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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