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The purpose of this trial is to show adequate assay performance on clinical samples tested in real time at the clinical site.
This study will determine the sensitivity, specificity, negative predictive value, and positive predictive value of the GeneSearchâ„¢ BLN Assay in patient samples by comparing its performance to that of the current methods -- permanent section Hematoxylin and Eosin (H&E) staining with IHC. Additional marker testing using probes associated with nodal metastases may be used in the assay performance calculations. The observed performance measures will be compared to those obtained in the larger U.S. registration trial to show that there are no differences in the assay's performance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Patients with previous diagnosis of breast cancer scheduled for sentinel lymph node dissection. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GeneSearchâ„¢ Breast Lymph Node (BLN) Assay | Device | For in vitro diagnostic use only. The GeneSearchâ„¢ Breast Lymph Node (BLN) Assay is a qualitative, in vitro diagnostic test for the rapid detection of greater than 0.2 mm metastases in nodal tissue removed from sentinel lymph node biopsies of breast cancer patients. Results from the assay can be used to guide the intra-operative or post-operative decision to remove additional lymph nodes. Post-operative histological evaluation of permanent sections of the tissue specimen, in accordance with usual diagnostic practice and using the Veridex lymph node cutting scheme, is required. |
| Measure | Description | Time Frame |
|---|---|---|
| The study will determine the sensitivity, specificity, negative predictive value and positive predictive value of the GeneSearchâ„¢ BLN Assay by comparing its performance to permanent section Hematoxylin and Eosin (H&E) staining with IHC. | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| A secondary objective will assess the timing and logistical aspects of introducing a real time molecular test within the pathology lab. | 1 day |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with a previous diagnosis of breast cancer scheduled for sentinel lymph node dissection.
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| Name | Affiliation | Role |
|---|---|---|
| Robert J. Goulet, MD | Indiana University Cancer Pavilion | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Indiana University Hospital | Indianapolis | Indiana | 46202 | United States |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| ID | Term |
|---|---|
| D001681 | Biological Assay |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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Samples of the tissue homogenate and extracted RNA will be retained and may be used for for further testing.
|
| D017437 |
| Skin and Connective Tissue Diseases |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |