cancer Institute - Faris
Greenville, South Carolina, 29605
Prisma Health Greenville Memorial Hospital
Greenville, South Carolina, 29605
Prisma Health Cancer Institute - Eastside
Greenville, South Carolina, 29615
Prisma Health Cancer Institute - Greer
Greer, South Carolina, 29650
Gibbs Cancer Center-Pelham
Greer, South Carolina, 29651
Smilow Cancer Hospital Care Center - Guiford
Guilford, Connecticut, 06437
Sentara Cancer Institute at Sentara CarePlex Hospital
Hampton, Virginia, 23666
Smilow Cancer Hospital Care Center at Saint Francis
Hartford, Connecticut, 06105
Ingalls Memorial Hospital
Harvey, Illinois, 60426
Penn State Milton S Hershey Medical Center
Hershey, Pennsylvania, 17033-0850
NorthShore University HealthSystem-Highland Park Hospital
Highland Park, Illinois, 60035
M D Anderson Cancer Center
Houston, Texas, 77030
Indiana University/Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
Baptist MD Anderson Cancer Center
Jacksonville, Florida, 32207
Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
Jonesboro, Arkansas, 72401
West Michigan Cancer Center
Kalamazoo, Michigan, 49007
Doctor's Hospital of Laredo
Laredo, Texas, 78041
Baptist Health Lexington
Lexington, Kentucky, 40503
University of Kentucky/Markey Cancer Center
Lexington, Kentucky, 40536
USC / Norris Comprehensive Cancer Center
Los Angeles, California, 90033
The James Graham Brown Cancer Center at University of Louisville
Louisville, Kentucky, 40202
University of Wisconsin Hospital and Clinics
Madison, Wisconsin, 53792
Contra Costa Regional Medical Center
Martinez, California, 94553-3156
Loyola University Medical Center
Maywood, Illinois, 60153
Holy Redeemer Hospital and Medical Center
Meadowbrook, Pennsylvania, 19046
Riddle Memorial Hospital
Media, Pennsylvania, 19063
Aurora Saint Luke's Medical Center
Milwaukee, Wisconsin, 53215
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Aurora Sinai Medical Center
Milwaukee, Wisconsin, 53233
Michiana Hematology Oncology PC-Mishawaka
Mishawaka, Indiana, 46545
Kaiser Permanente-Modesto
Modesto, California, 95356
West Virginia University Healthcare
Morgantown, West Virginia, 26506
The Community Hospital
Munster, Indiana, 46321
Edward Hospital/Cancer Center
Naperville, Illinois, 60540
Surgical Associates of Neenah SC
Neenah, Wisconsin, 54956
Smilow Cancer Center/Yale-New Haven Hospital
New Haven, Connecticut, 06510
Yale University
New Haven, Connecticut, 06520
Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York, New York, 10016
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
New York, New York, 10032
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Helen F Graham Cancer Center
Newark, Delaware, 19713
Christiana Care Health System-Christiana Hospital
Newark, Delaware, 19718
Sentara Leigh Hospital
Norfolk, Virginia, 23502
Sentara Norfolk General Hospital
Norfolk, Virginia, 23507
Yale-New Haven Hospital North Haven Medical Center
North Haven, Connecticut, 06473
Ascension Providence Hospitals - Novi
Novi, Michigan, 48374
Bay Area Tumor Institute
Oakland, California, 94609
Kaiser Permanente-Oakland
Oakland, California, 94611
University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104
University of Nebraska Medical Center
Omaha, Nebraska, 68198
Saint Joseph Hospital - Orange
Orange, California, 92868
UC Irvine Health/Chao Family Comprehensive Cancer Center
Orange, California, 92868
Vince Lombardi Cancer Clinic - Oshkosh
Oshkosh, Wisconsin, 54904
Owensboro Health Mitchell Memorial Cancer Center
Owensboro, Kentucky, 42303
Advocate Lutheran General Hospital
Park Ridge, Illinois, 60068
Saint Joseph's Regional Medical Center
Paterson, New Jersey, 07503
Capital Health Medical Center-Hopewell
Pennington, New Jersey, 08534
University of Pennsylvania/Abramson Cancer Center
