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CompletedNCT02200705Updated Jul 7, 2026Results posted

Cryoablation of Low Risk Small Breast Cancer- ICE3 Trial

An interventional study of Ice-Sense3TM/ ProSenseTM in Breast Cancer, sponsored by IceCure Medical Ltd.. Completed at 19 sites in United States. Open to female participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-07-07.

Sponsored by IceCure Medical Ltd. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
206
Allocation
Not applicable
Ages
50 Years and older
Sex
Female
01

Study summary

To evaluate the efficacy of cryoablation without lumpectomy and its impact on local and distant recurrence of early stage breast cancer .

02

Conditions studied

  • Breast Cancer

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Keywords

  • cryoablation, cryotherapy, breast cancer
03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 206 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

IceCure Medical Ltd. is the lead sponsor of 6 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Inclusion criteria

  1. Competent to sign informed consent
  2. Diagnosis of invasive ductal breast carcinoma by core needle biopsy, meeting the following criteria:

    1. Unifocal primary disease NOTE: Patients with multifocal and/or multicentric in breast cancer, or evidence of EIC are NOT eligible. Patients with contralateral disease will remain eligible.
    2. Tumor size ≤1.5 cm in greatest diameter in the axis parallel to the treatment probe AND ≤1.5 cm in the axis anti-parallel to the treatment probe AND ≤1.5 cm in Anterior/ Posterior dimension. Tumor size ≤1.5 cm in greatest diameter as measured by breast ultrasound, mammogram and/or MRI. The largest dimension measured will be used to determine eligibility.
    3. Nottingham grade 1-2. Specifically, nuclear and mitotic scores must be less than or equal to 2.
    4. Estrogen receptor-positive, progesterone receptor-positive, HER2 negative
  3. Age>= 50
  4. Breast size adequate for safe cryoablation
  5. Lesion must be sonographically visible at the time of treatment.
  6. History of previously treated ipsilateral or contralateral breast carcinoma is not an exclusion criteria if the investigator is certain newly diagnosed carcinoma is new unifocal primary tumor.

Exclusion criteria

Exclusion Criteria:

  1. Presence of lobular carcinoma
  2. Presence of luminal B pathology
  3. Nottingham score of 3 (specially nuclear and mitotic score>2)
  4. Presence of microinvasion, or invasive breast carcinoma with extensive intraductal component (EIC)
  5. Presence of multifocal and/or multicentric in breast cancer
  6. Presence of multifocal calcifications
  7. Presence of prior or concurrent neoadjuvant chemotherapy for breast cancer
  8. Presence of prior en bloc open surgical biopsy and/or lumpectomy for diagnosis/treatment of the index breast cancer
  9. Patient that is not suitable to cryoablation procedure according to the physician opinion
  10. ER AND PR negative, or Her2 positive noted on pre-cryo biopsy
05

Study design

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

Study arms

  • Other
    single arm, open label

    Early stage Breast cancers up to 1.5cm

    Device: Ice-Sense3TM/ ProSenseTM

Interventions

  • DeviceIce-Sense3TM/ ProSenseTM
06

What researchers measure

Primary outcomes

  1. Local Inbreast Breast Tumor Recurrence (IBTR) Rate

    6 months post cryoabltion, then annually for 5 years

    Time frame: up to 5 years

Secondary outcomes

  1. Complete Primary Tumor Ablation Rate

    Complete ablation of primary tumor up to 60 months after cryoablation, reported as the percentage of patients with complete tumor ablation.

    Time frame: up to 5 years from procedure date.

  2. Improvement or Maintenance of Subject's Quality of Life

    Quality of life will be assessed using the NCCN Distress Thermometer, a 0-10 scale measuring patient distress (0 = no distress, 10 = extreme distress; higher scores indicate worse distress), collected at baseline and at 6 months follow-up visit.

    Time frame: Baseline and 6 months

  3. Breast Cosmetics Satisfaction

    Participants and treating physicians rated satisfaction with cosmetic outcomes following breast cryoablation.

    Time frame: Up to 5 years following procedure

  4. Regional Recurrence Rate

    Regional Invasive breast tumor recurrence rate.

    Time frame: up to 5 years following procedure

  5. Distant Metastases Survival Rate

    Distant metastases survival rate, including contralateral Breast cancer

    Time frame: up to 5 years following procedure

  6. Disease-free Survival (DFS)

    DFS from the date of complete ablation of the primary tumor until the first disease event, where the disease event is defined as local (DCIS or invasive), regional, or distant breast cancer recurrence, or DCIS or invasive contralateral breast cancer.

