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Ultrasound Scans for Early Signs of Breast Cancer Response to Pre-Surgery Treatment

Studies whether ultrasound scans can detect early response in women with invasive breast cancer.

Key facts

Who runs it
Sunnybrook Health Sciences Centre
Where
Toronto, CanadaSee the site
Trial code
Registry title
Ultrasound Imaging, Spectroscopy and Ultrasound Imaging of Vascular Blood Flow as Early Indicators of Breast Cancer Response to Neoadjuvant Treatment.
Status
Recruiting
People taking part
600 people, planned
Started
17 Dec 2008
Expected to end
Jun 2029
Type of study
Observational
Record updated
12 December 2023

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for women with breast cancer who have not yet had first-line treatment and will have chemotherapy or chemo-radiotherapy before surgery. It tests ultrasound imaging as an early sign of response.

Sex
Women only.
Disease stage
Breast carcinoma confirmed by tissue or cell testing, stage I-IV, measurable on ultrasound or MRI done within 28 days before treatment.
Earlier treatment
No first-line therapy before. No chemotherapy, radiotherapy or major surgery within 4 weeks before joining.

Main reasons for not taking part

  • Receiving any other investigational agents
  • Known brain metastases
  • Past allergic reactions to similar compounds
  • Not recovered from side effects of treatment given more than 4 weeks before registration

The registry criteria, word for word

Show all 12 criteriaShow less

Who can take part

  • The following criteria are necessary for study participation:
  • Histologically or cytologically confirmed breast carcinoma, stage I-IV, which has not been treated with any first-line therapy and will be treated with neoadjuvant chemotherapy or neoadjuvant combined chemo-radiotherapy
  • Measurable disease by ultrasound, or MRI performed within 28 days prior to treatment
  • Eastern Co-operative Oncology Group (ECOG) Performance Status of 0 or 1
  • Life expectancy of at least 6 months
  • Adequate bone marrow, liver and renal function as assessed by the following laboratory. Requirements to be conducted within 7 days prior to dosing:; (i) hemoglobin >90 mg/dL (ii) leukocytes >3,000/mL (iii) absolute neutrophil count >1,500/mL (iv) platelets >100,000/mL (v) total bilirubin within normal institutional limits (vi) AST(SGOT)/ALT(SGPT) <2.5 X institutional upper limit of normal (vii) creatinine within normal institutional limits or creatinine clearance >60 mL/min/1.73 m2 for patients with creatinine levels above institutional upper limit of normal
  • Patients should have the ability to understand and the willingness to sign a written informed consent document. Signed informed consent must be obtained prior to any study specific procedures

Who cannot take part

  • Chemotherapy, radiotherapy, or major surgery within 4 weeks prior to registering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks prior to registration
  • Receiving any other investigational agents
  • The following conditions will exclude women from participation:
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition
  • Known brain metastases

Where in Canada

  • Sunnybrook Health Sciences CentreToronto, CanadaContact: Gregory J. CzarnotaTaking people

About the trial

What the trial wants to find out

We have previously demonstrated that high-frequency ultrasound and spectroscopy, and recently conventional-frequency ultrasound and spectroscopy may be used to detect cell death in vitro, in situ and in vivo. The method can detect different forms of cell death and has been demonstrated to be sensitive to apoptotic, necrotic and mitotic cell death. The objectives of this study are to evaluate the use of ultrasound imaging and spectroscopy as a predictive marker of advanced tumour response to combined chemotherapy and radiotherapy. Since neoadjuvant treatments may also act on tumour vasculature to "normalize" it we will also evaluate blood-vessel imaging by standard Doppler-imaging and with standard higher-resolution imaging using clinically approved microbubble contrast agents.

Read full original descriptionShow less

The main goal, as described above, is to select the best ultrasound spectroscopy parameter to use as an early predictor of pathological complete response.

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Pilot Investigation of Ultrasound Imaging and Spectroscopy and Ultrasound Imaging of Vascular Blood Flow as Early Indicators of Breast Cancer Response to Neoadjuvant Treatment
Plain-language title
Ultrasound Scans for Early Signs of Breast Cancer Response to Pre-Surgery TreatmentGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Record updated
12 December 2023