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Brief Title: Confirmatory Clinical Evaluation of Novilase® Laser Therapy for Focal Destruction of Malignant Breast Tumors
Official Title: Prospective, Multicenter Confirmatory Clinical Evaluation of Novilase® Interstitial Laser Therapy for the Focal Destruction of Malignant Breast Tumors ≤15 mm (BR-003)
Study ID: NCT03463954
Brief Summary: Prior to this confirmatory pivotal study, the multicenter Br-002 feasibility study was completed. 98% of tumors less than or equal to 15mm were completely ablated in one procedure.This study will evaluate Novilase for the focal destruction of malignant tumors of the breast that are less than or equal to 15 mm against a performance goal for the standard of care, lumpectomy. The ASBrS' goal of less than 20% retreatment by 2020 was selected as a representative performance goal, i.e., 80.0%, and is consistent with published effectiveness rates for lumpectomy.
Detailed Description: Subjects with biopsy-diagnosed malignant breast tumors less than or equal to 15 mm will be invited to participate. Subjects will receive a screening MRI and if eligible will then have laser ablation, followed by MRI and an excision at 4-6 weeks following the laser procedure. This study will be deemed successful if the lower limit of a 95% confidence interval for the proportion of patients who have complete tumor ablation with one Novilase laser ablation procedure at 4-6 weeks post-procedure is greater than the performance goal. Specifically, Novilase will have demonstrated success if the complete tumor ablation rate is greater than 87.85%.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: No
City of Hope, Duarte, California, United States
UC San Diego Health, La Jolla, California, United States
Yale University, New Haven, Connecticut, United States
Walter Reed National Military Medical Center, Bethesda, Maryland, United States
Summit Health, Florham Park, New Jersey, United States
Buffalo General Medical Center, Buffalo, New York, United States
St. Elisabeth-Krankenhaus Köln-Hohenlind, Cologne, , Germany
Heidelberg University Hospital, Heidelberg, , Germany
Breast Centre Zurich, Zurich, , Switzerland
University Hospital Zurich, Zurich, , Switzerland
Name: John Lewin, MD
Affiliation: Yale University
Role: PRINCIPAL_INVESTIGATOR