Clinical trial • Phase II • Oncology

IOPROMIDE for Breast lesions | Breast cancer

Phase II trial of IOPROMIDE for Breast lesions | Breast cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Breast lesions | Breast cancer
Trial Stage
Phase II
Drug Modality
Diagnostic agent

Key dates

Initial CTIS Submission Date
19-09-2024
First CTIS Authorization Date
14-10-2024

Trial design

Micro-histology or final histology (after surgery) used as comparator/reference standard (histological reference).-controlled Phase II trial across 1 site in Italy.

Comparator
Micro-histology or final histology (after surgery) used as comparator/reference standard (histological reference).
Target Sample Size
468

Eligibility

Recruits 468 Vulnerable population flag is selected in the registry. Study includes only adult women (>=18). No detailed information on consent/assent handling for vulnerable participants is provided in the available documents..

Pregnancy Exclusion
Proved or supposed pregnancy. For all women of child bearing potential a pregnancy test will be performed before undergoing CESM.
Vulnerable Population
Vulnerable population flag is selected in the registry. Study includes only adult women (>=18). No detailed information on consent/assent handling for vulnerable participants is provided in the available documents.

Inclusion criteria

  • {"criterion_text":"- Woman with suspicious breast lesions from FFDM, US and/or MR imaging and for whom a presurgical evaluation is recommended. Only women in the BI-RADS 4 radiological category risk will be included in the study.\n- The subject must be in sufficient good health to be able to undergo standard of care and CESM examinations. Only patients with ECOG scale 0 or 1 performance status will be included in the study.\n- Only patients with an age > or = to 18 can be included in the study."}

Exclusion criteria

  • {"criterion_text":"- The subject is known to have risks of adverse effects with iodine contrast agents.\n- Patients with a clinical examination positive for regional lymph nodes or suspected for distant metastases (bones, brain, liver and lungs).\n- The subject is asymptomatic and without suspicious findings from routine imaging.\n- The subject is participating or has participated (within the prior 30 days) in another clinical trial.\n- Proved or supposed pregnancy. For all women of child bearing potential a pregnancy test will be performed before undergoing CESM.\n- Patients with impairment of renal function (GFR < 30 ml/min).\n- History of bronchial asthma or other allergic disorders.\n- Manifest hyperthyroidism. Testing of thyroid function prior to Ultravist® administration will be performed in patients with suspected hyperthyroidism.\n- Patients with risk of serious adverse reactions such as cardiac disease, heart failure, uncontrolled arterial hypertension.\n- Patients in therapy with biguanide such as metformin, interleukine 2 and radioactive iodine."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- To evaluate the negative predictive value (NPV) of CESM comparison versus the NPV of the micro-histology or final histology (after surgery)","definition_or_measurement_approach":"Comparison of CESM negative predictive value versus micro-histology or final histology after surgery (histology used as reference standard)."}

Secondary endpoints

  • {"endpoint_text":"- To establish CESM diagnostic performance in suspicious breast lesions using histology from VABB as gold standard correlating the definite result (after surgery) with preoperative imaging (accuracy).","definition_or_measurement_approach":"Diagnostic performance of CESM using histology from VABB as the gold standard and correlating with definitive surgical histology and preoperative imaging (accuracy metrics)."}

Recruitment

Planned Sample Size
468
Recruitment Window Months
65
Consent Approach
Informed consent is obtained from adult participants (>=18) using the adult subject information and informed consent form (L1_SIS and ICF adults). No assent procedures described. Language translations available include Italian (translations of titles and summaries present); specific languages of consent forms not detailed in the available data.

Geography

Total Number Of Sites
1
Total Number Of Participants
468

Italy

Latest Decision Or Authorization Date
14-10-2024
Number Of Sites
1
Number Of Participants
468

Sites

Site Name
Istituto Europeo Di Oncologia S.r.l.
Department Name
Breast Imaging Division
Principal Investigator Name
Enrico Cassano
Principal Investigator Email
enrico.cassano@ieo.it
Contact Person Name
Enrico Cassano
Contact Person Email
enrico.cassano@ieo.it
Number Of Participants
468

Sponsor

Primary sponsor

Full Name
Istituto Europeo Di Oncologia S.r.l.
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Italy

Third parties

  • {"country":"","full_name":"Ministero della Salute - Bando ricerca finalizzata 2021 - GR-2021-12372179","duties_or_roles":"Source of monetary support","organisation_type":""}

Investigational products

Investigational Product Name
Ultravist 370 mg/ml soluzione iniettabile
Active Substance
IOPROMIDE
Modality
Diagnostic agent
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS
Authorisation Status
Authorised (marketing authorisation number 026965095)
Maximum Dose
740 mg/kg

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