    Time frame: up to 5 years

  7. Overall Survival

    Overall survival from the date of the cryoablation until the date of death from any cause or up to the 60 months follow up visit

    Time frame: up to 5 years

  8. Breast Cancer Survival.

    Breast Cancer Survival from the date of cryoablation until the date of death from breast cancer or up to the 60 months follow-up visit.

    Time frame: up to 5 years

07

Results

Posted Apr 30, 2025

Participant flow

The study was conducted at 19 sites in the USA. All study investigators had related experience in low-risk breast cancer treatment, imaging, and pathology assessments and were trained to perform the cryoablation procedure. The recruitment period lasted from October 2014 to February 2019.

Participant flow — Overall Study
MilestoneSingle Arm, Open Label
Started206
Per-protocol study population194
Completed131
Not completed75
Withdrew: Excluded12
Withdrew: Death21
Withdrew: Withdrawal by subject22
Withdrew: Lost to follow-up13
Withdrew: Physician decision5
Withdrew: Adverse event2

Outcome measures

PrimaryLocal Inbreast Breast Tumor Recurrence (IBTR) Rate

6 months post cryoabltion, then annually for 5 years

Time frame:
up to 5 years
Reported as:
Number · Percentage of participants with IBTR
Local Inbreast Breast Tumor Recurrence (IBTR) Rate
Percentage of participants with IBTRSingle Arm, Open Label
Local Inbreast Breast Tumor Recurrence (IBTR) Rate4.3 (2.1 to 8.7)
SecondaryComplete Primary Tumor Ablation Rate

Complete ablation of primary tumor up to 60 months after cryoablation, reported as the percentage of patients with complete tumor ablation.

Time frame:
up to 5 years from procedure date.
Reported as:
Number · Percentage of participants
Complete Primary Tumor Ablation Rate
Percentage of participantsSingle Arm, Open Label
Complete Primary Tumor Ablation Rate95.7 (92.2% to —)
SecondaryImprovement or Maintenance of Subject's Quality of Life

Quality of life will be assessed using the NCCN Distress Thermometer, a 0-10 scale measuring patient distress (0 = no distress, 10 = extreme distress; higher scores indicate worse distress), collected at baseline and at 6 months follow-up visit.

Time frame:
Baseline and 6 months
Reported as:
Mean · scores on a scale
Improvement or Maintenance of Subject's Quality of Life
scores on a scaleSingle Arm, Open Label
Improvement or Maintenance of Subject's Quality of Life-0.7 ± 2.9
SecondaryBreast Cosmetics Satisfaction

Participants and treating physicians rated satisfaction with cosmetic outcomes following breast cryoablation.

Time frame:
Up to 5 years following procedure
Reported as:
Number · Percentage of participants
Breast Cosmetics Satisfaction
Percentage of participantsSingle Arm, Open Label
Breast Cosmetics Satisfaction100
SecondaryRegional Recurrence Rate

Regional Invasive breast tumor recurrence rate.

Time frame:
up to 5 years following procedure
Reported as:
Number · Percentage of participants
Regional Recurrence Rate
Percentage of participantsSingle Arm, Open Label
Regional Recurrence Rate0
SecondaryDistant Metastases Survival Rate

Distant metastases survival rate, including contralateral Breast cancer

Time frame:
up to 5 years following procedure
Reported as:
Number · Percentage of participants
Distant Metastases Survival Rate
Percentage of participantsSingle Arm, Open Label
Distant Metastases Survival Rate96.4 (92.2 to 98.4)
SecondaryDisease-free Survival (DFS)

DFS from the date of complete ablation of the primary tumor until the first disease event, where the disease event is defined as local (DCIS or invasive), regional, or distant breast cancer recurrence, or DCIS or invasive contralateral breast cancer.

Time frame:
up to 5 years
Reported as:
Number · Percentage of participants
Disease-free Survival (DFS)
Percentage of participantsSingle Arm, Open Label
Disease-free Survival (DFS)92.8 (87.6 to 95.8)
SecondaryOverall Survival

Overall survival from the date of the cryoablation until the date of death from any cause or up to the 60 months follow up visit

Time frame:
up to 5 years
Reported as:
Number · Percentage of participants
Overall Survival
Percentage of participantsSingle Arm, Open Label
Overall Survival88.6 (82.9 to 92.5)
SecondaryBreast Cancer Survival.

