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Breast CancerNCT05458739

The ClearCoast™ Magnetic Resonance Outcome PMS Study

An observational study of Breast Cancer, run by Clear Cut Medical Ltd. at 2 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Post Marketing Surveillance (PMS) study. Up to 93 patients undergoing breast conserving surgery will be enrolled in a prospective, single center, non-randomized controlled study, and a corresponding number of historical patients that underwent BCS will serve as the historical control group, accounting for a 1:1 ratio. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Breast Cancer
What is being tested?
ClearCoast MR System
Type of treatment
Medical device
How many people
93 participants
Where
2 sitesin 2 countries
Study dates
24 Jun 2021to 1 Aug 2024
Phase
Observational
Are there results?
None posted in the registry

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

Study population: Study population will consist of women 18 years of age and/or over, who are diagnosed with invasive and/or in situ carcinoma of the breast.

Who may be able to join

  • Women histologically diagnosed with invasive and/or in situ carcinoma of the breast, undergoing primary lumpectomy (partial mastectomy) procedure
  • Age ≥18
  • Patient is willing and capable to provide written Informed Consent Form (ICF)

Who cannot join

  • Prior surgical procedure in the same breast within 12 months prior to the surgery date
  • Recurrent breast cancer surgery
  • Neoadjuvant chemotherapy and/or neoadjuvant hormone therapy
  • Previous radiation therapy in the operated breast
  • Pregnancy
  • Lactation
Show all 13Show fewer
  • Patient has subglandular breast implants in the operated breast
  • moribund patient and/or patient with comorbidities, per principal investigator discretion
  • Participating in any other investigational study for either drug or device which might influence collection of valid data under this study.
  • Intraoperative:
  • Specimen undergoing pathological specimen assessment (e.g. by frozen section, imprint cytology or gross assessment by sectioning), resulting in deformation of specimen shape/tissue properties (e.g. Formalin conservation)
  • Specimen dimension is larger than the Tissue container volume (200cc)
  • Inability to define aspect color/orientation and/or margin border

Trial locations and contacts

2 sites in 2 countries.

2 sites in 2 countries

Germany1 site
  • Agaplesion Markus Krankenhaus

    Frankfurt

Other trials in Germany

United Kingdom1 site
  • Western General Hospital , Breast Unit

    Edinburgh, Scotland

Other trials in United Kingdom

About this study

Official title: The ClearCoast™ Magnetic Resonance Outcome Post Marketing Surveillance Study

Post Marketing Surveillance (PMS) study. Up to 93 patients undergoing breast conserving surgery will be enrolled in a prospective, single center, non-randomized controlled study, and a corresponding number of historical patients that underwent BCS will serve as the historical control group, accounting for a 1:1 ratio. All study patients and the patients in the historical control group will be required to meet the study eligibility criteria.

BCS will be performed with the routine standard of care (SOC), including intra-operative methods used to improve margin assessment. In addition to SOC process, the main specimen from patients found eligible will be scanned in the ClearCoast™ system. The surgeon will utilize the information from the ClearCoast images in his margin assessments evaluation which includes the diffusion at the surface of a particular aspect (suggesting irregular tissue at the specimen's surface), and decide whether to excise additional tissue. The decision-making process including MR images interpretation and the surgical decisions will be evaluated and documented. Following procedure, routine histopathology examination will be performed accompanied by the ClearCoast optical and parametric maps.

Read more

This study is a controlled design, in which subjects previously having undergone BCS by the same surgeons, will serve as the historical control group, comparing the following endpoints:

  • Complete surgical re-excision rate
  • Total excised breast tissue volume

The study Control group is composed of historical data from patients previously undergone BCS, under the same site SOC surgical practice, practicing surgeons, and study eligible criteria. This allows reducing inter-group variability and bias.

A device operator trained by ClearCut Medical will operate the device throughout the study.

Conditions
Breast Cancer
Being tested
ClearCoast MR System
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ClearCoast MR SystemDevice

    The removed specimen is scanned using the ClearCoast MR System.

Study groups in NCT05458739
Study groupRoleWhat they receive
Treatment GroupThe removed specimen (as part of BCS) is scanned with the ClearCoast MR System.
Receives: Device: ClearCoast MR System
Historical GroupHistorical data of patients undergone BCS, under the same eligibility criteria and performed by the same study surgeons, thus minimizing inter-groups and inter-surgeon variability and bias, will serve as a control group for the comparison of the complete resection rate.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. ClearCoast™ Success rate

    the success of the ClearCoast™ system indicating abnormal margins of breast tissue specimen intra-operatively.

    This endpoint compares the proportion of patients that undergo a re-excision surgery following the primary lumpectomy procedure between the two groups.

    Measured: 6 months

Secondary outcomes (1)
  1. Secondary Outcome - Re-excision rate

    Comparing the percentage of positive margins (%) of the main specimen (as detected by post-operative microscopically as having cancer within 1mm or less of the inked surface) and document which of those positive margins have been addressed by intra-operative re-excision or the absence of further tissue to be re-excised (e.g., undermining the skin or reaching the pectoralis fascia).

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jul 2022
  2. Study start24 Jun 2021
  3. Primary completion1 Jul 2024
  4. Study completion1 Aug 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
93 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05458739
Sponsor's protocol ID
735CLD Rev.04
Status last verified
Aug 2024
First submitted
7 Jul 2022
Last updated
21 Aug 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Breast Cancer, run by Clear Cut Medical Ltd. at 2 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 13 exclusion criteria. 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 21 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Germany, United Kingdom. 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.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

ClearCoast™ Success rate (time frame: 6 months). 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 21 Aug 2024.

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