CClinicalTrials.gg
RecruitingNCT07629206Updated Sep 9, 2026

Post-Marketing Study for Early-Stage Low-Risk Breast Cancer Treatment Using ProSense® Cryoablation (ChoICE Trial)

An interventional study of Cryoablation in Low-Risk, Early Stage Breast Cancer, sponsored by IceCure Medical Ltd.. Recruiting at 2 sites in United States. Open to participants aged 70 Years and older. Per ClinicalTrials.gov, last updated 2026-09-09.

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

From the registry’s dates

  • Started Jul 2026; still recruiting 2 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Not applicable
Ages
70 Years and older
Sex
All
01

Study summary

The FDA has granted marketing authorization for the ProSense® Cryoablation System for the local treatment of patients aged 70 years or older with low-risk early-stage breast cancer who are also receiving adjuvant hormone therapy.

This clinical trial is designed to collect additional data on the safety and effectiveness of cryoablation when used as part of routine clinical care. Specifically, the study will evaluate recurrence rates following the procedure for up to 5 years post-treatment.

In addition, linkage to claims data will be used to assess long-term outcomes, including breast cancer-related surgeries, mammograms and other breast imaging procedures, breast biopsies, and all-cause mortality.

02

Conditions studied

  • Low-Risk, Early Stage Breast Cancer

Keywords

  • Cancer
  • Breast Cancer
  • Cryoabalation
03

In context

Neoplasms

9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.

This study's planned enrollment of 400 is above the median of 50 across 7,253 interventional studies indexed under Neoplasms.

Browse 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
70 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Provision of a signed and dated informed consent form.
  2. Age ≥70
  3. Diagnosis of invasive ductal breast carcinoma (IDC) by core needle biopsy, meeting the following criteria:

    • Unifocal primary disease
    • Tumor size ≤1.5 cm in greatest diameter
    • Estrogen receptor positive, Progesterone receptor positive, and HER2 negative
    • Low-risk tumor biology, defined as Ki67\<15% or confirmed by genomic testing. In cases where Ki67 is ≥15%, low-risk status must be confirmed by genomic testing, which will prevail.
  4. Lesions must be sonographically visible at the time of treatment
  5. Clinically negative lymph node (N0).

Exclusion criteria

Exclusion Criteria:

  1. Presence of lobular carcinoma.
  2. Presence of microinvasion or invasive breast carcinoma with extensive intraductal component (EIC), defined as DCIS component comprising ≥25%.
  3. Evidence of lymphovascular invasion.
  4. Presence of multifocal and/or multicentric breast cancer.
  5. Presence of multifocal suspicious calcifications.
  6. Presence of inflammatory features.
  7. Previous ipsilateral breast radiation
  8. Neoadjuvant endocrine treatment is provided to reduce the tumor size.
  9. Prior or concurrent neoadjuvant chemotherapy, biological therapy, or other targeted neo-therapies.
  10. Prior en bloc open surgical biopsy and/or lumpectomy for diagnosis/treatment of the index breast cancer.
  11. Allergy to local anesthesia.
  12. Any other reason defined as inoperable declared by a physician.
05

Study design

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

Study arms

  • Experimental
    Low-risk, Early satge breast cancer

    FDA-Approved cryoablation procedure for the indicated population

    Device: Cryoablation

Interventions

  • DeviceCryoablation

    Cryoablation procedure, without resection, using the IceCure Medical ProSense® Cryoablation System. Patients will be also provided with adjuvant endocrine therapy for 5 years post-treatment. The IceCure ProSense® cryoablation system is intended for cryogenic destruction of tissue by the application of extreme cold temperatures.

06

What researchers measure

Primary outcomes

  1. Confirmed Ipsilateral Breast Tumor Recurrence (IBTR) Rate

    The percentage of patients who develop confirmed Ipsilateral Breast Tumor Recurrence (IBTR), up to 5 years after cryoablation.

    Time frame: 5 Years

  2. Confirmed and suspected Ipsilateral Breast Tumor Recurrence (IBTR) Rate

    The percentage of patients who develop confirmed and suspected Ipsilateral Breast Tumor Recurrence (IBTR), up to 5 years after cryoablation.

    Time frame: 5 Years

Secondary outcomes

  1. Complete Primary Tumor Ablation Rate

    The percentage of patients with complete tumor ablation, defined by adequate iceball coverage of the target tumor during the cryoablation procedure and absence of residual tumor at the 6-month follow-up.

    Time frame: 6 Months

  2. Procedure duration (minutes)

    Procedure duration, defined as the time from procedure initiation to procedure completion, measured in minutes

    Time frame: The day of the procedure

  3. Number of hospitalization days following the procedure

    Length of post-procedural hospitalization (If needed), measured as the number of days from the procedure until hospital discharge.

