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Not yet recruitingNCT07869381Updated Oct 9, 2026

Trial Comparing CPDMA Versus Standard Breadloafing in WLE Specimens of Stage 1-II Cutaneous Melanoma

An interventional study of Wide Local Excision in Cutaneous Melanoma, Stage II, Cutaneous Melanoma and Acral Melanoma, sponsored by University of Nebraska. Not yet recruiting at 1 site in United States. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by University of Nebraska · Not applicable, Interventional, and Diagnostic

Updated Oct 9, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
282
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

The primary goal of this clinical trial is to is to compare the rate of positive peripheral margins in wide local excision (WLE) performed to allow for comprehensive peripheral and deep margin assessment (CPDMA) assessment versus WLE performed with the intent of standard breadloafing of stage I-II cutaneous melanoma specimens. Secondary aims are to compare local recurrence at 1 and 2 years, the rate of re-excision due to positive margins, pathology turnaround time, pathology resource utilization, and cost per case between the two assessment methods. The main questions it aims to answer are:

  • Does WLE performed to allow for CPDMA have a higher rate of positive peripheral margins than wide local excision performed with the intent of standard breadloafing?
  • Will more complete positive margin detection support more appropriate re-excision and lower local recurrence over two years?
  • Does CPDMA require greater pathology resource utilization and longer turnaround time than breadloafing?

Researchers will compare standard breadloafing (control) arm to CPDMA (experimental) arm.

Participants will:

  • Undergo WLE.
  • Attend a follow-up visit at 4 months.
02

Conditions studied

  • Cutaneous Melanoma, Stage II
  • Cutaneous Melanoma
  • Acral Melanoma

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Keywords

  • Cutaneous Melanoma
  • Breadloafing
  • CPDMA
  • Wide Local Excision
03

In context

Melanoma

3,073 studies on the registry are indexed under Melanoma; 529 are open to participants now.

This study's planned enrollment of 282 is above the median of 38 across 2,400 interventional studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

University of Nebraska is the lead sponsor of 495 studies on the registry; 68 are open to participants now.

Of its 83 completed or terminated interventional studies of FDA-regulated products, 52 (63%) have results posted.

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

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Age ≥19 years
  • Histologically confirmed clinical Stage I or II cutaneous melanoma, inclusive of acral melanoma
  • Candidate for guideline (NCCN) concordant wide local excision
  • Able to provide informed consent

Exclusion criteria

Exclusion Criteria:

  • Prior wide local excision of the lesion
  • History of melanoma
  • Melanoma lesions at more than one site
  • Prior radiation therapy to the site
  • Pregnancy or lactation
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
282 participants (estimated)

Study arms

  • Active comparator
    Standard Breadloafing

    Control Arm

    Diagnostic Test: Wide Local Excision

  • Experimental
    Comprehensive Peripheral and Deep Margin Assessment

    Experimental Arm

    Diagnostic Test: Wide Local Excision

Interventions

  • Diagnostic testWide Local Excision

    Wide Local Excision

06

What researchers measure

Primary outcomes

  1. Rate of positive peripheral margins

    Tumor present at or near inked margin

    Time frame: 1 Month

Secondary outcomes

  1. Local recurrence rate

    In situ or invasive melanoma within 2 cm of the scar from treatment of the primary tumor

    Time frame: 1 and 2 years post-WLE

  2. Re-excision rate

    Need for repeat surgical intervention of the primary site to attain additional margins within 60 days of the index surgery

    Time frame: 2 months post-WLE, documented at 4-month post-WLE visit

  3. Pathology turnaround time

    From WLE date to final pathology report date

    Time frame: Post-pathology report or 4-month follow-up

  4. Pathology resource utilization

    Number of tissue blocks and slides used

    Time frame: Post-pathology report or 4-month follow-up

  5. Pathologist time

    Start of specimen review to end of specimen review

    Time frame: 1 Month

  6. Technician time

    Opening container to closing the block

    Time frame: 1 Month

  7. Cost per case

    Total amount billed

    Time frame: 2 years post-WLE

07

Study locations

1 site
  • University of Nebraska Medical Center
    Omaha, Nebraska 68198, United States
    • IIT Office · Contact · iitoffice@unmc.edu · 402-559-4596
    • Joshua Mammen · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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 Dec 2026; primary completion for Dec 2029, 36 months later.

Of 196 non-industry interventional studies with no phase under Melanoma, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 64. This study's planned 36 months is below that.

Counting every sponsor, half of 202 studies reached it within 39 months; a quarter within 21 and three quarters within 62.

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

Registered
Sep 30, 2026
First posted
Oct 9, 2026
StartEst.
Dec 24, 2026
Primary completionEst.
Dec 24, 2029
CompletionEst.
Dec 24, 2031
Last update
Oct 9, 2026
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.
Registered
First appeared on the registry. No changes since
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07869381
Responsible party
Sponsor
First posted
Oct 9, 2026
Start date
Dec 24, 2026 (estimated)
Primary completion
Dec 24, 2029 (estimated)
Completion
Dec 24, 2031 (estimated)
Last update
Oct 9, 2026

Study contacts

IIT Office
Contact
iitoffice@unmc.edu
402-559-4596
Joshua Mammen
principal investigator · University of Nebraska

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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