Philadelphia, Pennsylvania, 19104
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
Edward Hospital/Cancer Center?Plainfield
Plainfield, Illinois, 60585
Michiana Hematology Oncology PC-Plymouth
Plymouth, Indiana, 46563
Saint Joseph Mercy Oakland
Pontiac, Michigan, 48341
Providence Portland Medical Center
Portland, Oregon, 97213
Providence Saint Vincent Medical Center
Portland, Oregon, 97225
Kaiser Permanente Northwest
Portland, Oregon, 97227
Southern Ohio Medical Center
Portsmouth, Ohio, 45662
Kootenai Clinic Cancer Services - Post Falls
Post Falls, Idaho, 83854
Vassar Brothers Medical Center
Poughkeepsie, New York, 12601
Rhode Island Hospital
Providence, Rhode Island, 02903
Kaiser Permanente-Redwood City
Redwood City, California, 94063
Kaiser Permanente-Richmond
Richmond, California, 94801
Mayo Clinic in Rochester
Rochester, Minnesota, 55905
University of Rochester
Rochester, New York, 14642
Kaiser Permanente-Roseville
Roseville, California, 95661
William Beaumont Hospital-Royal Oak
Royal Oak, Michigan, 48073
Kaiser Permanente-South Sacramento
Sacramento, California, 95823
Kaiser Permanente - Sacramento
Sacramento, California, 95825
Huntsman Cancer Institute/University of Utah
Salt Lake City, Utah, 84112
Sharp Memorial Hospital
San Diego, California, 92123
Kaiser Permanente-San Francisco
San Francisco, California, 94115
Kaiser Permanente-Santa Teresa-San Jose
San Jose, California, 95119
Kaiser Permanente San Leandro
San Leandro, California, 94577
Kaiser Permanente-San Rafael
San Rafael, California, 94903
Kaiser San Rafael-Gallinas
San Rafael, California, 94903
Kaiser Permanente Medical Center - Santa Clara
Santa Clara, California, 95051
Kaiser Permanente-Santa Rosa
Santa Rosa, California, 95403
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
Savannah, Georgia, 31405
Prisma Health Cancer Institute - Seneca
Seneca, South Carolina, 29672
Vince Lombardi Cancer Clinic-Sheboygan
Sheboygan, Wisconsin, 53081
Sanford Cancer Center Oncology Clinic
Sioux Falls, South Dakota, 57104
Sanford USD Medical Center - Sioux Falls
Sioux Falls, South Dakota, 57117-5134
Robert Wood Johnson University Hospital Somerset
Somerville, New Jersey, 08876
Memorial Hospital of South Bend
South Bend, Indiana, 46601
Michiana Hematology Oncology PC-South Bend
South Bend, Indiana, 46601
South Jordan Health Center
South Jordan, Utah, 84009
Kaiser Permanente-South San Francisco
South San Francisco, California, 94080
Spartanburg Medical Center
Spartanburg, South Carolina, 29303
Memorial Medical Center
Springfield, Illinois, 62781
Mercy Hospital Springfield
Springfield, Missouri, 65804
Washington University School of Medicine
St Louis, Missouri, 63110
Missouri Baptist Medical Center
St Louis, Missouri, 63131
Kaiser Permanente-Stockton
Stockton, California, 95210
Aurora Medical Center in Summit
Summit, Wisconsin, 53066
Montefiore Medical Center-Einstein Campus
The Bronx, New York, 10461
Montefiore Medical Center - Moses Campus
The Bronx, New York, 10467
Community Medical Center
Toms River, New Jersey, 08755
William Beaumont Hospital - Troy
Troy, Michigan, 48085
Smilow Cancer Hospital Care Center-Trumbull
Trumbull, Connecticut, 06611
Vince Lombardi Cancer Clinic-Two Rivers
Two Rivers, Wisconsin, 54241
Carle Cancer Center
Urbana, Illinois, 61801
Kaiser Permanente Medical Center-Vacaville
Vacaville, California, 95688
Kaiser Permanente-Vallejo
Vallejo, California, 94589
PeaceHealth Southwest Medical Center
Vancouver, Washington, 98664
Kaiser Permanente-Walnut Creek
Walnut Creek, California, 94596
Smilow Cancer Hospital Care Center - Waterford
Waterford, Connecticut, 06385
Aurora West Allis Medical Center
West Allis, Wisconsin, 53227
University of Kansas Hospital-Westwood Cancer Center
Westwood, Kansas, 66205
Dickstein Cancer Treatment Center
