ClinicalTrials.gg
CompletedNCT01448447Mammosite MLUpdated Jul 15, 2021Results posted

Phase IV Trial to Evaluate Breast Brachytherapy Using the Mammosite-Ml®

An interventional study of Mammosite ML and Mammosite ML in Breast Cancer and Ductal Carcinoma in Situ, sponsored by Mercy Research. Completed at 2 sites in United States. Open to female participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2021-07-15.

Primary conditionCarcinoma, Intraductal, NoninfiltratingRegistry: Breast NeoplasmsReclassifiedWhy we changed it
Registry
Breast Neoplasms — the first condition term the registry derived for this study.
ClinicalTrials.gg
Carcinoma, Intraductal, Noninfiltrating
Why
  1. The study's listed conditions name Carcinoma, Intraductal, Noninfiltrating, a narrower term within Breast Neoplasms.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Mercy Research · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
45 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 210 studies in Carcinoma, Intraductal, Noninfiltrating with a site in United States — 31 open to participants now, 51 under way, 6 of them phase 3. Carcinoma, Intraductal, Noninfiltrating · United States.

Enrollment
133rd of 171
20 · median 51
Started
2009
with 15 others
No phase
65 of 210
11 open now
Registered
94th of 210
by date

Among the 210 studies in Carcinoma, Intraductal, Noninfiltrating with a site in United States, this one is the 133rd largest by enrollment of the 171 interventional ones, is one of 16 that started in 2009, is one of 65 with no phase, and was the 94th registered.

By phase

210 studies; the count open now beside each. This study's row is marked.

No phasethis study65 · 11 open
Phase 260 · 9 open
Observational38 · 6 open
Phase 124 · 3 open
Phase 314 · 2 open
Phase 1/27 · 0 open
Phase 2/31 · 0 open
Phase 41 · 0 open

By the year they started

First in 1991; this study’s year is marked. 16 started in 2009.

Size and results

Median enrollment 51 across the 171 interventional studies, 109 across the 38 observational. Of the 140 that completed or were terminated, 59 (42%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 210 studies in Carcinoma, Intraductal, Noninfiltrating with a site in United States, or all of them as a file.
02

Study summary

This study will evaluate the local control rate, cosmetic results, and complication rates of breast brachytherapy delivered using the MammoSite-ML® when used as the sole method of radiation therapy or as a boost technique for patients with stage I-II carcinoma of the breast (\< 3 cm), (non-lobular histology) treated with lumpectomy with histologically negative surgical margins by at least 2 mm, negative axillary lymph nodes, and DCIS.

Hypotheses:

  • For selected patients with stage I breast carcinoma and Ductal Carcinoma In Situ (DCIS), radiation therapy delivered with brachytherapy alone using the MammoSite-ML® is technically feasible and reproducible with acceptable complication rates.
  • Cosmetic results after brachytherapy will be similar to that obtained after traditional whole breast external beam radiation therapy.
  • Local tumor control rate in the breast after brachytherapy will be similar to that of conventional external beam radiation therapy, with less inconvenience and potentially less cost to the patient, given the selection criteria which minimize the risk of clinically significant multicentric or extensive residual carcinoma following lumpectomy.
03

Conditions studied

  • Breast Cancer
  • Ductal Carcinoma in Situ

Browse trials for

04

In context

Carcinoma, Intraductal, Noninfiltrating Reclassified

285 studies on the registry are indexed under Carcinoma, Intraductal, Noninfiltrating; 54 are open to participants now.

This study's enrollment of 20 is below the median of 66 across 207 interventional studies indexed under Carcinoma, Intraductal, Noninfiltrating.

Browse Carcinoma, Intraductal, Noninfiltrating studies →

Lead sponsor

Mercy Research is the lead sponsor of 17 studies on the registry; none are open to participants now.

