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CompletedNCT04579107Updated Aug 26, 2026

KARMA Kontrast Evaluating Contrast Enhanced Mammography in Early Detection of Breast Cancer

An interventional study of Contrast Enhanced Mammography in Breast Cancer, sponsored by Karolinska Institutet. Completed at 1 site in Sweden. Open to female participants aged 25 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-08-26.

Sponsored by Karolinska Institutet · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Not applicable
Ages
25 Years to 85 Years
Sex
Female
01

Study summary

Women taking part in the National Mammography Screening Program, examined at Södersjukhuset Breast Centre at Södra station in Stockholm and recalled because of suspicion of breast cancer will be invited to participate. A Contrast Enhanced Mammography will be added to the standard of care procedures for investigating a suspicion of breast cancer and blinded from each other 2 radiologists will evaluate either the Contrast Enhanced Mammography or the standard of care examinations. When comparing the potentially extra findings with Contrast Enhanced Mammography will be calculated. Potential side effects together with the patient experience will also be evaluated.

02

Conditions studied

  • Breast Cancer

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Keywords

  • Contrast Enhanced Mammography
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 300 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Karolinska Institutet is the lead sponsor of 1,113 studies on the registry; 267 are open to participants now.

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

04

Who can participate

Ages eligible
25 Years to 85 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Female
  • Age: >25 - \<85 years
  • Recalled after Mx screening based on abnormal mammographic findings or refered for breast cancer related symtoms
  • The woman has read, understood and signed the Informed Consent Form (ICF)

Exclusion criteria

Exclusion Criteria:

  • Previous breast cancer
  • A breast biopsy performed within 6 weeks preceding the study
  • Recent exposure (during the last week) to iodine contrast media.
  • Pregnancy
  • Current breast feeding
  • Diagnosed with a pheochromocytoma or a paraganglioma
  • Diagnosed with myeloma or other malignant plasma cell disease
  • Diagnosed with myasthenia gravis
  • A renal failure or kidney disorder with increased risk for developing renal failure (single kidney or kidney transplanted)
  • Diabetes (other than dietary treated)
  • Heart failure or liver failure
  • Intake of potentially nephrotoxic substances (daily intake of NSAID, nephrotoxic antibiotics or nephrotoxic chemotherapy)
  • Iodine contrast allergy
  • Uncontrolled thyrotoxicosis
  • A history of severe allergy
  • Subjects unable to read, understand and execute written informed consent
  • Any medical aspect that, according to the investigator, could jeopardize the health of the participant
05

Study design

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

Study arms

  • Other
    Contrast Enhanced Mammography

    All included women go through a Contrast Enhanced Mammography added to the standard of care examinations.

    Combination Product: Contrast Enhanced Mammography

Interventions

  • Combination productContrast Enhanced Mammography

    A modality for examining breast conditions which is already approved and used but the evaluation of its role in a recalled screening population is limited. Intravenous iodine contrast is given prior to the mammogram.

06

What researchers measure

Primary outcomes

  1. Sensitivity of Contrast Enhanced Mammography

    Evaluating sensitivity of Contrast Enhanced Mammography in detecting multifocality and/or contralateral breast cancer, compared to standard breast radiology work-up methods.

    Time frame: 1 day

Secondary outcomes

  1. Specificity of Contrast Enhanced Mammography

    Estimate the specificity of Contrast Enhanced Mammography in detecting absence of breast cancer, compared to standard breast radiology work-up methods.

    Time frame: 1 day

  2. Safety of Contrast Enhanced Mammography

    Evaluate the safety of using Contrast Enhanced Mammography, based on adverse event reporting. Potential adverse event will be collected, reported and, if necessary, intervened, on the day for the Contrast Enhanced Mammography and up to 30 days after. All adverse events will be put in to the eCRF.

    Time frame: 30 days

  3. Patient acceptance of Contrast Enhanced Mammography

    Evaluate the acceptance in patients, based on a questionnaire at the end of the study visit and structured telephone interviews 1-2 weeks after. The answers to the questionnaire is on a 5-grade scale. The interviews will go deeper and summaries of the answers will be put in to the eCRF.

    Time frame: 30 days

  4. Tumor size assessment

    Comparing Contrast Enhanced Mammography with each standard breast radiology work-up method for tumor size assessment.

    Time frame: 1 day

  5. Mammographic density influence on the performance of Contrast Enhanced Mammography

    Evaluate if mammographic density influences the performance of Contrast Enhanced Mammography compared to standard breast radiology work-up methods.

    Time frame: 1 day

  6. Contrast Enhanced Mammography costs

    Calculate the costs for using Contrast Enhanced Mammography

    Time frame: 1 day

07

Study locations

1 site
  • Bröstcentrum, Södersjukhuset
    Stockholm, Sweden
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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 Aug 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04579107
Lead sponsor
Karolinska Institutet
Collaborators
Stockholm South General Hospital
Responsible party
Per Hall (Professor, Karolinska Institutet) — Principal investigator
First posted
Oct 8, 2020
Start date
Oct 1, 2021
Primary completion
Aug 31, 2024
Completion
Dec 12, 2024
Last update
Aug 26, 2026

Study contacts

Per Hall, MD PhD
principal investigator · Karolinska Institutet

Oversight

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

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

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