White Plains, New York, 10601
New Hanover Regional Medical Center/Zimmer Cancer Center
Wilmington, North Carolina, 28401
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
UMass Memorial Medical Center - University Campus
Worcester, Massachusetts, 01655
WellSpan Health-York Hospital
York, Pennsylvania, 17403
About this study
Official title: Effect of Preoperative Breast MRI on Surgical Outcomes, Costs and Quality of Life of Women With Breast Cancer
The purpose of this study is to test whether patients undergoing a breast MRI (magnetic resonance imaging) before breast surgery will have better results after the surgery. Breast tumors are routinely evaluated using mammograms and ultrasound before surgery. This study would like to find out if using MRI in addition to mammography before surgery improves our ability to evaluate tumors and decide what kind of surgery is best for the patient.
Read the detailed description
This is a randomized trial of preoperative breast MRI in patients deemed eligible for breast conserving surgery by conventional clinical criteria will provide important information about the clinical and biologic relevance of occult disease identified by MRI alone. Patients will be assigned to standard pre-operative breast cancer disease assessment without the addition of MRI prior to breast conserving surgery or standard pre-operative breast cancer disease assessment with the use of MRI prior to breast conserving surgery.
The primary objective is to compare the rates of local-regional recurrence (LRR) following attempted breast conserving therapy in a cohort of women with triple negative or HER-2 amplified breast cancer randomized to preoperative staging with mammography (control arm) or mammography plus breast MRI (MRI arm).
Secondary objectives are:
- To compare the re-operation rates following attempted breast conserving therapy between women assessed preoperatively with breast MRI to those assessed without the use of breast MRI
- To compare local recurrence rates between women who undergo BCT on the control arm to women who undergo BCT on the MRI arm
- To compare the conversion rate to mastectomy secondary to persistent positive margins or poor cosmesis within the first 6 months of attempting BCT (prior to the administration of RT) between women assessed preoperatively with breast MRI to those assessed without the use of breast MRI
- To compare the contralateral breast cancer rates in women randomized to preoperative breast MRI to those not receiving pre-operative breast MRI
- To compare the disease-free survival rates between women assessed preoperatively with breast MRI to those assessed without the use of breast MRI
- To compare breast cancer specific and overall survival outcomes of women assessed preoperatively with breast MRI to those assessed without the use of breast MRI
- To estimate the rate of MRI-guided localization assisted surgery
- To estimate the rate of multi-centric disease in the index breast for women in the MRI arm
- To evaluate the accuracy of index lesion characteristics and other factors in predicting multi-centricity in the cohort randomized to breast MRI
- To assess the positive predictive values (PPV) of MRI in detecting ipsilateral multi-centric disease and contralateral disease in women with breast cancer undergoing preoperative breast MRI
- To estimate the false positive rate for detection of multiple foci of breast cancer by MRI
All registered patients will be monitored for relapse and survival for 5 years from the date of surgery. Patients will be followed a minimum of every 4 months for the first 2 years from diagnosis and a minimum of every 6 months during years 3-5. Patients will be monitored for local, regional, distant relapse and vital status.
