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Trial Title: The C-MERIT Screening Cohort: Contrast-enhanced Mammography for Breast Cancer Screening and Risk Assessment in Women With Dense Breasts

NCT ID: NCT05667532

Condition: Breast Cancer

Conditions: Official terms:
Breast Neoplasms

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Diagnostic Test
Intervention name: Contrast Enhanced Mammography
Description: Screening Modality
Arm group label: Contrast Enhanced Mammography

Summary: To learn whether a new imaging technology, Contrast-Enhanced Mammography (CEM), compared to standard mammography, can better detect breast cancers in women with dense breasts

Detailed description: Primary Objectives: - To establish a cohort of 1,000 female MDACC patients with dense breasts who undergo screening contrast-enhanced mammography. - To establish a comprehensive integrated database of imaging, clinical data, health measurements, and questionnaire data including data from the companion protocol PA17-0584. Secondary Objectives: - To perform within-subject comparison of the cancer detection rate between CEM and FFDM. - To perform within-subject comparison of the sensitivity, specificity, and recall rates of CEM compared to low-energy (LE) images (FFDM equivalent) and compared to a combination of LE and DBT images among women with dense breasts. - To evaluate the effect of the availability of prior imaging for comparison on the recall rates of CEM, FFDM and DBT. - In patients who undergo screening breast ultrasound as a standard of care, to evaluate the performance of screening ultrasound for breast cancer detection and compare it with other imaging modalities of CEM, LE images, and DBT. Exploratory Objectives: - To combine imaging, blood biomarkers, health measurements and questionnaire data for assessment of breast cancer risk. - To evaluate if the intensity of background parenchymal enhancement on CEM predicts breast cancer risk in women with dense breasts. - To evaluate if patients consider CEM as a potentially acceptable imaging modality for routine breast cancer screening.

Criteria for eligibility:

Study pop:
MD Anderson Cancer Center

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: 1. Female patients 30-75 years of age with dense breasts (ACR BI-RADS categories C and D) who undergo routine yearly mammography at participating MDACC sites 2. Willingness to co-enroll or currently enrolled in PA17-0584 3. Willingness to participate in the study and ability to provide informed consent Exclusion Criteria: 1. Self-reported new breast symptoms since last mammogram including nipple discharge, palpable mass, skin dimpling, or focal pain. 2. Current or recent (within the prior 6 months) history of pregnancy or breast feeding 3. Personal history of breast cancer (DCIS or invasive breast cancer) 4. Treatment of any other type of cancer within the past 5 years excluding in-situ cervical and non-melanoma skin cancer 5. Breast biopsy within 6 months 6. Breast surgery within 12 months 7. Breast MRI, MBI, or CEM performed within 24 months 8. Known allergy to iodine-containing contrast agents 9. History of anaphylactic reaction to any substance that required hospitalization or IV placement in a patient with no known prior uneventful exposure to iodine-based IV contrast 10. Renal insufficiency (as defined by UTMDACC policy 3.30- attachment 1 (appendix D)

Gender: Female

Minimum age: 30 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: M D Anderson Cancer Center

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Contact:
Last name: Olena Weaver, MD

Phone: 713-745-4555
Email: ooweaver@mdanderson.org

Investigator:
Last name: Olena Weaver, MD
Email: Principal Investigator

Start date: December 5, 2022

Completion date: December 31, 2027

Lead sponsor:
Agency: M.D. Anderson Cancer Center
Agency class: Other

Source: M.D. Anderson Cancer Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05667532
http://www.mdanderson.org

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