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UMIN ID:

Recruitment status Open public recruiting
Unique ID issued by UMIN UMIN000004912
Receipt No. R000005849
Scientific Title Comparison of the diagnostic accuracy of Contrast Enhanced Spectral Mammography (CESM) and conventional imaging of Breast Carcinoma.
Date of disclosure of the study information 2011/01/22
Last modified on 2011/01/20

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Basic information
Public title Comparison of the diagnostic accuracy of Contrast Enhanced Spectral Mammography (CESM) and conventional imaging of Breast Carcinoma.
Acronym Evaluation of Contrast Enhanced Spectral Mammography
Scientific Title Comparison of the diagnostic accuracy of Contrast Enhanced Spectral Mammography (CESM) and conventional imaging of Breast Carcinoma.
Scientific Title:Acronym Evaluation of Contrast Enhanced Spectral Mammography
Region
Japan

Condition
Condition Participants in this study will be adult female who fulfills the following four criteria:
1. Examined by mammography or ultrasound this past year, and was diagnosed as ACR category 3.
2. Diagnosed as CESM applicant by research investigator or sub investigator, having interview, clinical breast examination, and other examinations.
3. Adult female over 20 years old
4. Signed a consent form to participate this clinical study
Classification by specialty
Breast surgery
Classification by malignancy Malignancy
Genomic information NO

Objectives
Narrative objectives1 These women had lesions that were initially depicted at plain mammography (PM) or ultrasound (US) and that were suspected of being malignant . The patients are separated into two categories.
Group A: Depicted at US
Group B: only by PM. The purpose study is to investigate the following:
1. To investigate the potential of CESM and compare with PM for A) Category
1.1 Sensitivity
Sensitivity CESM vs. PM
1.2 Characterization
Classified as BI-RADS categories defined by ACR both for PM, CESM images. Then make a definitive diagnosis by Pathology assessment. Finally evaluate the efficiency for CESM by ROC.
2. To investigate the potential of CESM compare with PM for B) Category
2.1 Sensitivity
Equivalence trial PM and CESM
2.2 Characterization
Evaluate the accuracy for CESM by ROC.
3. Confirm the adverse event for CESM
Basic objectives2 Efficacy
Basic objectives -Others
Trial characteristics_1
Trial characteristics_2
Developmental phase

Assessment
Primary outcomes 1.Primary Endpoint
Evaluate the sensitivity of CESM
2. Secondary endpoint
Evaluate characteristics and adverse events of CESM
Key secondary outcomes

Base
Study type Interventional

Study design
Basic design Parallel
Randomization Randomized
Randomization unit
Blinding Open -no one is blinded
Control Active
Stratification
Dynamic allocation
Institution consideration
Blocking
Concealment

Intervention
No. of arms 2
Purpose of intervention Prevention
Type of intervention
Medicine Device,equipment
Interventions/Control_1 30 cases for both group A
Duration of study:
January 2011 to June 30
Contrast agent:
Nonionic solution containing
350 mg of iodine per milliliter
X-ray: radiology exposure less than 0.2mSv
Interventions/Control_2 30 cases for both group B
Duration of study:
January 2011 to June 30
Contrast agent:
Nonionic solution containing
350 mg of iodine per milliliter
X-ray: radiology exposure less than 0.2mSv
Interventions/Control_3
Interventions/Control_4
Interventions/Control_5
Interventions/Control_6
Interventions/Control_7
Interventions/Control_8
Interventions/Control_9
Interventions/Control_10

Eligibility
Age-lower limit
20 years-old <=
Age-upper limit

Not applicable
Gender Female
Key inclusion criteria Objective of participant selection is to satisfy following selection criteria and not conflict with exclusion criteria.

