About this trial
This is a single-center, parallel-controlled clinical study designed to evaluate the safety, efficacy and impact on systemic anti-tumor immunity of a multi-mode integrated ablation system for the treatment of breast cancer liver metastases.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-75 years, female gender;
Pathologically confirmed breast cancer liver metastases, in patients who are unable to tolerate or refuse surgical resection;
The number of lesions ≤ 3, with any single lesion diameter ≤ 4cm;
At least an interval of 1 month since the last local treatment;
Disqualifiers
Liver function Child-Pugh class C;
Systemic widespread metastasis, with an expected survival of < 3 months;
History of esophageal (gastric fundus) variceal bleeding within the past month;
Dysfunction or failure of vital organs;
Trial design
Parallel
Treatments tested in this trial
Multi-mode tumor treatment system
DeviceAll subjects are treated using the multi-mode tumor treatment system (Shanghai MAaGI Medical Technology Co., Ltd), with the treatment procedure conducted according to the temperature control mode for tumor ablation. The treatment procedure includes: rapid freezing of the tumor tissue to form an ice ball extending 5mm beyond the lesion, maintaining this state for 5 minutes, followed by thawing and rewarming; subsequently, RFA is performed to ensure complete ablation, with the ablation zone including a safety margin of 5-10mm around the tumor.
Radiofrequency ablation therapeutic apparatus
DeviceAll subjects are treated using the radiofrequency ablation therapeutic apparatus (MedSphere International (Shanghai) Co., Ltd.), with the treatment procedure conducted according to the preset power and time parameters to ensure a safety margin of 5-10mm.
Treatment groups
Trial outcomes
Primary outcomes
Anti-tumor immune response
The anti-tumor immune response refers to the effect and mechanism by which multi-mode ablation activates systemic persistent specific anti-tumor immunity, thereby inhibiting tumor metastasis and recurrence.
Secondary outcomes
6-Month Local Control Rate
6-month local control rate (LCR) refers to the proportion of patients in whom the primary tumor site lesions are completely suppressed after treatment among all treated patients six months after the start of treatment.
6-Month Progression-Free Survival
6-month progression-free survival (6-month PFS) refers to the percentage of patients who are alive without tumor progression or metastasis six months after the start of treatment.
1-Year Progression-Free Survival
1-year progression-free survival (1-year PFS) refers to the percentage of patients who are alive without tumor progression or metastasis one year after the start of treatment.
1-Year Overall Survival
1-year overall survival (1-year OS) refers to the percentage of patients who are still alive one year after the start of treatment.
Sponsors and contacts
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