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CompletedNCT06461663Updated May 27, 2026Results posted

CairnSurgical Breast Cancer Locator (BCL) Post-Market Study

An interventional study of Breast Cancer Locator Guided Breast Conserving Surgery in Breast Cancer, sponsored by CairnSurgical, Inc.. Completed at 6 sites in 3 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-27.

Sponsored by CairnSurgical, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 6 months after the study started (first participant enrolled Jun 2022, registered Jan 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
35
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Study summary

This interventional, post-market, multicenter clinical investigation is designed to evaluate the performance of a custom-made medical device, "the Breast Cancer Locator (BCL)" in Subjects with non-palpable breast cancer, in Europe.

Read the detailed description

The aim of this interventional, post-market, multicenter clinical investigation is to evaluate the performance of a custom-made medical device, the Breast Cancer Locator (BCL) system, in subjects with non-palpable breast cancer. The study will be conducted in European countries. To evaluate the performance of BCL in reducing the positive margin rate, the proportion of patients with positive margins after partial mastectomy with the BCL will be obtained.

Each Subject, after signing an Informed Consent Form (ICF), will enter into a screening phase, during which several assessments (e.g., demographics, medical history, evaluation of available prone MRI and core biopsy pathological results) will be conducted.

At visit 1, the Subject will undergo supine MRI, from which a 3D breast image and BCL will be made.

At visit 2, the patient will undergo Breast Conserving Surgery (BCS) using the BCL system. On the same day, the specimen volume will be determined. The excised specimen will be sent to the pathological lab for analysis. The results, including the positive margin rate (PMR) and specimen mammogram, will be obtained within 14 days.

At visit 3, follow-up assessments (including physical examination, and adverse event review) will be performed.

At the End Of Study visit, adverse events will be assessed and patients will be asked to express their satisfaction with the BREAST-Q.

02

Conditions studied

  • Breast Cancer

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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 35 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

CairnSurgical, Inc. is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

Inclusion criteria

  • Patient Informed consent form (ICF) signed
  • Female Aged ≥ 18 years at the time of the signature of ICF
  • Histologic diagnosis of IBC or DCIS
  • Tumor excision that will require localization because it cannot be definitively defined by palpation
  • The tumor is unifocal; possible satellite lesions \< 2 cm from primary are eligible
  • The tumor enhances and is greater than or equal to 5mm on prone breast MRI imaging
  • Subject and surgeon agree to perform BCS
  • Willingness to follow all study procedures, including attending all site visits, tests and examinations.

Exclusion criteria

Exclusion Criteria:

  • Absolute contraindication to MRI, including presence of implanted electrical device (e.g., pacemaker or neurostimulator), aneurysm clip, or metallic foreign body in or near eyes
  • Severe claustrophobia
  • Contraindication to use of gadolinium-based intravenous contrast, including life-threatening allergy
  • Uncontrolled cardiac, renal, or pulmonary disease
  • Uncontrolled systemic disease (e.g., lupus erythematosus or scleroderma)
  • Compromised renal function including chronic, severe kidney disease (GFR \< 30 ml/min/1.73m2), or acute kidney injury
  • Pregnancy or breast-feeding
  • Subjects who have received or plan to receive neoadjuvant chemotherapy
  • Sternal notch to nipple distance of > 32 cm as measured in a sitting or standing position
  • Measurement of widest circumference around breasts and arms > 135 cm
  • Known allergy to device components
  • Multicentric tumors (additional tumors > 2 cm from primary)
  • Infectious or inflammatory processes near the area of intervention
  • Planned surgery with localization devices including WGL, intraoperative ultrasound guidance, radiofrequency emitting implants, magnetic seeds, radioactive seeds, and tissue inspection devices
  • Simultaneous participation in an interventional study or participation in an interventional study in the last 1 month before study inclusion
  • Known drug and/or alcohol abuse
  • Mental incapacity that precludes adequate understanding or cooperation
05

Study design

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

Study arms

  • Experimental
    Treatment with BCL

    Subjects will undergo breast conserving surgery with the Breast Cancer Locator (BCL)

    Device: Breast Cancer Locator Guided Breast Conserving Surgery

Interventions

  • DeviceBreast Cancer Locator Guided Breast Conserving Surgery

    Subjects will undergo a contrast-enhanced supine MRI and two marks will be placed on the breast. The MRI images will be transmitted to the sponsor, and the images will be used to build a BCL using 3D printing. Investigators will be provided with a 3D image of the cancer in the breast. Investigators will use a BCL (a patient-specific, plastic, bra-like form that is placed on the breast and allows the investigator to mark the edges of the tumor on the skin and to place wires inside the breast which define the center of the cancer and the tumor edges. The surgeon will then attempt to surgically remove all the tissue inside the wires used to define the tumor edges.

