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TerminatedNCT00147108Updated Sep 17, 2012

MR Guided Focused Ultrasound Surgery in the Treatment of Breast Fibroadenomas

A Phase 3 interventional study of ExAblate 2000 in Breast Fibroadenoma, sponsored by InSightec. Terminated at 5 sites in 2 countries. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-09-17.

Sponsored by InSightec · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
102
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
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Study summary

The primary objective of this pivotal study is to evaluate the safety and efficacy of FUS treatment of breast fibroadenomas. Our hypothesis is that FUS lesion ablation of a fibroadenoma will have the following results: a. lead to a decrease in lesion cross-sectional area of > 50% on palpation, and >65% in lesion volume as measured by MRI (both calculations assume an elliptical shape of the lesion in all 3 dimensions). b. this decrease in size, along with the softening of the treated volume will result in satisfactory clinical results in greater than 50 % of the patients.

Read the detailed description

Many patients are now diagnosed with breast fibroadenomas. These are generally detected during breast self-exams, or annual physicals as a smooth, rubbery, oval/elliptical lump in the breast. These patients then go on to receive mammograms, sonograms and usually a core biopsy for the differential diagnosis of benign disease (fibroadenoma) vs breast cancer. Although fibroadenomas are benign, they can be of great concern to the patient because of their ability to mask the presence of other lumps in the breast, they can be painful, cause a physical deformity of the breast or have other symptoms. The current treatment is surgical excision. Surgical removal is invasive and may be cosmetically undesirable to some patients. It would be advantageous to develop a non-invasive ablative method for treatment of this disease. Measures of the clinical success of patients who elect surgical removal of fibroadenomas are generally subjective, and evaluated primarily by the patient (lack of palpable lesion, pain free, and an acceptable cosmetic result). A non-randomized study is proposed to allow for a more practical approach in subject recruitment. Analysis on safety and efficacy will be performed through the use of MRI evaluation and physical exams.

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Conditions studied

  • Breast Fibroadenoma

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Keywords

  • Breast Cancer
03

In context

Fibroadenoma

25 studies on the registry are indexed under Fibroadenoma; 5 are open to participants now.

This study's enrollment of 102 is above the median of 50 across 19 interventional studies indexed under Fibroadenoma.

Browse Fibroadenoma studies →

Lead sponsor

InSightec is the lead sponsor of 84 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Gender: Females only
  • Histologic confirmation of breast fibroadenoma by large core (needle gauge range 11-14 ) biopsy.
  • Single tumor per breast quadrant
  • Tumor clearly visible on non-contrast MRI
  • Age > 18 years 3.2.6 Signed informed consent
  • Tumor 5 mm or larger as measured on pre-treatment MR.

Exclusion criteria

Exclusion Criteria:

  • Gender: male
  • Focal breast lesion on MRI over 3.5 cm as evaluated by MRI
  • Distance from the edge of the breast fibroadenoma to the skin less than 0.5-cm or ribs less than 1 cm.
  • Microcalcifications within the lesion
  • Known intolerance to the MRI contrast agent (Gadolinium or Magnevist) 3.3.6 Patients on dialysis.
  • Hemolytic anemia (hematocrit\<30)
  • Patients with unstable cardiac status including: Unstable angina pectoris on medication Patients with documented myocardial infarction within six months of protocol entry Congestive heart failure requiring medication (other than diuretic) Patients on anti-arrhythmic drugs Severe hypertension (diastolic BP > 100 on medication)
  • Patients with cardiac pacemakers
  • ASA Score>2
  • Severe cerebrovascular disease (multiple CVA or CVA within 6 months) 3.3.12 Individuals who are not able or willing to tolerate the required prolonged stationary prone position during treatment (approximately 3 hrs.) 3.3.13 Patients with breast implants
  • Large patients who cannot fit in the magnet (weight>250 pounds), and patients with standard contraindications for MR imaging such as non-MRI compatible implanted metallic devices
  • Patients on anti-coagulation therapy, or those with an underlying bleeding disorder.
  • Patient has a prior history of breast cancer
  • Patient has a prior history of laser or radiation therapy to the target breast
  • Patient has a prior history of chemo therapy
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
102 participants (actual)

Interventions

  • DeviceExAblate 2000
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What researchers measure

Primary outcomes

  1. treatment/ablation of breast fibroadenoma

07

Study locations

5 sites
  • University MRI
    Boca Raton, Florida 33431, United States
  • Brigham & Women's Hospital
    Boston, Massachusetts 02115, United States
  • Virtua
    Voorhees, New Jersey 08043, United States
  • Cornell Vascular
    New York, New York 10022, United States
  • Breastopia Namba Hospital
    Miyazaki-ken, 880-0052, Japan
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References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 17, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00147108
Lead sponsor
InSightec
Responsible party
Sponsor
First posted
Sep 7, 2005
Start date
Jan 2003
Primary completion
Aug 2005
Completion
Oct 2005
Last update
Sep 17, 2012

Study contacts

Clare Tempany, M.D.
principal investigator · Brigham and Women's Hospital
Robert Min, M.D.
principal investigator · Cornell Vascular
Fred Steinberg, M.D.
principal investigator · University MRI
Mark DeLaurentis, M.D.
principal investigator · Virtua
Hidemi Furusawa, M.D.
principal investigator · Breastopia Hospital
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Sep 2012. You cannot join it, but the record below documents what was studied.

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