Breast Cancer Clinical Trial

Investigation of Novel Surgical Imaging for Tumor Excision

Summary

This is a multi-center, two-arm randomized, blinded pivotal study to demonstrate the safety and efficacy of the LUM Imaging System (LUM015 imaging agent in conjunction with the LUM Imaging Device and decision software), in identifying residual cancer in the lumpectomy bed of female breast cancer patients undergoing breast surgery in order to assist surgeons in reducing the rates of positive margins.

All enrolled subjects will be injected with LUM015 prior to surgery. Surgeons are blinded to whether a participant will be randomized into the device arm until after the standard of care lumpectomy is complete. Participants will then be randomized to receiving the device. Therapeutic (Lumicell guided) shaves will be removed based on the guidance of the LUM Imaging System. Patients will be followed until their first standard of care post-operative follow-up visit.

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Full Description

All subjects will be injected with LUM015. The injection of the study drug will occur 2-6 hours prior to surgery at a dose of 1.0 mg/kg. Surgeons will complete the standard of care lumpectomy. Prior to removing any shaves as part of the standard of care, the surgeon will use the Lum System to scan and image the cavity where shaves will be obtained. The system will not provide guidance. The intent of the standard of care lumpectomy procedure is to achieve negative margins.

Randomization of whether the patient will receive the device will be revealed after the completion of the standard of care lumpectomy. If the patient is randomized to the non-device arm, than the surgeon will complete the surgery per their standard practice. If the patient is randomized to the device arm, the surgeon will use the Lumicell device to scan inside the lumpectomy cavity to indicate areas that may contain residual tumor. If the imaging system identifies that there may be cancer cells remaining in the lumpectomy cavity, the surgeon will remove an additional piece of tissue. This process will be continued until a negative reading from the device is obtained or a maximum of 2 shaves of additional tissue has been removed in each orientation.

Study treatment ends when the surgery is completed. All patients will continue their enrollment in the study until their first follow-up visit and they will continue to be followed until the medical team determines no further surgical intervention is required. Patients who have consented to completing Quality of Life Questionnaires will be in the study until the schedule of questionnaires is complete. Patients with adverse events that are determined to be possibly related to the LUM Imaging System will be followed until resolution or stabilization of the adverse event.

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Eligibility Criteria

Inclusion Criteria:

Subjects must have histologically or cytologically confirmed primary invasive breast cancer, ductal carcinoma in situ (DCIS) or primary invasive breast cancer with a DCIS component.
Female, age of 18 years or older.
Subjects must be scheduled for a lumpectomy for a breast malignancy.
Subjects must be able and willing to follow study procedures and instructions.
Subjects must have received and signed an informed consent form.
Subjects must have no uncontrolled serious medical problems except for the diagnosis of breast cancer, as per the exclusion criteria listed below.

Subjects must have organ and marrow function within limits as defined below:

Leukocytes > 3,000/mcL
Platelets > 75,000/mcL
total bilirubin within normal institutional limits
AST (SGOT)/ALT (SGPT) < 2.5 X institutional upper limit of normal
Creatinine ≤ 1.5 mg/dL or creatinine clearance > 60 mL/min/1.73 m2 for subjects with creatinine levels above institutional normal.
Subjects with ECOG performance status of 0 or 1.

Exclusion Criteria:

Subjects who have been diagnosed with bilateral breast cancer and are undergoing bilateral resection procedure
Subjects who are pregnant. Breastfeeding should be discontinues if the mothers is treated with LUM015
Subjects who are sexually active and not willing/able to use 2 medically acceptable forms of contraception (hormonal or barrier method of birth control, abstinence) upon entering the study and for 60 days after injection of LUM015.
Subjects who have taken an investigational drug within 30 days of enrollment.
Subjects who will have administration of methylene blue or any dye for sentinel lymph node mapping on the day of the surgery prior to imaging the lumpectomy cavity with the LUM Imaging Device.
Subjects who have not recovered from adverse events due to other pharmaceutical or diagnostic agents.
Subjects with uncontrolled hypertension defined as persistent systolic blood pressure > 180 mm Hg, or diastolic blood pressure > 110 mm Hg; those subjects with known HTN should be stable with controlled HTN while under pharmaceutical therapy.
History of allergic reaction to polyethylene glycol (PEG).
History of allergic reaction to any oral or intravenous contrast agents.
Uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, COPD or asthma requiring hospitalization within the past 12 months, or psychiatric illness/social situations that would limit compliance with study requirements.
HIV-positive individuals on combination antiretroviral therapy are ineligible.
Any subject for whom the investigator feels participation is not in the best interest of the subject.
Subjects undergoing a second lumpectomy procedure because of positive margins in a previous surgery prior to entering this study
Subjects with post-biopsy hematomas greater or equal to 2 cm that are visible on physical exam or detected during pre-operative observations.
Subjects with prior ipsilateral breast cancer surgeries, mastectomies, breast reconstructions or implants.s with prior ipsilateral breast cancer surgeries, mastectomies, breast reconstructions or implants
Subjects with prior ipsilateral reduction mammoplasties (breast reductions) performed less than 2 years prior to enrollment to this study.
Subjects previously treated with systemic therapies to treat the cancer to be removed during this clinical investigation, such as neo-adjuvant chemotherapy or hormonal therapy.
Subjects undergoing breast conserving surgery whose resected speciment (main lump, shaves, or any other resected tissue) will be evaluated with frozen section after the Lumicell-guided removal of shaves.

Study is for people with:

Breast Cancer

Phase:

Phase 3

Estimated Enrollment:

406

Study ID:

NCT03686215

Recruitment Status:

Active, not recruiting

Sponsor:

Lumicell, Inc.

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There are 14 Locations for this study

See Locations Near You

University of South Alabama Mitchell Cancer Institute
Mobile Alabama, 36604, United States
HonorHealth Research Institute
Scottsdale Arizona, 85258, United States
Stanford Hospital and Clinics
Palo Alto California, 94304, United States
Morton Plant Mease Health Care Oncology Research
Clearwater Florida, 33756, United States
Baptist MD Anderson Cancer Center
Jacksonville Florida, 32207, United States
Moffitt Cancer Center
Tampa Florida, 33612, United States
Massachusetts General Hospital
Boston Massachusetts, 02114, United States
Comprehensive Breast Care Center/Beaumont Health
Royal Oak Michigan, 48073, United States
Duke Cancer Center
Durham North Carolina, 27710, United States
Novant Health Salem Surgical Associates
Winston-Salem North Carolina, 27103, United States
Cleveland Clinic
Cleveland Ohio, 44195, United States
Penn State Health Milton S. Hershey Medical Center
Hershey Pennsylvania, 17033, United States
The University of Texas MD Anderson Cancer Center
Houston Texas, 77030, United States
CHI Franciscan Research Center
Tacoma Washington, 98405, United States

How clear is this clinincal trial information?

Study is for people with:

Breast Cancer

Phase:

Phase 3

Estimated Enrollment:

406

Study ID:

NCT03686215

Recruitment Status:

Active, not recruiting

Sponsor:


Lumicell, Inc.

How clear is this clinincal trial information?

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