Compared within Carcinoma, Intraductal, Noninfiltrating, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Breast Neoplasms. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
45 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women,age of at least 45 years
  • Zubrod performance status of 0-2
  • AJCC Stage I-II (T1-T2, N0 M0) breast cancer
  • Maximum tumor dimension \< 3 cm
  • Invasive ductal, medullary, papillary, tubular, colloid (mucinous) histologies
  • Unifocal breast cancer
  • Unilateral breast cancer (no synchronous or previous contralateral breast cancer)
  • Lumpectomy with negative surgical margins by at least 2 mm or re-excision specimen with negative surgical margins by at least 2 mm
  • Ductal Carcinoma In-Situ
  • Negative axillary lymph nodes for invasive breast cancer (sentinel node or standard level I-II dissection with > 6 nodes removed)
  • Time interval from final breast surgery to brachytherapy loading less than 8 weeks
  • At least 2 mm of breast tissue between the skin and the MammoSite® balloon surface(prefer > 5 mm)
  • If chemotherapy is planned, it must begin no earlier that 2 weeks following completion of radiation therapy. If chemotherapy is first, a minimum of 2 weeks from the last cycle must elapse prior to the start of radiation therapy.
  • Signed study-specific consent form

Exclusion criteria

Exclusion Criteria:

  • Invasive lobular histology
  • Non-epithelial breast such as sarcoma or lymphoma
  • Multifocal or multicentric invasive carcinoma
  • Extensive intraductal component (EIC)
  • Paget's disease of the nipple
  • Skin involvement by tumor, regardless of tumor size
  • Positive axillary lymph nodes
  • Distant
  • Collagen vascular disease (scleroderma)
  • Pregnant or lactating women, due to potential exposure of the fetus to RT and unknown effects of RT on lactating females (negative pregnancy test for women of child-bearing age)
  • Any previously treated or synchronous contralateral breast carcinoma
  • Patients with psychiatric or addictive disorder that would preclude obtaining
  • Men
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

06

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Sole method

    patients will be treated with HDR brachytherapy using Mammosite ML as the sole method for radiation delivery after lumpectomy for breast cancer or DCIS

    Device: Mammosite ML

  • Experimental
    Boost

    patients will be treated with HDR brachytherapy using Mammosite ML as a boost technique prior to standard external beam radiation after lumpectomy for breast cancer or DCIS

    Device: Mammosite ML

Interventions

  • DeviceMammosite ML

    34 Gy / 10 fractions (3.4 Gy per fraction) 2 fractions / day (separated by at least 6 hours) Delivered in 5 consecutive working days

    Also known as: HDR Brachytherapy

  • DeviceMammosite ML

    5-10.2 Gy / 2-3 fractions (3.4 Gy per fraction) 2 fractions / day (separated by at least 6 hours) Delivered in 1-2 days Followed by whole breast radiation (25-28 daily tx)

    Also known as: HDR Brachytherapy

07

What researchers measure

Primary outcomes

  1. Ipsilateral Recurrence Rate

    * Local recurrence is defined as either invasive or non-invasive breast cancer recurrence within the target volume. * Elsewhere recurrence is defined as either invasive or non-invasive breast cancer recurrence outside of the target volume. * Local control rate will be evaluated by imaging techniques, physical exam and biopsy, if applicable. Measured as a count of participants experiencing recurrence, i.e. each subject experiencing ipsilateral tumor recurrence within 5 years = 1, and each subject with no ipsilateral tumor recurrence within 5 years = 0

    Time frame: 5 years

Secondary outcomes

  1. Cosmetic Results

    Evaluation of cosmetic results as judged by the patient, surgeon, and radiation oncologist at stated follow up intervals. Serial photographs will be obtained. The cosmetic results will be assessed using the four category Harvard Scale definitions: Excellent - The treated breast looks essentially the same as the opposite breast Good - Minimal but identifiable effects of radiation on the treated breast Fair - Significant effects of radiation on the treated breast Poor - Severe normal tissue sequelae secondary to irradiation

    Time frame: 6 months after treatment, then annually for 5 years

  2. Toxicity Measured Through Adverse Event Incidence

    The incidence of serious adverse events will be calculated. Adverse events reviewed for device harm/toxicity include skin redness, breast pain, infections, breast swelling, and rib fractures.

    Time frame: during therapy, 6 weeks after completion of therapy, and additionally as needed

08

Results

Posted Jul 15, 2021

Participant flow

Participant flow — Overall Study
MilestoneSole MethodBoost
Started200
Completed200
Not completed00

Outcome measures

PrimaryIpsilateral Recurrence Rate

* Local recurrence is defined as either invasive or non-invasive breast cancer recurrence within the target volume. * Elsewhere recurrence is defined as either invasive or non-invasive breast cancer recurrence outside of the target volume. * Local control rate will be evaluated by imaging techniques, physical exam and biopsy, if applicable. Measured as a count of participants experiencing recurrence, i.e. each subject experiencing ipsilateral tumor recurrence within 5 years = 1, and each subject with no ipsilateral tumor recurrence within 5 years = 0

