Actively Recruiting

Age: 50Years +
FEMALE
ID02701244

A Multicenter Registry Study of Breast Microseed Treatment for Early Stage Breast Cancer

Led by Concure Oncology-Breast Microseed Inc. · Updated on 2018-03-19

420

Participants Needed

3

Research Sites

260 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research focuses on women diagnosed with early stage breast cancer who typically receive lumpectomy followed by radiation therapy. The study evaluates a technique called Permanent Breast Seed Implant (PBSI), which delivers radiation to a portion of the breast where cancer is more likely to recur, rather than to the whole breast. PBSI aims to reduce the side effects associated with whole breast radiation, such as skin burns and prolonged treatment times, by using permanently implanted radioactive seeds. The PBSI procedure is done on an outpatient basis under local anesthesia and light sedation, after the surgery when the scar has healed and final pathology is available. It involves inserting stranded radioactive seeds into the target breast tissue guided by imaging, delivering low dose rate radiation over time. This method contrasts with traditional whole breast radiation that requires daily treatments over several weeks. The study collects data from multiple centers to ensure proper clinician training and to evaluate long-term safety and rare complications. Participants will be monitored for up to 10 years after the implant procedure with assessments including serious adverse events, breast cancer recurrence, side effects of PBSI, cosmetic outcomes, and survival status. Follow-up includes imaging, clinical evaluations, and quality assurance measures. This long-term data collection helps researchers understand the safety and effects of PBSI when performed by various practitioners across different centers.

CONDITIONS

Brief Title

A Registry Study of Breast Microseed Treatment

Who Can Participate

Age: 50Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Histological diagnosis of invasive or in-situ ductal carcinoma (DCIS)
  • Treated by breast conserving surgery with axillary node dissection (with a minimum of 6 nodes sampled) or sentinel lymph node biopsy
  • Surgical margins clear for invasive carcinoma (no tumor at ink margin) or superior or equal to 2 mm for in-situ ductal carcinoma (DCIS)
  • A maximum tumor size of 3 cm
  • Age �37 50 years old
  • Informed consent signed if participating in the Registry
Not Eligible

You will not qualify if you...

  • No previous cancer unless in remission for more than 2 years
  • Active auto immune disorder with severe vasculitis component
  • Uncontrolled and complicated insulin-dependent diabetes
  • Pregnancy
  • Cosmetic breast implants
  • Psychiatric or addictive disorder that would preclude attending follow-up
  • Post-operative breast infection requiring prolonged antibiotic therapy
  • Lobular features on histology (pure or mixed) or sarcoma histology
  • Node macroscopically positive on axillary dissection or in the sentinel lymph node biopsy
  • Extensive in- situ carcinoma
  • Multicentric disease (in more than one quadrant or separated by 2 cm or more)
  • Paget's disease of the nipple
  • Metastases
  • Patients presenting with a large post-surgical fluid cavity as determined on the planning Ultrasound (US), resistant to the application of hot compresses for 4 weeks
  • Clear delineation of the target volume on Computerized Tomography (CT) is not possible
  • Volume to be implanted over 150cc
  • Target volume too close to skin such that the 90% isodose overlaps the skin surface

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - 1 day

Participants receive a Permanent Breast Seed Implant procedure, which involves implantation of radioactive seeds under local anesthesia and light sedation in a single outpatient session after surgery.

1 outpatient procedure visit

Long-term Monitoring

Duration - Up to 10 years from procedure date

Participants are monitored for safety, side effects, cancer recurrence, cosmetic outcomes, and survival following the implant procedure.

Yearly visits for up to 10 years, plus additional visits at 2 months post-procedure

Trial Site Locations

Total: 3 locations

1

Allegheny General Hospital

Pittsburgh, Pennsylvania, United States, 15212

Actively Recruiting

2

Mary Washington Hospital

Fredericksburg, Virginia, United States, 22401

Actively Recruiting

3

Swedish Cancer Institute

Seattle, Washington, United States, 98104

Actively Recruiting

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Research Team

J

Juanita Crook, MD

J

Jean-Philippe Pignol, MD, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

First report of a permanent breast 103Pd seed implant as adjuvant radiation treatment for early-stage breast cancer.

Jean-Philippe Pignol, Brian Keller, Eileen Rakovitch...

https://pubmed.ncbi.nlm.nih.gov/16182464

A radiation badge survey for family members living with patients treated with a (103)Pd permanent breast seed implant.

Brian M Keller, Jean-Philippe Pignol, Eileen Rakovitch...

https://pubmed.ncbi.nlm.nih.gov/17967512

A permanent breast seed implant as partial breast radiation therapy for early-stage patients: a comparison of palladium-103 and iodine-125 isotopes based on radiation safety considerations.

Brian Keller, Raxa Sankreacha, Eileen Rakovitch...

https://pubmed.ncbi.nlm.nih.gov/15890575