Criteria for selecting participants: Adult female who visit research laboratories to be diagnosed breast cancer
using diagnostic imaging, and fulfill following criteria;
1.Conducted PM and/or US this past year and diagnosed as ACR category 3
2.Diagnosed as CESM applicant by research investigator or sub investigator's interview, clinical breast examination, and other examinations.
3.Adult female over 20 years old.
Signed a consent form to participate this clinical study
Key exclusion criteria Exclude patients who meet the following criteria
1 Complications and/or preexisting disorders of respiratory disease, such as asthma,chronic obstructive pulmonary disease, pulmonary cancer, and interstitial pneumonia.
2 Preexisting disorders of being allergic to iodinated contrast material and iodine-containing drug medicine, complications and/or preexisiting disorders of allergists, such as drug allegy and alimentary allergy.
3 Complications and/or preexisting disorders of the thyroid gland
4 Diabetes drug (metformin) and is not able to take sufficient drug holidays brfore and affer the study (Over 48 hours for bot before and after the study)

5 Patient whose general condition is significantly disordered or has complocations and/or preexisiting disorders of critical cerebropathy, such as hematencephalon and stroke, liver disease, such as hepatic cirrhosis and hpatic failure, kidney disease, such as glomerulonephritis and patient who requiring dialysis.

6 Complications of acute pancreatitis, Waldenstorm's macroglobulinemia multiple myeloma, tetany, and pheochromocytoma.

7 Patinet who performed breast enlargement sturgery including saline-filled and silicone-gel-filled implants.
8 Patient who is diagnosed as mental disorders including moderate or severe dementia and identified by attending physician that she neither fully comprehend nor cooperate.
9 Pregnant women or breast-feeding women.
10.Who is participating or has participanter clinical research study and/or past marketing surveillance for last three months period.
11 Others;attending physician has cancers for a patient to join this clinical study and/or for a patient to be a hinder of evaluation the result.

Reasons of creating exclusion criteria are as follows
1,2,3,4,5,6; contraindicated disease of iodinated contrast materials
7;affecting the risk for interpretation of radiogram
8,9,10,11;general considerations of clinical study
Target sample size 60

Research contact person
Name of lead principal investigator
1st name
Middle name
Last name Mitsuhiro Mizutani
Organization Mikawa Breast cancer clinic
Division name Breast surgeon, director
Zip code
Address 39-6,hida,shinome-cho,anjyou-shi,Aichi-ken
TEL
Email

Public contact
Name of contact person
1st name
Middle name
Last name
Organization CESM society
Division name secretariat
Zip code
Address 39-6,hida,shinome-cho,anjyo-shi,Aichi-ken
TEL +81-566-77-5211
Homepage URL
Email

Sponsor
Institute CESM society
Institute
Department

Funding Source
Organization NA
Organization
Division
Category of Funding Organization Self funding
Nationality of Funding Organization

Other related organizations
Co-sponsor
Name of secondary funder(s)

IRB Contact (For public release)
Organization
Address
Tel
Email

Secondary IDs
Secondary IDs NO
Study ID_1
Org. issuing International ID_1
Study ID_2
Org. issuing International ID_2
IND to MHLW

Institutions
Institutions

Other administrative information
Date of disclosure of the study information
2011 Year 01 Month 22 Day

Related information
URL releasing protocol
Publication of results Unpublished

Result
URL related to results and publications
Number of participants that the trial has enrolled
Results
Results date posted
Results Delayed
Results Delay Reason
Date of the first journal publication of results
Baseline Characteristics
Participant flow
Adverse events
Outcome measures
Plan to share IPD
IPD sharing Plan description

Progress
Recruitment status Open public recruiting
Date of protocol fixation
2011 Year 01 Month 20 Day
Date of IRB
Anticipated trial start date
2011 Year 01 Month 01 Day
Last follow-up date
Date of closure to data entry
Date trial data considered complete
Date analysis concluded

Other
Other related information

Management information
Registered date
2011 Year 01 Month 20 Day
Last modified on
2011 Year 01 Month 20 Day


Link to view the page
URL(English) https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005849

Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name


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