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The purpose of this clinical investigation was to determine the safety and effectiveness of the SciBase III device (Test) designed to help distinguish between malignant melanoma and benign lesions, using electrical impedance spectroscopy (EIS) relative to the histological gold standard (Reference).
The purpose of the study is to collect data to support a Pre-market Application(PMA) to obtain Food and Drug Administration(FDA) approval to market the SciBase III Electrical Impedance Spectrometer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SciBase III | Other | Subjects with suspected malignant melanoma or lesions designated for total excision were included into the study. To ensure no selection bias, all eligible lesions from a subject were included into the study. All study eligible skin lesion(s) were examined with the investigational device, photographed and removed by an excisional biopsy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SciBase III Electrical Impedance Spectrometer | Device | SciBase III Electrical Impedance Spectrometer is based on Electrical Impedance Spectroscopy (EIS). EIS is a measure of the overall resistance within a skin tissue, at alternating currents of various frequencies. Enrolled subject will undergo skin measurements with SciBase III Electrical Impedance Spectrometer. The relevant skin lesion(s) will be excised and diagnosed as per routine treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| SciBase Sensitivity and Specificity | This study has two co-primary objectives, aiming to demonstrate the accuracy of SciBase device:
Sensitivity is the proportion of correctly identified cases of Melanoma. Specificity is the proportion of correctly identified cases of non-melanoma. | Post data lock |
| Measure | Description | Time Frame |
|---|---|---|
| Sensitivity and Specificity | Secondary confirmatory objective included two co-secondary endpoints that were defined similarly to the co-primary endpoints, but used the Secondary definition of dichotomous reference diagnosis. Positive Reference Diagnosis: Melanoma, Squamous Cell Carcinoma, Basal Cell Carcinoma, Severe Dysplastic Nevus (High grade dysplasia) Negative Reference Diagnosis: All other skin lesions. |
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Inclusion Criteria
For inclusion in the study, all subjects had to fulfill all of the following criteria:
Exclusion Criteria:
Subjects were excluded from the study if they fulfilled any of the following criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ulrik H Birgersson, PhD | SciBase and Karolinska Institutet | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arizona | Tucson | Arizona | 85719 | United States | ||
| Sahlgrenska University Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 12877688 | Background | Aberg P, Nicander I, Holmgren U, Geladi P, Ollmar S. Assessment of skin lesions and skin cancer using simple electrical impedance indices. Skin Res Technol. 2003 Aug;9(3):257-61. doi: 10.1034/j.1600-0846.2003.00017.x. | |
| 15605856 | Background | Aberg P, Nicander I, Hansson J, Geladi P, Holmgren U, Ollmar S. Skin cancer identification using multifrequency electrical impedance--a potential screening tool. IEEE Trans Biomed Eng. 2004 Dec;51(12):2097-102. doi: 10.1109/TBME.2004.836523. |
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Potential study subjects were screened according to the inclusion/exclusion criteria. All study eligible skin lesion(s) were then examined with the investigational device, photographed and removed by an excisional biopsy.
Recruitment was conducted at five (5) US investigational sites and at seventeen (17) European investigational sites.
Recruitment period 2010-2011. In 2012 the last histological analysis was performed.
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| ID | Title | Description |
|---|---|---|
| FG000 | Only One Arm in the Study, Thus Not Applicable. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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All study eligible skin lesion(s) were examined with the investigational device, photographed and removed by an excisional biopsy.
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| ID | Title | Description |
|---|---|---|
| BG000 | Biopsied Skin Lesions | Lesions for which clinical management was prospectively determined to be biopsy of the lesion in toto |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | SciBase Sensitivity and Specificity | This study has two co-primary objectives, aiming to demonstrate the accuracy of SciBase device:
Sensitivity is the proportion of correctly identified cases of Melanoma. Specificity is the proportion of correctly identified cases of non-melanoma. | Biopsied Skin Lesions | Posted | Mean | 95% Confidence Interval | Percentage of total lesions | Post data lock | Biopsied Skin Lesions | Participants |
|
A post-procedure follow up, either by a telephone or investigational site visit, was to be conducted at 7 (seven) +/- 3 (three) days from the SciBase III evaluation, at which time the subject were to be evaluated for any adverse events.
The Safety analysis population includes all subjects for whom there was any contact with subject's skin and the SciBase III investigational device. Therefore the number of subjects included in the safety analysis deviates from both the total number of enrolled and eligible subjects.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Biopsied Skin Lesions | Any adverse advent that occured on a skin/lesion site for whom there had been any contact between the subject's skin and investigational device (SciBase III). Note that multiple adverse event occured on some subjects. In total 36 Adverse Events were reported on 28 subjects. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Experienced bleeding through the bandage after excision. | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of Clinical Operations | SciBase | +46841062001 | per.svedenhag@scibase.se |
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| ID | Term |
|---|---|
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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|
| Post data lock |
| Gothenburg |
| 41345 |
| Sweden |
| Participants |
|
| Age Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Units |
|---|
| Counts |
|---|
| Participants |
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| Biopsied Skin Lesions |
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| Secondary | Sensitivity and Specificity | Secondary confirmatory objective included two co-secondary endpoints that were defined similarly to the co-primary endpoints, but used the Secondary definition of dichotomous reference diagnosis. Positive Reference Diagnosis: Melanoma, Squamous Cell Carcinoma, Basal Cell Carcinoma, Severe Dysplastic Nevus (High grade dysplasia) Negative Reference Diagnosis: All other skin lesions. | Not Posted | Aug 2013 | Post data lock |
| 0 |
| 1,915 |
| 28 |
| 1,915 |
| Experienced a headache/migrane post SciBase measurements and surgical excision. | Nervous system disorders | Non-systematic Assessment |
|
| Lesion started to bleed during examination/measurement | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
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| Experience of slight pain from excision | Skin and subcutaneous tissue disorders | Non-systematic Assessment | Experienced pain from the wound or excisional site. |
|
| Experience of slight pain/pin pricks from probe | Skin and subcutaneous tissue disorders | Non-systematic Assessment | Experienced slight pain / pin pricks from the probe. Resolved once the probe was removed or measurements ended. |
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| Experience of soreness/itch/tingling at excisional/measurement site | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Developed infection following excision | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Suffered from a cold | General disorders | Non-systematic Assessment | Suffered from a cold for 3 days after the excision had been performed. |
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| Neck and facial swelling after lymph node dissection | Blood and lymphatic system disorders | Non-systematic Assessment | Suffered from neck and facial swelling 2 days after lymph node dissection surgery had been performed. |
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| Experience nausea | General disorders | Non-systematic Assessment | Experience nausea for 2 days post measurement and excision |
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| Suffered from diarrhea | Gastrointestinal disorders | Non-systematic Assessment | Suffered from diarrhea for two days after measurements and excision |
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| Suture came out prematurely | General disorders | Non-systematic Assessment | One suture came out prematurely. |
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| Minimal brusing | Skin and subcutaneous tissue disorders | Non-systematic Assessment | Experienced very minimal bruising appeared on the measurement site approximately 10 minutes after four attempts had been made to obtain a device reading. |
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| Experienced sensation of fainting | General disorders | Non-systematic Assessment | Became pale and felt faint immediately following the biopsy. The subject felt much better after lying down and was able to leave the clinic under his own power. |
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| Experienced mild chest pain | General disorders | Non-systematic Assessment |
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| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |