About this trial
Cryoablation or tumor freezing is a percutaneous, office-based procedure that is emerging as a minimally invasive, cost-effective alternative to surgery that is currently being evaluated in clinical trials for the management of for early-stage invasive breast cancer. The investigator will also evaluate the potential of cryoablation as a minimally invasive alternative to surgery for small areas of DCIS by examining its ability to achieve complete ablation of DCIS within the targeted cryoablation zone of necrosis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
DCIS spanning 2 cm or less based on its radiographic appearance by mammography and/or breast contrast-enhanced MRI
Diagnosis of DCIS by minimally invasive needle biopsy
No prior history of DCIS or invasive breast cancer in the same breast
No history of surgical biopsy and/or lumpectomy for diagnosis/treatment in the same breast
Disqualifiers
None
Trial design
Single group
Treatments tested in this trial
Cryoablation
Procedure/SurgeryThe cryoprobe tip will be inserted into the breast and directed under ultrasound guidance to the location where the ultrasound visible marker is located. Next, the cryoprobe will be used to freeze a 4 X 3 X 3 cm diameter area of DCIS using two separate 10-minute freeze cycles separated by a single 10-minute thaw cycle. The cryoprobe will remain in place the entire time. After the second freeze, the cryoprobe will be withdrawn from the breast and a bandage will be applied to the skin.
Treatment groups
Trial outcomes
Primary outcomes
Ability of cryoablation to achieve complete ablation of DCIS
Number of participants to achieve completeness of ablation by measuring the percentage of subjects with no residual DCIS or invasive cancer within the zero of necrosis assessed in the post-cryoablation core biopsy obtained 6 months post-cryoablation.
Secondary outcomes
Recurrence rate
Number of participants at the 5-year rate of invasive breast cancer recurrence after cryoablation of DCIS measuring \</= 2cm.
Sponsors and contacts
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Glendale Adventist Medical Center d/b/a Adventist Health Glendale
Lead sponsor
Helen Rey Breast Cancer Research Foundation
Collaborator
California Oncology Research Institute
Collaborator
Doterra Healing Hands Foundation
Collaborator