Time frame:
5 years
Reported as:
Number · participants
Ipsilateral Recurrence Rate
participantsSole MethodBoost
Ipsilateral Recurrence Rate0—
SecondaryCosmetic Results

Evaluation of cosmetic results as judged by the patient, surgeon, and radiation oncologist at stated follow up intervals. Serial photographs will be obtained. The cosmetic results will be assessed using the four category Harvard Scale definitions: Excellent - The treated breast looks essentially the same as the opposite breast Good - Minimal but identifiable effects of radiation on the treated breast Fair - Significant effects of radiation on the treated breast Poor - Severe normal tissue sequelae secondary to irradiation

Time frame:
6 months after treatment, then annually for 5 years
Reported as:
Count of participants · Participants
Cosmetic Results
ParticipantsSole MethodBoost
Number of pts with "excellent" cosmetic results, 1 year post treatment40
Number of pts with "good" cosmetic results, 1 year post treatment140
Number of pts with "fair" cosmetic results, 1 year post treatment00
Number of pts with "poor" cosmetic results, 1 year post treatment00
Number of pts with "excellent" cosmetic results, 2 years post treatment40
Number of pts with "good" cosmetic results, 2 years post treatment120
Number of pts with "fair" cosmetic results, 2 years post treatment00
Number of pts with "poor" cosmetic results, 2 years post treatment00
Number of pts with "excellent" cosmetic results, 3 years post treatment40
Number of pts with "good" cosmetic results, 3 years post treatment100
Number of pts with "fair" cosmetic results, 3 years post treatment00
Number of pts with "poor" cosmetic results, 3 years post treatment00
Number of pts with "excellent" cosmetic results, 4 years post treatment40
Number of pts with "good" cosmetic results, 4 years post treatment80
Number of pts with "fair" cosmetic results, 4 years post treatment00
Number of pts with "poor" cosmetic results, 4 years post treatment00
Number of pts with "excellent" cosmetic results, 5 years post treatment30
Number of pts with "good" cosmetic results, 5 years post treatment60
Number of pts with "fair" cosmetic results, 5 years post treatment00
Number of pts with "poor" cosmetic results, 5 years post treatment00
SecondaryToxicity Measured Through Adverse Event Incidence

The incidence of serious adverse events will be calculated. Adverse events reviewed for device harm/toxicity include skin redness, breast pain, infections, breast swelling, and rib fractures.

Time frame:
during therapy, 6 weeks after completion of therapy, and additionally as needed
Reported as:
Count of participants · Participants
Toxicity Measured Through Adverse Event Incidence
ParticipantsSole MethodBoost
Toxicity Measured Through Adverse Event Incidence00

Adverse events

Collected over Adverse events will be collected during follow-up visits non-systematically over the course of 5 years beginning from procedure.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sole Method0/20 (0%)0/20 (0%)1/20 (5%)
Boost———
Most frequent other events
Most frequent other events
EventSole MethodBoost
CellulitisSkin and subcutaneous tissue disorders1/20—

Baseline characteristics

20 patients were enrolled within sole method arm, no patients were enrolled in boost method arm

Age, Categorical
Age, Categorical(Participants)Sole MethodBoostTotal
<=18 years0—0
Between 18 and 65 years6—6
>=65 years14—14
Sex: Female, Male
Sex: Female, Male(Participants)Sole MethodBoostTotal
Female20—20
Male0—0
09

Study locations

2 sites
  • Mercy Clinic St. Louis Cancer and Breast Institute
    Saint Louis, Missouri 63011, United States
  • Mercy Hospital St. Louis
    Saint Louis, Missouri 63141, United States
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Dec 2009, a primary completion of Dec 2015 and a completion of Apr 2016. It does not say whether these dates are actual or estimated.

Results were first posted in Jul 2021, 5 years 7 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 30, 2011
First posted
Oct 7, 2011
Start
Dec 2009
Primary completionActual
Dec 2015
CompletionActual
Apr 2016
Results first posted
Jul 15, 2021
Last update
Jul 15, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 15, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01448447
Lead sponsor
Mercy Research
Responsible party
Robert Frazier, MD (MD, Radiation Oncologist, Mercy Research) — Principal investigator
First posted
Oct 7, 2011
Start date
Dec 2009
Primary completion
Dec 2015
Completion
Apr 2016
Results posted
Jul 15, 2021
Last update
Jul 15, 2021

Study contacts

Bethany G Sleckman, MD
principal investigator · Mercy Hospital St. Louis

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

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