    Time frame: 6 Months

  4. Days to resume normal activity

    Number of days after cryoablation until return to routine daily activities, as reported by the patient.

    Time frame: 6 Months

  5. Number of procedure-related outpatient visits

    Number of procedure-related outpatient visits post the procedure, which are unplanned in the study schedule of activities

    Time frame: 6 Months

  6. Physician's satisfaction with the breast's cosmetic results

    Assessed using the Sneeuw Questionnaire, an observer-rated assessment of cosmetic changes following treatment. Items are scored on a 4-point scale ranging from 1 (None) to 4 (Severe), with the overall cosmetic result rated from 1 (Poor) to 4 (Excellent).

    Time frame: 6 Months

  7. Non-serious adverse events (related/non-related to device and procedure) and procedure-related complications.

    Number, nature, and percentage of patients with non-serious adverse events (related/nonrelated to device and procedure) and procedure-related complications up to 6 months.

    Time frame: 6 Months

  8. Local recurrence and Second primary breast cancer rates

    The percentage of patients with local breast cancer recurrence or second primary breast cancer.

    Time frame: 5 Years

  9. Patient's satisfaction with cosmetic outcomes

    Patients' satisfaction will be assessed at 6-month follow-up and subsequent visits through 5 years using the 'Satisfaction with Breasts' scale from the BREAST-Q 2.0 Patient-Reported Outcome (PRO) Breast-Conserving Surgery module. Scores are reported on a 0 (Worst) to 100 (Best) scale.

    Time frame: 5 Years

  10. Patients' Quality of life (QoL)

    Improvement or maintenance of patient's quality of life will be evaluated at 6-month follow-up and subsequent visits through 5 years, compared to baseline, using two scales from the BREAST-Q 2.0 PRO Breast-Conserving Surgery module: Physical Well-Being: Chest, and Psychosocial Well-Being. BREAST-Q has domain scores reported on a 0 (Worst) to 100 (Best) scale.

    Time frame: 5 Years

  11. Locoregional recurrence (LRR) rate

    The percentage of patients who develop locoregional recurrence within 5 years post-procedure.

    Time frame: 5 Years

  12. Disease-Free Survival (DFS) rate

    The percentage of patients without evidence of IBTR, regional, or distant breast cancer recurrence, contralateral breast cancer, or death due to breast cancer.

    Time frame: 5 Years

  13. Overall Survival (OS) rate

    The percentage of participants who did not experience death due to any cause up to 5 years.

    Time frame: 5 Years

  14. Breast cancer survival rate

    The percentage of patients who did not experience death due to breast cancer up to 5 years.

    Time frame: 5 Years

  15. Rate of discontinuation of routine follow-up procedures

    The percentage of patients who discontinue routine breast-related follow-up procedures.

    Time frame: 5 Years

  16. Serious adverse events (related/non-related to device and procedure).

    The number, nature, and percentage of patients experiencing serious adverse events (SAEs), related and non-related to the device and procedure.

    Time frame: 5 Years

07

Study locations

2 of 2 sites recruiting
  • Glendale Adventist Medical Center d/b/a Adventist Health Glendale
    Glendale, California 91206, United States
    • Lily Villalobos · Contact · villall3@ah.org · 818-539-9185
    • Dennis Holmes, Doctor, MD · Principal investigator
    Recruiting
  • The West Clinic, PC dba West Cancer Center
    Germantown, Tennessee 38138, United States
    Recruiting
08

References and documents

Publications

  • Fine RE, Gilmore RC, Tomkovich KR, Dietz JR, Berry MP, Hernandez LE, Columbus KS, Seedman SA, Fisher CS, Han LK, Manahan ER, Hicks RD, Vaidya RP, Curcio LD, Sevrukov AB, Kenler AS, Taback B, Chen M, Miller ME, Gold L, Anglin BV, Aoun HD, Simmons RM, Feldman SM, Boolbol SK. Cryoablation Without Excision for Early-Stage Breast Cancer: ICE3 Trial 5-Year Follow-Up on Ipsilateral Breast Tumor Recurrence. Ann Surg Oncol. 2024 Oct;31(11):7273-7283. doi: 10.1245/s10434-024-16181-0. Epub 2024 Sep 16. PubMed 39283572 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07629206
Lead sponsor
IceCure Medical Ltd.
Responsible party
Sponsor
First posted
Jun 5, 2026
Start date
Jul 17, 2026
Primary completion
Jul 2034 (estimated)
Completion
Sep 2034 (estimated)
Last update
Sep 9, 2026

Study contacts

Eidan Loushi Clinical Operations Specialist, M.Sc.
Contact
eidanl@icecure-medical.com
+972-548118632
Ronit Lipson, Clinical Trial Manager
Contact
ronitl@Icecure-medical.com
+972-522337768

Oversight

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

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