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NCT Number: NCT06635096

The Safety and Efficacy of Multimodal Thermal Therapy in the Treatment of Early-stage Invasive Breast Cancer

Multimodal thermal therapy (MTT), as an initiative integration of cryotherapy and radiofrequency heating, has been applied to treat various solid tumors. However, the feasibility and safety for MTT in the treatment of breast cancer is unknown. This prospective, open-label, single-arm phase II clinical study aimed to evaluate the efficacy and safety of MTT in the treatment of early-stage invasive breast cancer, and to explore the ablation-induced immune activating response.

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Key information

Age range

18 year–80 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Breast cancer institute of Fudan University Cancer Hospital

Shanghai, Shanghai Municipality, 200032, China

Location contact

Zhimin Shao, M.D

CONTACT

[email protected]

86-21-64175590

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Female,age 18-80 years.
  • Invasive carcinoma confirmed by core biopsy.
  • Newly diagnosed breast cancer patients, without neoadjuvant therapy.
  • Imaging findings showed an unifocal breast tumor with a maximum diameter of 2 cm, with no distant metastasis, no calcification, no skin or nipple adhesion, and no invasion of chest wall.
  • The functional level of major organs must meet the following requirements: blood routine: neutrophil (ANC)≥1.5×10^9/L; platelet count (PLT) ≥ (PLT)≥90×10^9/L; hemoglobin (Hb) ≥90g/L; coagulation: international normalized ratio (INR) or prothrombin time (PT) ≤1.5×ULN; activated partial thromboplastin time (APTT) ≤1.5×ULN.

Exclusion criteria

  • Tumor involving skin, ulceration, inflammatory breast cancer patients.
  • Tumor involving the superficial layer of the skin.
  • KPS score < 70, or ECOG score > 2
  • Prior radiotherapy or prior use of investigational drugs or other immunosuppressive agents.
  • Heart, brain, lung, kidney and other vital organ failure.
  • Uncorrectable severe coagulopathy
  • Patient is pregnant or lactating
  • Poor glycemic control in diabetes
  • Patients with foreign body implantation around the tumor (such as breast augmentation injections or prostheses).
  • Patients with severe scars on the skin of the treatment area (protruding from the skin surface, width ≥ 1 cm)
  • Human immunodeficiency virus (HIV) infection, active hepatitis B (hepatitis B indicates antigen positive and HBV DNA ≥ 500 IU/ml), hepatitis C (hepatitis C antibody positive and HCV-RNA above the lower limit of detection of the analytical method).
  • Concurrent medical conditions that, in the judgment of the investigator, would jeopardize the subject's safety, could confound the study results, or affect the subject's completion of this study.

Treatment and study plan

Multimodal Tumor Thermal Therapy System (Shanghai MAaGI Medical Technology Co., Ltd.)

Device

These patients will receive multimodal thermal therapy using Multimodal Tumor Thermal Therapy System.

Primary outcomes

  1. Complete ablation rate

    Time frame: 3 months

    The complete ablation rate was confirmed by core needle biopsy 3 months after multimodal thermal therapy. Complete ablation was defined as: tissue section at the ablation margin that was negative by histochemical staining.

Secondary outcomes

  1. Safety of Multimodal Tumor Thermal Therapy

    Time frame: In 1 year

    Safety measured by occurrence of study related adverse effects defined by NCI CTCAE 5.0.

  2. Breast MRI confirmed complete ablation.

    Time frame: In 6 months

    According to the mRECIST criteria, the complete ablation was confirmed by breast MRI in 6 months after multimodal thermal therapy.

  3. Breast self evaluation

    Time frame: In 1 year

    Breast self evaluation for patients will be assessed by Functional Assessment of Cancer Therapy - Breast (FACT-B) scale scores.The FACT-B consists of 44 self-report items and assesses the specific breast cancer-related quality of life on 4 general and 1 breast-cancer specific subscale. A higher score indicates a higher cancer-related quality of life.

  4. Assessment of immune activating response

    Time frame: In 1 year

    Immune indicator analysis will be conducted to evaluate the immune status and response of participants to the intervention. This will include the assessment of various immune cell populations and markers, such as:

    • CD4+ and CD8+ T lymphocyte counts and ratios.
    • B cell counts and subsets.
    • Dendritic cell (DC) counts and functionality.
    • Monocyte counts and subsets.

Study contacts

Contact information is provided by the study sponsor or research team.

Zhimin Shao, M.D

CONTACT

[email protected]

86-021-64175590 ext. 88807

Sponsors and collaborators

Lead sponsor

Fudan University

Other

Registry information

Official study title

A Prospective, Single-center, Single-arm Phase II Clinical Trial to Evaluate the Safety and Efficacy of Multimodal Thermal Therapy in the Treatment of Early-stage Invasive Breast Cancer

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Oct 10, 2024
Registry last updated
Oct 10, 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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