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Trial Title:
Surveillance MRI Registry for Patients Who Had Breast Cancer With Dense Breast Tissue
NCT ID:
NCT06127797
Condition:
Breast Cancer
Conditions: Official terms:
Breast Neoplasms
Study type:
Observational
Overall status:
Recruiting
Study design:
Time perspective:
Prospective
Intervention:
Intervention type:
Behavioral
Intervention name:
Questionnaire/Interview
Description:
Participation on this study will be over as soon as you complete the
questionnaire/interview after your scheduled scans.
Arm group label:
Questionnaire/Interview
Summary:
To create a registry (database) of participants who come in for breast MRI scans.
Researchers want to use this information to study if participants with dense breast
tissue (tissue that is more difficult to see on mammogram).
Detailed description:
Primary Objectives
- To determine the number of false positive biopsies obtained from surveillance MRI in
participant with personal history of breast cancer, age 50 or under, and
mammographically dense breasts.
Secondary Objectives
I. To determine the incidence of interval cancer.
II. To compare participants with personal history of breast cancer, age 50 and under, who
did not receive surveillance MRI.
III. To determine positive predictive value (PPV) and negative predictive value (NPV) of
surveillance breast MRI in this population.
IV. To compare the tumor biology of breast cancer detected on breast MRI.
V. To determine the participants experience with MRI i.e. willingness to return for
testing with breast MRI.
VI. To evaluate the reasons women refuse breast MRI for the surveillance of recurrent
disease or secondary breast cancer.
VII. To determine the patients' interest in having procedural hypnosis to improve patient
reported acceptance of breast MRI among participants.
Criteria for eligibility:
Study pop:
Estimate sample size of 1000 patients, with accrual rate of 250 patients per year
Sampling method:
Probability Sample
Criteria:
Inclusion Criteria:
- Participants 50 years of age or younger who has personal history of breast cancer
and mammographically dense breast, per ACR Category C and D.
- Participants must be 18 years of age or older.
- Participants are being seen at MD Anderson for annual surveillance and scheduled for
routine screening mammogram and/or DBT, with negative or benign findings.
- Participants must not be pregnant or breast-feeding. If a Participant is of
childbearing potential and is uncertain if the Participant could be pregnant or may
be pregnant or as per local site standard of practice in women undergoing
mammogram/DBT and MRI must have a blood test or urine study within 2 weeks prior to
randomization to rule out pregnancy. A female of childbearing potential is any
woman, regardless of sexual orientation or whether they have undergone tubal
ligation, who meets the following criteria: 1) has not undergone a hysterectomy or
bilateral oophorectomy; or 2) has not been naturally postmenopausal for at least 24
consecutive months (i.e., has had menses at any time in the preceding 24 consecutive
months).
- The Participants breast density must be known based on prior mammogram or agree to
have mammogram or DBT prior to enrollment in order to determine breast density.
Participants must have mammographically dense breasts based on American College of
Radiology [ACR] Breast Imaging [BI]- Reporting and Data System Atlas (RADS) lexicon
categories c or d (heterogeneous or extreme fibroglandular tissue) on their
most-recent prior screening mammogram.
- Participants must be asymptomatic for breast disease and undergoing routine
screening.
- Participants must not have untreated breast cancer (DCIS or invasive cancer) or
currently undergoing treatment for breast cancer or planning surgery for a high risk
lesion (atypical ductal breast hyperplasia [ADH], atypical lobular breast
hyperplasia [ALH], lobular breast carcinoma in situ [LCIS], papilloma, radial scar)
at the time of enrollment.
- Participants on Tamoxifen can be enrolled in registry trial.
- BRCA, other genetic mutation carriers or relatives of mutation carriers, and
participants at high-risk for breast cancer, as defined by the American Cancer
Society (ACS) breast MR screening recommendations (lifetime risk of >= 20-25%), can
participate. These participants may be analyzed as subsets.
- Participants must be able to undergo breast MRI with contrast enhancement;
Participants unable to undergo breast MRI with contrast enhancement for any reason
are ineligible.
- No history of untreatable claustrophobia
- No presence of non-MRI compatible metallic objects or metallic objects that, in the
opinion of the radiologist, would make MRI a contraindication
- No history of sickle cell disease
- No contraindication to intravenous contrast administration
- No known allergy-like reaction to gadolinium or moderate or severe allergic
reactions to one or more allergens as defined by the American College of Radiology
(ACR); participants may be eligible if willing to undergo pre-treatment as defined
by the institution's policy and/or ACR guidance
- No known or suspected renal impairment; requirements for glomerular filtration rate
(GFR) prior to MRI as determined by local site standard practice
- Weight less than or equal to the MRI table limit
- Ability to understand and willingness to sign a written informed consent document
Exclusion Criteria:
- metastatic breast cancer
- medically unstable
- known contraindications to MRI
- allergic reactions to paramagnetic contrast agent or severe allergic diathesis
- on renal dialysis or renal dysfunction
- undergone chemotherapy or hormonal therapy for cancer in previous 6 months
- breast surgery or radiotherapy for cancer to the ipsilateral breast within the past
6 months
- had a history of serious breast trauma within the past 3 months
- pregnant or breastfeeding
- have a disability preventing MRI in a prone position
- some MR conditional implants such as neurostimulators or cardiac monitors, per
institutional procedures and policy.
Gender:
Female
Minimum age:
18 Years
Maximum age:
N/A
Healthy volunteers:
No
Locations:
Facility:
Name:
MD Anderson Cancer Center
Address:
City:
Houston
Zip:
77030
Country:
United States
Status:
Recruiting
Contact:
Last name:
Huong Le-Petross, MD
Email:
hlepetross@mdanderson.org
Start date:
January 11, 2024
Completion date:
August 31, 2029
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/NCT06127797
http://www.mdanderson.org