Breast Cancer Survival from the date of cryoablation until the date of death from breast cancer or up to the 60 months follow-up visit.

Time frame:
up to 5 years
Reported as:
Number · Percentage of participants
Breast Cancer Survival.
Percentage of participantsSingle Arm, Open Label
Breast Cancer Survival.96.7 (92.2 to 98.6)

Adverse events

Collected over Adverse events were collected through 2 years post-procedure, and serious adverse events (SAEs) were collected through the final follow-up (5 years post-procedure).. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Single Arm, Open Label21/206 (10.2%)0/206 (0%)97/206 (47.1%)
Most frequent other events
Most frequent other events
EventSingle Arm, Open Label
BruisingInjury, poisoning and procedural complications61/206
PainGeneral disorders39/206
Localized EdemaGeneral disorders39/206
Injection site reactionGeneral disorders10/206
HematomaVascular disorders9/206
Frost InjuryInjury, poisoning and procedural complications5/206
Rash & PruritusSkin and subcutaneous tissue disorders4/206

Baseline characteristics

The primary analysis set includes 194 subjects (following the DSMB exclusion of 12 subjects).

Age, Continuous
Age, Continuous(years)Single Arm, Open Label
Mean74.9 ± 6.9
Sex: Female, Male
Sex: Female, Male(Participants)Single Arm, Open Label
Female194
Male0
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Single Arm, Open Label
Ethnicity — African American14
Ethnicity — Asian1
Ethnicity — Caucasian160
Ethnicity — Hispanic12
Ethnicity — Native American2
Ethnicity — Unknow5
Region of Enrollment
Region of Enrollment(participants)Single Arm, Open Label
United States194
Type of Tumor
Type of Tumor(Participants)Single Arm, Open Label
Lumina A188
Lumina B3
Not specified3
ER (Estrogen Receptor)
ER (Estrogen Receptor)(Participants)Single Arm, Open Label
Positive194
Negative0
PR (Progesterone Receptor)
PR (Progesterone Receptor)(Participants)Single Arm, Open Label
Positive180
Negative14
Her2neu
Her2neu(Participants)Single Arm, Open Label
Positive0
Negative194

1 further baseline measures are reported on the registry.

08

Study locations

19 sites
  • Ironwood Cancer & Research Centers
    Glendale, Arizona 85306, United States
  • BreastLink
    Santa Ana, California 92705, United States
  • Bridgeport Hospital, Yale Medical School
    Trumbull, Connecticut 06611, United States
  • Dalton Surgical Group
    Dalton, Georgia 30720, United States
  • Indiana University
    Indianapolis, Indiana 46202-5116, United States
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Regional Medical Imaging
    Flint, Michigan 48507, United States
  • Comprehensive Breast Care
    Troy, Michigan 48085, United States
  • CentraState Medical Center
    Freehold, New Jersey 07728, United States
  • Breast Specialty care/ Presbyterian Hospital
    Albuquerque, New Mexico 87114, United States
  • Mount Sinai Beth Israel
    New York, New York 10011, United States
  • Columbia University/ NY Presbyterian hospital
    New York, New York 10032, United States
  • Weill Cornell Medical College
    New York, New York 10065, United States
  • Montefiore Medical Center
    New York, New York 10467, United States
  • Cincinnati Breast Surgeons Inc.
    Cincinnati, Ohio 45227, United States
  • University hospitals cleveland medical center
    Cleveland, Ohio 44106, United States
  • Thomas Jefferson University hospital
    Philadelphia, Pennsylvania 19107, United States
  • West Clinic
    Germantown, Tennessee 38138, United States
  • Complete Breast Care
    Plano, Texas 75075, United States
09

References and documents

Publications

  • Jean J, Jochelson MS, Moo TA, Solomon SB, Bryce Y. Breast Cancer Recurrence after Cryoablation in Patients Who Are Poor Surgical Candidates or Who Refuse Surgery. J Vasc Interv Radiol. 2025 Jun;36(6):971-978. doi: 10.1016/j.jvir.2025.01.048. Epub 2025 Feb 3. PubMed 39909175 ↗

Study documents

  • Protocol and statistical analysis plan · Oct 27, 2021

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02200705
Lead sponsor
IceCure Medical Ltd.
Responsible party
Sponsor
First posted
Jul 25, 2014
Start date
Oct 2014
Primary completion
Mar 17, 2024
Completion
May 26, 2024
Results posted
Apr 30, 2025
Last update
Jul 7, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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