06

What researchers measure

Primary outcomes

  1. Positive Margin Rate

    To evaluate the performance of BCL in reducing the positive margin rate, the proportion of patients with positive margins after partial mastectomy with the BCL was obtained.

    Time frame: Pathology results from the index procedure available within 14 days from the day of sample arrival at the pathological lab.

Secondary outcomes

  1. Specimen Volume

    To calculate the specimen volume after BCL guided partial mastectomy, the water displacement method (WDM) was used.

    Time frame: Results obtained the same day of surgery.

  2. Surgeon's Perception

    To evaluate the surgeon's perception of the BCL system, a survey asking them if they strongly disagree, somewhat disagree, are undecided, somewhat agree, or strongly agree that the BCL made tumor localization easier, was easy to use, made tumor excision easier, and would be recommended by them, will be used.

    Time frame: Results will be obtained prior to subject discharge after the study procedure (within approximately 2 days after surgery)

  3. Number of Participants With Adverse Events

    To evaluate the safety and tolerability of BCL, adverse events will be reported, including frequency, maximum intensity, relation to study treatment, seriousness, action taken, and outcome. Safety data will be handled descriptively.

    Time frame: From supine MRI 10-40 days prior to surgery through 6 weeks +/- 7 days post surgery

  4. Patient Satisfaction

    To evaluate the patient's satisfaction, the BREAST-Q patient-reported outcome measure will be used. Patient satisfaction scores range from 0-100, with a higher score meaning greater satisfaction or better quality of life.

    Time frame: 6 weeks +/- 7 days post surgery

07

Results

Posted May 27, 2026
Limitations and caveats
One possible limitation of the study is the single arm design, which does not allow a comparison of the BCL system with the current standard approaches. A second limitation is the short follow-up period (6-weeks post surgery).

Participant flow

Adult women with a diagnosis by pre-operative biopsy of non-palpable breast cancer were recruited from patients at participating sites. Patients were recruited from June 2022 to May 2024.

Participant flow — Overall Study
MilestoneTreatment With BCL
Started35
Completed35
Not completed0

Outcome measures

PrimaryPositive Margin Rate

To evaluate the performance of BCL in reducing the positive margin rate, the proportion of patients with positive margins after partial mastectomy with the BCL was obtained.

Time frame:
Pathology results from the index procedure available within 14 days from the day of sample arrival at the pathological lab.
Reported as:
Count of participants · Participants
Positive Margin Rate
ParticipantsTreatment With BCL
Positive Margin Rate2
SecondarySpecimen Volume

To calculate the specimen volume after BCL guided partial mastectomy, the water displacement method (WDM) was used.

Time frame:
Results obtained the same day of surgery.
Reported as:
Mean · ml
Specimen Volume
mlTreatment With BCL
Specimen Volume55.3 ± 40.2
SecondarySurgeon's Perception

To evaluate the surgeon's perception of the BCL system, a survey asking them if they strongly disagree, somewhat disagree, are undecided, somewhat agree, or strongly agree that the BCL made tumor localization easier, was easy to use, made tumor excision easier, and would be recommended by them, will be used.

