Status:

UNKNOWN

Contrast-enhanced MR Imaging as a Breast Cancer Screening in Women at Intermediate Risk

Lead Sponsor:

Prof. Paolo Bruzzi

Conditions:

Breast Cancer

Eligibility:

FEMALE

40-59 years

Phase:

NA

Brief Summary

A multicenter randomized controlled trial to evaluate the performance of MRI, in terms of sensitivity, specificity, and predictive value, in the screening of women at intermediate risk of breast cance...

Detailed Description

Women, who, due to an increased risk of invasive breast cancer, are offered a specific surveillance program, as a supplement to the standard screening activities which in Italy are based on mammograph...

Eligibility Criteria

Inclusion

  • Women aged 40-59 years with
  • cumulative risk at 10 years of at least 5%, or a lifetime cumulative breast cancer risk ranging between 15% and 30% (equivalent to a relative risk of 2-6 as compared to a low risk woman of the same age). The lifetime cumulative risk of breast cancer will be computed using the IBIS Breast Cancer Risk Evaluation Tool (http://www.ems-trials.org/riskevaluator/); or mammographic density involving more than 75% of the breast area, based on the most recent mammogram. The evaluation of the composition of the mammary gland will be performed using the BI-RADS classification. Women with mammography in class 4 (i.e., \>75% of glandular component) will be eligible for randomization.
  • Written Informed consent

Exclusion

  • Signs or symptoms of breast cancer at enrolment;
  • Previous diagnosis of ductal carcinoma in situ or invasive breast cancer;
  • BRCA or p53 mutation carrier status;
  • General contraindications to MRI (e.g. cardiac pacemaker, metal implants or history of severe allergic reaction after administration of contrast agent;
  • Contraindications to any intravenous administration of contrast agent;
  • Ongoing or planned pregnancy (for the duration of the study);
  • Hormonal enhancement of ovarian function for assisted reproduction in the previous 3 years
  • Presence of breast implants;
  • Previous diagnosis of cancer at any site;
  • Life-threatening diseases;
  • Mental disability precluding informed consent to participate

Key Trial Info

Start Date :

May 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2016

Estimated Enrollment :

2000 Patients enrolled

Trial Details

Trial ID

NCT02210546

Start Date

May 1 2013

End Date

September 1 2016

Last Update

August 6 2014

Active Locations (1)

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IRCCS Azienda Ospedaliera Universitaria S.Martino IST

Genova, Italy, 16132