Status:

ACTIVE_NOT_RECRUITING

Evaluation of the Accuracy of Percutaneous Biopsy by Vacuum-assisted Biopsy (VAB) to Assess Pathological Complete Response in Patients With Clinical and Radiological Complete Response After Neoadjuvant Chemotherapy (NeoVAB)

Lead Sponsor:

Centre Georges Francois Leclerc

Conditions:

Vacuum-assisted Biopsy

Eligibility:

FEMALE

18+ years

Phase:

NA

Brief Summary

Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer death in females in the world. Neoadjuvant chemotherapy (NAC) is increasingly used in patients with operable breast ...

Detailed Description

A total of 66 patients will be submitted to percutaneous vacuum-assisted biopsy (VAB), followed by breast surgery. The primary endpoint of the study is the false negative rate of VAB procedure. This r...

Eligibility Criteria

Inclusion

  • Patient aged 18 years or older.
  • Written informed consent provided.
  • Triple negative or HER2-positive / ER-negative or HER2-positive / ER-positive breast tumours.
  • Patients eligible for breast conservation after NAC.
  • Patients with T2-T3 N0 invasive breast cancer initially treated by NAC to allow breast conservation, who have received a minimum of 6 cycles of adequate NAC +/- anti-HER2.
  • Clinical complete response after NAC.
  • Radiological (mammography, breast US, breast MRI) complete response after NAC.
  • Patients predicted to be node-negative at treatment initiation.

Exclusion

  • Patient younger than 18 years old.
  • Pregnant or breastfeeding women.
  • Proven metastatic axillary or internal mammary chain lymph node involvement before NAC proven by biopsy or cytology.
  • Bilateral breast cancer.
  • Contraindication to MRI.
  • Contraindication to breast conservation
  • Patients with a BRCA mutation or other autosomal dominant high-penetrance genetic predisposition to breast cancer.
  • Patients with limitation of freedom or under guardianship
  • Inability for psychological reasons
  • Hypersensitivity to local anaesthesia
  • Initial imaging showing ACR6 micro calcifications and/or ACR6 non-mass enhancement associated to the index lesion

Key Trial Info

Start Date :

August 30 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 8 2025

Estimated Enrollment :

67 Patients enrolled

Trial Details

Trial ID

NCT03876951

Start Date

August 30 2019

End Date

April 8 2025

Last Update

February 17 2025

Active Locations (1)

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1

Centre Georges François Leclerc

Dijon, France, 21000