Safety and Feasibility of IRE for Early-stage Breast Cancer: a Prospective, Open-Label, Single-Arm, Exploratory Study

ConditionBreast Cancer
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorTian'an Jiang

About this trial

This is a prospective, open-label, single-arm, exploratory clinical trial conducted at our institution to investigate the use of Irreversible Electroporation (IRE) for the treatment of breast cancer.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Female, aged 18 years or older.

Medically fit for both surgery and general anesthesia, with an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.

Treatment-naïve, primary, unifocal breast cancer with a maximum diameter of ≤ 2.0 cm as assessed by MRI.

Pathologically confirmed diagnosis of Invasive Ductal Carcinoma (IDC) within 3 months prior to enrollment.

Disqualifiers

Known coagulopathy or bleeding diathesis (defined as a platelet count < 50×10⁹/L or an International Normalized Ratio (INR) > 1.5).

Presence of an implanted cardiac pacemaker, defibrillator, or any other active electronic medical device.

History of significant cardiac disease, including but not limited to: uncontrolled cardiac arrhythmias or congestive heart failure classified as New York Heart Association (NYHA) Class III or IV.

Patients who are pregnant, lactating, or planning a pregnancy during the study period.

Trial design

Design model

Single group

Treatments tested in this trial

  • IRE by stunning pulse therapy device

    Device

    Qualified patients will receive IRE ablation, followed by standard surgical resection for breast cancer.During the process, patients will be followed up and evaluated

Treatment groups

24 Participants
are divided into 1 treatment group
Group A: IRE and Surgical ResectionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Complete ablation rate

Pathologically confirmed absence of viable tumor cells in the resected tumor bed and margins of the post-IRE surgery specimen.

Time frame
1 month
2

Technical success rate

The technical success rate of IRE ablation followed by surgery in treating breast cancer

Time frame
1 month

Secondary outcomes

1

Incidence of Treatment-Emergent Adverse Events

The incidence and severity of all adverse events (AE) and serious adverse events (SAE)

Time frame
1 month
2

Pain scores

Pain scores of IRE ablation. The pain intensity was assessed using the 0-10 numerical rating scale (NRS), where 0 indicates no pain and 10 indicates the most severe pain.

Time frame
1 month
3

Imaging analysis

the ablation lesion of the imaging results of the ablation lesion after IRE.

Time frame
1 month

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Tian'an Jiang

Lead sponsor

First Affiliated Hospital of Zhejiang University

Sponsor institution