- Conditions
- Estrogen Receptor-negative Breast Cancer, Progesterone Receptor-negative Breast Cancer, Stage IA Breast Cancer, Stage IB Breast Cancer, Stage II Breast Cancer, Triple-negative Breast Cancer
- Being tested
- Breast surgery, Magnetic resonance imaging, Mammography
- Medical subject headings
- Breast Neoplasms, Triple Negative Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Breast surgeryProcedure or surgery
Magnetic resonance imagingProcedure or surgery
MammographyProcedure or surgery
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 (control) | Other | Patients undergo a clinical breast examination and mammography with ultrasound of the breast and regional nodes followed by breast conserving surgery. Receives: Procedure: Breast surgery; Procedure: Mammography |
| Arm 2 (experimental) | Experimental | Patients undergo a clinical breast examination, mammography with ultrasound of breast and regional nodes and breast MRI followed by breast conserving surgery or mastectomy. Receives: Procedure: Breast surgery; Procedure: Magnetic resonance imaging; Procedure: Mammography |
What is being measured
The primary outcome is the main question the study is designed to answer.
Local-regional Recurrence (LRR)
Measured: Up to 5 years
Secondary outcomes (8)
Re-operation Rate
Measured: Up to 5 years
Conversion Rate to Mastectomy Secondary to Persistent Positive Margins or Poor Cosmesis
Measured: Within the first 6 months
Time to Contralateral Breast Cancer
Measured: Up to 5 years post-randomization
Disease-free Survival (DFS)
Measured: Up to 5 years post-randomization
Overall Survival
Measured: Up to 5 years post-randomization
Breast Cancer Specific Survival Will be Measured
Measured: Up to 5 years post-randomization
Rate of MRI-guided Localization Assisted Surgery (Arm B)
Measured: Up to 5 years
False Positive Rate for MRI Detection of Multiple Disease Foci
Measured: Up to 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2013 (estimated)
- Study start21 May 2014
- Primary completion27 May 2025
- Study completion27 May 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Estrogen Receptor-negative Breast CancerStudies of the same condition, open and under way.
- More trials run by Alliance for Clinical Trials in OncologyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 319 participants (actual)
Sponsor and investigators
- Lead sponsor
- Alliance for Clinical Trials in Oncology
- Sponsor type
- University, hospital or other
- Collaborators
- National Cancer Institute (NCI), American College of Radiology Imaging Network
- Responsible party
- Sponsor
- Investigators
- Isabelle Bedrosian, MD, Study chair, M.D. Anderson Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01805076
- Sponsor's protocol ID
- A011104
- Other IDs
- ACRIN 6694, U10CA037447, NCI-2012-02045
- Status last verified
- Jun 2026
- First submitted
- 24 Feb 2013
- Last updated
- 26 Jun 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Preoperative Breast MRI on Surgical Outcomes, Costs and Quality of Life of Women With Breast Cancer
- ClinicalTrials.gov ID
- NCT01805076
- Acronym / sponsor ID
- A011104
- Conditions
- Estrogen Receptor-negative Breast Cancer, Progesterone Receptor-negative Breast Cancer, Stage IA Breast Cancer, Stage IB Breast Cancer, Stage II Breast Cancer, Triple-negative Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 319 participants (actual)
- Lead sponsor
- Alliance for Clinical Trials in OncologyUniversity, hospital or other
- Collaborators
- National Cancer Institute (NCI), American College of Radiology Imaging Network
- Study start
- 21 May 2014 (actual)
- Primary completion
- 27 May 2025 (actual)
- Study completion
- 27 May 2025 (actual)
- First posted
- 6 Mar 2013 (estimated)
- Results
- Posted 26 Jun 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to test whether patients undergoing a breast MRI (magnetic resonance imaging) before breast surgery will have better results after the surgery. Breast tumors are routinely evaluated using mammograms and ultrasound before surgery. This study would like to find out if using MRI in addition to mammography before surgery improves our ability to evaluate tumors and decide what kind of surgery is best for the patient.
Detailed description
This is a randomized trial of preoperative breast MRI in patients deemed eligible for breast conserving surgery by conventional clinical criteria will provide important information about the clinical and biologic relevance of occult disease identified by MRI alone. Patients will be assigned to standard pre-operative breast cancer disease assessment without the addition of MRI prior to breast conserving surgery or standard pre-operative breast cancer disease assessment with the use of MRI prior to breast conserving surgery.
