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NCT Number: NCT05458739

The ClearCoast™ Magnetic Resonance Outcome PMS Study

Post Marketing Surveillance (PMS) study. Up to 93 patients undergoing breast conserving surgery will be enrolled in a prospective, single center, non-randomized controlled study, and a corresponding number of historical patients that underwent BCS will serve as the historical control group, accounting for a 1:1 ratio. All study patients and the patients in the historical control group will be required to meet the study eligibility criteria.

BCS will be performed with the routine standard of care (SOC), including intra-operative methods used to improve margin assessment. In addition to SOC process, the main specimen from patients found eligible will be scanned in the ClearCoast™ system. The surgeon will utilize the information from the ClearCoast images in his margin assessments evaluation which includes the diffusion at the surface of a particular aspect (suggesting irregular tissue at the specimen's surface), and decide whether to excise additional tissue. The decision-making process including MR images interpretation and the surgical decisions will be evaluated and documented. Following procedure, routine histopathology examination will be performed accompanied by the ClearCoast optical and parametric maps.

This study is a controlled design, in which subjects previously having undergone BCS by the same surgeons, will serve as the historical control group, comparing the following endpoints:

* Complete surgical re-excision rate * Total excised breast tissue volume

The study Control group is composed of historical data from patients previously undergone BCS, under the same site SOC surgical practice, practicing surgeons, and study eligible criteria. This allows reducing inter-group variability and bias.

A device operator trained by ClearCut Medical will operate the device throughout the study.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Observational

Primary location

Agaplesion Markus Krankenhaus, Frankfurt, Germany

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Women histologically diagnosed with invasive and/or in situ carcinoma of the breast, undergoing primary lumpectomy (partial mastectomy) procedure
  • Age ≥18
  • Patient is willing and capable to provide written Informed Consent Form (ICF)

Exclusion criteria

  • Prior surgical procedure in the same breast within 12 months prior to the surgery date
  • Recurrent breast cancer surgery
  • Neoadjuvant chemotherapy and/or neoadjuvant hormone therapy
  • Previous radiation therapy in the operated breast
  • Pregnancy
  • Lactation
  • Patient has subglandular breast implants in the operated breast
  • moribund patient and/or patient with comorbidities, per principal investigator discretion
  • Participating in any other investigational study for either drug or device which might influence collection of valid data under this study.

Intraoperative:

  • Specimen undergoing pathological specimen assessment (e.g. by frozen section, imprint cytology or gross assessment by sectioning), resulting in deformation of specimen shape/tissue properties (e.g. Formalin conservation)
  • Specimen dimension is larger than the Tissue container volume (200cc)
  • Inability to define aspect color/orientation and/or margin border

Treatment and study plan

ClearCoast MR System

Device

The removed specimen is scanned using the ClearCoast MR System.

Primary outcomes

  1. ClearCoast™ Success rate

    Time frame: 6 months

    the success of the ClearCoast™ system indicating abnormal margins of breast tissue specimen intra-operatively.

    This endpoint compares the proportion of patients that undergo a re-excision surgery following the primary lumpectomy procedure between the two groups.

Secondary outcomes

  1. Secondary Outcome - Re-excision rate

    Time frame: 1 year

    Comparing the percentage of positive margins (%) of the main specimen (as detected by post-operative microscopically as having cancer within 1mm or less of the inked surface) and document which of those positive margins have been addressed by intra-operative re-excision or the absence of further tissue to be re-excised (e.g., undermining the skin or reaching the pectoralis fascia).

Sponsors and collaborators

Lead sponsor

Clear Cut Medical Ltd.

Industry

Registry information

Official study title

The ClearCoast™ Magnetic Resonance Outcome Post Marketing Surveillance Study

Important dates

Study start
2021
Primary completion
2024
Study completion
2024
First posted
Jul 14, 2022
Registry last updated
Aug 21, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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