Time frame:
Results will be obtained prior to subject discharge after the study procedure (within approximately 2 days after surgery)
Reported as:
Number · Percent of surgeon responses
Surgeon's Perception
Percent of surgeon responsesTreatment With BCL
Surgeon rating of satisfied or very satisfied with the BCL device29
Surgeon rating BCL easy or very easy24
Surgeon rating BCL as somewhat or very much simplifying surgery14
Surgeon rating BCL device as somewhat or very much speeding up surgery9
Surgeon rating the BCL safety as high or very high29
Surgeon rating BCL reliability as high or very high30
Surgeon rating likely or very like to reuse the BCL devicehe24
Surgeon rating likely or very likely to recommend the BCL device to a colleague17
SecondaryNumber of Participants With Adverse Events

To evaluate the safety and tolerability of BCL, adverse events will be reported, including frequency, maximum intensity, relation to study treatment, seriousness, action taken, and outcome. Safety data will be handled descriptively.

Time frame:
From supine MRI 10-40 days prior to surgery through 6 weeks +/- 7 days post surgery
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events
ParticipantsTreatment With BCL
Participants with at least one AE10
Participants with at least one AE related to investigational product3
Participants with at least one SAE0
Participants with at least 1 severe AE1
SecondaryPatient Satisfaction

To evaluate the patient's satisfaction, the BREAST-Q patient-reported outcome measure will be used. Patient satisfaction scores range from 0-100, with a higher score meaning greater satisfaction or better quality of life.

Time frame:
6 weeks +/- 7 days post surgery
Reported as:
Mean · scores on a scale
Patient Satisfaction
scores on a scaleTreatment With BCL
Patient Satisfaction64 ± 14
Statistical analysis
  • Treatment With BCL · t-test, 2 sided · p = 0.58

Adverse events

Collected over From supine MRI 10-40 days prior to surgery through 6 weeks +/- 7 days post surgery. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment With BCL0/35 (0%)0/35 (0%)10/35 (28.6%)
Most frequent other events
Most frequent other events
EventTreatment With BCL
Cancer cells presentInvestigations4/35
PainGeneral disorders3/35
SeromaInjury, poisoning and procedural complications2/35
AnxietyPsychiatric disorders2/35
Postoperative wound infectionInfections and infestations1/35
Axillary lymphadenectomySurgical and medical procedures1/35

Baseline characteristics

Age, Continuous
Age, Continuous(years)Treatment With BCL
Mean61.54 ± 11.17
Sex: Female, Male
Sex: Female, Male(Participants)Treatment With BCL
Female35
Male0
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Treatment With BCL
Caucasian31
Asian1
Other3
BREAST-Q Rasch score
BREAST-Q Rasch score(scores on a scale)Treatment With BCL
Mean67 ± 18
08

Study locations

6 sites
  • Agaplesion Markus Krankenhaus
    Frankfurt, Germany
  • Breast Unit Heidelberg, St Elisabeth Hospital
    Heidelberg, Germany
  • U.O. Senologia, Instituto Clinico Humanitas
    Milan, Italy
  • U.O. Senologia Ospedale Santa Chiara, Azienda Ospedaliera Universitaria Pisana
    Pisa, Italy
  • Ospedale Regionale di Bellinzona e Valli
    Bellinzona, Switzerland
  • Spital Zollikerberg
    Zurich, Switzerland
09

References and documents

Publications

  • Thill M, Ghilli M, Roncella M, Kelling K, Fansa H, Golatta M, Heil J, Haasteren V, Freitag A, Togawa R, Sagona A, Rooney TB, Fox MJ, Barth RJ Jr. A Multi-institutional Study to Evaluate the Effectiveness and Safety of a Supine MRI-Based Guidance System, the Breast Cancer LocatorTM, for Breast Conserving Surgery in Patients with Nonpalpable Breast Cancer. Ann Surg Oncol. 2025 Jun 6. doi: 10.1245/s10434-025-17513-4. Online ahead of print. PubMed 40478342 ↗

Study documents

  • Study protocol · Nov 25, 2022
  • Statistical analysis plan · Nov 26, 2024

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

Individual participant data

Plan to share: No — There is no plan to share individual participant data to other researchers.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 27, 2026, 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
NCT06461663
Lead sponsor
CairnSurgical, Inc.
Responsible party
Sponsor
First posted
Jun 17, 2024
Start date
Jun 22, 2022
Primary completion
Apr 19, 2024
Completion
Apr 19, 2024
Results posted
May 27, 2026
Last update
May 27, 2026

Study contacts

Richard J Barth, MD
study director · Cairn Surgical

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 completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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