The primary objective is to compare the rates of local-regional recurrence (LRR) following attempted breast conserving therapy in a cohort of women with triple negative or HER-2 amplified breast cancer randomized to preoperative staging with mammography (control arm) or mammography plus breast MRI (MRI arm).
Secondary objectives are:
- To compare the re-operation rates following attempted breast conserving therapy between women assessed preoperatively with breast MRI to those assessed without the use of breast MRI
- To compare local recurrence rates between women who undergo BCT on the control arm to women who undergo BCT on the MRI arm
- To compare the conversion rate to mastectomy secondary to persistent positive margins or poor cosmesis within the first 6 months of attempting BCT (prior to the administration of RT) between women assessed preoperatively with breast MRI to those assessed without the use of breast MRI
- To compare the contralateral breast cancer rates in women randomized to preoperative breast MRI to those not receiving pre-operative breast MRI
- To compare the disease-free survival rates between women assessed preoperatively with breast MRI to those assessed without the use of breast MRI
- To compare breast cancer specific and overall survival outcomes of women assessed preoperatively with breast MRI to those assessed without the use of breast MRI
- To estimate the rate of MRI-guided localization assisted surgery
- To estimate the rate of multi-centric disease in the index breast for women in the MRI arm
- To evaluate the accuracy of index lesion characteristics and other factors in predicting multi-centricity in the cohort randomized to breast MRI
- To assess the positive predictive values (PPV) of MRI in detecting ipsilateral multi-centric disease and contralateral disease in women with breast cancer undergoing preoperative breast MRI
- To estimate the false positive rate for detection of multiple foci of breast cancer by MRI
All registered patients will be monitored for relapse and survival for 5 years from the date of surgery. Patients will be followed a minimum of every 4 months for the first 2 years from diagnosis and a minimum of every 6 months during years 3-5. Patients will be monitored for local, regional, distant relapse and vital status.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm 1 (control) | Other | Procedure: Breast surgery, Procedure: MammographyPatients undergo a clinical breast examination and mammography with ultrasound of the breast and regional nodes followed by breast conserving surgery. |
| Arm 2 (experimental) | Experimental | Procedure: Breast surgery, Procedure: Magnetic resonance imaging, Procedure: MammographyPatients undergo a clinical breast examination, mammography with ultrasound of breast and regional nodes and breast MRI followed by breast conserving surgery or mastectomy. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Breast surgery | Procedure or surgery | Arm 1 (control), Arm 2 (experimental) |
| Magnetic resonance imaging | Procedure or surgery | Arm 2 (experimental) |
| Mammography | Procedure or surgery | Arm 1 (control), Arm 2 (experimental) |
Primary outcome
Local-regional Recurrence (LRR)
Time frame: Up to 5 years
8 secondary outcomes
Re-operation Rate
Time frame: Up to 5 years
Conversion Rate to Mastectomy Secondary to Persistent Positive Margins or Poor Cosmesis
Time frame: Within the first 6 months
Time to Contralateral Breast Cancer
Time frame: Up to 5 years post-randomization
Disease-free Survival (DFS)
Time frame: Up to 5 years post-randomization
Overall Survival
Time frame: Up to 5 years post-randomization
Breast Cancer Specific Survival Will be Measured
Time frame: Up to 5 years post-randomization
Rate of MRI-guided Localization Assisted Surgery (Arm B)
Time frame: Up to 5 years
False Positive Rate for MRI Detection of Multiple Disease Foci
Time frame: Up to 5 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Jun 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Signatera-Guided CDK4/6 Inhibitor Therapy in Breast Cancer
Breast Neoplasms, Carcinoma, Ductal, Breast
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Isabelle Bedrosian, MD study chair
M.D. Anderson Cancer Center
179 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Breast surgery, Magnetic resonance imaging and Mammography in people with Estrogen Receptor-negative Breast Cancer and Progesterone Receptor-negative Breast Cancer, run by Alliance for Clinical Trials in Oncology at 179 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 179 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 26 Jun 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Local-regional Recurrence (LRR) (time frame: Up to 5 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jun 2026.