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Status unknownNCT05404087CEBCTvsMRIUpdated Jun 3, 2022

Evaluation of Contrast Enhanced Breast CT for Diagnosis and Staging of Breast Cancer

An observational study in Breast Cancer, sponsored by Radboud University Medical Center. Status unknown. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-06-03.

Sponsored by Radboud University Medical Center · Observational

The sponsor has not verified this record recently (last verified May 2022), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
413
Ages
18 Years and older
Sex
Female
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Study summary

Contrast-enhanced breast CT is a novel high resolution and fully 3D imaging method to document abnormalities within the breast. I will establish its value for breast cancer staging and in monitoring therapy response.

Read the detailed description

Breast CT is a novel modality that has not been largely evaluated in a clinical setting. Only recently FDA and CE marked BCT machines have been released, and the number of installed bases internationally is below 10 (although rapidly rising).

Internationally only a few studies on contrast enhanced breast CT have been performed in small numbers of patients, albeit with excellent results. Nevertheless, substantial evidence for this novel modality is still absent. In particular, the correlation of enhancement and histological grade of DCIS, correlation of CEBCT findings with histopathology, and prediction and assessment of primary systemic treatment are open fields for which more substantial evaluation is clearly needed. In this study we want to establish the value of CEBCT in staging of women with breast cancer, particularly those with extensive carcinoma in situ (DCIS), and in the evaluation of women treated with primary systemic therapy.

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Conditions studied

  • Breast Cancer

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In context

Breast Neoplasms

12,815 studies on the registry are indexed under Breast Neoplasms; 2,920 are open to participants now.

This study's planned enrollment of 413 is above the median of 184 across 2,711 observational studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Radboud University Medical Center is the lead sponsor of 984 studies on the registry; 135 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Women with breast cancer

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

  • Diagnoses of breast cancer
  • Scheduled for a pre-surgery staging contrast enhanced breast MRI
  • Eligible for primary systemic therapy

Exclusion criteria

Exclusion Criteria:

  • Women with suspected or confirmed pregnancy
  • Women with prior history of breast cancer
  • Women who are breastfeeding
  • Women who are very frail and unable to cooperate
  • Women who cannot give informed consent
  • Contra indication of iodine contrast (i.e. untreatable contrast allergy, renal function impairment (GFR \<60 ml/min/1.73m2))
  • Contra indication for irradiation (i.e. genetic mutation that predispose to breast cancer)
  • Male subjects
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
413 participants (estimated)
Patient registry
No

Groups and cohorts

  • Pre-operative staging of breast cancer with CEBCT

    Women who have been diagnosed with breast cancer and need to have a pre-operative staging and this will be done with contrast-enhanced breast CT.

    Device: Dedicated breast CT

  • Follow-up of women with breast cancer treated with neo-adjuvant chemotherapy

    Women who are selected for neo-adjuvant chemotherapy to reduce the size of the tumor need to be followed-up in order to evaluate the treatment response.

    Device: Dedicated breast CT

Interventions

  • DeviceDedicated breast CT

    Administration of contrast agent and scanning of the breast in order to evaluate the enhancement of the tumor

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What researchers measure

Primary outcomes

  1. Non-inferiority of CEBCT error rate vs DCE MRI error rate, both as compared to the golden standard for tumor staging.

    Non-inferiority of CEBCT error rate against the golden standard, i.e. histopathology, to DCE MRI error rate against the golden standard for tumor staging. i.e. histopathology, to DCE MRI error rate against the golden standard for tumor staging.

    Time frame: 3 years

  2. Non-inferiority of CEBCT to predict pCR after primary systemic therapy as compared to DCE MRI.

    Non-inferiority of CEBCT to predict pCR after primary systemic therapy as compared to DCE MRI computed from the area under the receiver operating characteristic (ROC) curve (AUC) (or AUROC).

    Time frame: 3 years

Secondary outcomes

  1. Concordance of tumor extent between CEBCT and large section histopathology

    We will evaluate the rate of concordance between the size of the tumour determined at CEBCT images and those at final histopathology sections

    Time frame: 3 years

  2. Frequency of detection of contralateral cancers with CEBCT

    We will record how many times we will find a contralateral incidental breast cancer, not previously reported, after performing CEBCT

    Time frame: 3 years

  3. Concordance between morphological and enhancement characteristics of cancers on CEBCT to their expected response to primary systemic therapy.

    We will evaluate the rate of concordance of breast cancer response to primary systemic therapy compared to the expected response based on literature by evaluating their morphological and enhancement characteristics at CEBCT examinations

    Time frame: 3 years

  4. Potential of CEBCT predicting the response to primary systemic therapy early in treatment

    We will assess the potential of CEBCT in predicting the response of breast cancer to primary systemic therapy as compared to the assessment made at final histopathology section

    Time frame: 3 years

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Study locations

No study locations are listed for this record.

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References and documents

Study documents

  • Study protocol · Mar 14, 2022

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

Individual participant data

Plan to share: Undecided — We will evaluate the possibility to share anonimised data for future research

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Aug 2022; primary completion for Aug 2025, 36 months later.

Of 1,012 non-industry observational studies under Breast Neoplasms, half reached primary completion within 60 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 141. This study's planned 36 months is below that.

Counting every sponsor, half of 1,165 studies reached it within 58 months; a quarter within 26 and three quarters within 125.

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

Registered
May 24, 2022
First posted
Jun 3, 2022
StartEst.
Aug 1, 2022
Primary completionEst.
Aug 1, 2025
CompletionEst.
Aug 1, 2025
Last update
Jun 3, 2022
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 Jun 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05404087
Responsible party
Sponsor
First posted
Jun 3, 2022
Start date
Aug 1, 2022 (estimated)
Primary completion
Aug 1, 2025 (estimated)
Completion
Aug 1, 2025 (estimated)
Last update
Jun 3, 2022

Study contacts

Alma Hoxhaj, MD
Contact
alma.hoxhaj@radboudumc.nl
+31 24 361 45 45
Ritse Mann, MD-PhD
principal investigator · Radboudumc/The Netherlands Cancer Institute

Oversight

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

Not currently enrolling

This study is status unknown, as verified in May 2022. You cannot join it, but the record below documents what was studied.

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