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This study aims to assess the safety and clinical accuracy of the SIRA-1000, SIRA® RFA Electrosurgical Device in ablating margins post-lumpectomy in patients undergoing breast conserving surgery for breast cancer. Radiofrequency ablation, or RFA, uses radio waves to create heat, that in turn, causes deliberate controlled damage to the tissue surrounding where the tumor was located. You may hear your doctor refer to this as the 'margins'. Your doctor is using this treatment to help destroy remaining cancer cells in the margins around the site of the lump.
During your surgery, after your lump is removed, the surgeon will place the SIRA-1000 in the breast cavity and perform the RF ablation procedure to treat the margins of the lumpectomy surgical site. A stitch will be used to stabilize and secure the tissue around the neck of the SIRA-1000 to ensure that contact is maintained between the SIRA-1000 electrode array and cavity tissue.
Upon completion of the RF ablation treatment, your tumor and the tissue samples from the ablated edges of the surgical site will be sent for review under a microscope (pathology).
After this, your surgery will be completed as standard, and your discharge will be determined by your medical team like any other surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Feasibility and safety study for women undergoing BCS. | Experimental | RFA electrosurgical device as an adjunct to BCS. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Radiofrequency ablation alone | Device | Demonstrate the accuracy of the device to produce approximately 1 cm depth of ablation around the tumor bed, as evaluated by post-ablation tissue samples at least 1cm deep. |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the safety of SIRA-1000 by summarizing the occurrence of Adverse Events. | Assess the occurrence adverse events and to evaluate the impact of RFA on healing process. | The study will span a total of approximately 12 months with a follow-up for 5 years. |
| Healing Process assessed by BREAST-Q Questionnaire | Assess healing process using cosmesis and quality of life patient reported outcomes. | 6 months |
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Inclusion Criteria:
Biologic female
50 years of age and older
Confirmed diagnosis of breast cancer:
Unicentric, unilateral tumor size ≤ 3cm
Tumor location ≥ 2 cm from skin and other structures
Zubrod Performance Status of 0, 1, or 2
No palpable lymphadenopathy
Able and willing to provide written informed consent
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trials Manager | Contact | 833-920-4660 | kathy@innoblative.com | |
| VP Quality Assurance & Regulatory Affairs | Contact | 833-920-4660 | kcrowley@innoblative.com |
| Name | Affiliation | Role |
|---|---|---|
| V. Suzanne Klimberg, MD, PhD, MSCHT, MAMSE, FACS | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Texas Medical Branch at Galveston, TX | Recruiting | Galveston | Texas | 60612 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24655863 | Background | Klimberg VS, Ochoa D, Henry-Tillman R, Hardee M, Boneti C, Adkins LL, McCarthy M, Tummel E, Lee J, Malak S, Makhoul I, Korourian S. Long-term results of phase II ablation after breast lumpectomy added to extend intraoperative margins (ABLATE l) trial. J Am Coll Surg. 2014 Apr;218(4):741-9. doi: 10.1016/j.jamcollsurg.2013.12.032. Epub 2014 Jan 11. |
| Label | URL |
|---|---|
| Innoblative Designs, Inc. website | View source |
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This is a small pilot study.
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Safety study.
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| Radiofrequency ablation Electrosurgical Device | Device | SIRA-1000 an radiofrequency ablation device, is designed to fit the post-lumpectomy cavity to provide uniform ablation. |
|
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D008224 | Lymphoma, Follicular |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D000078703 | Radiofrequency Ablation |
| ID | Term |
|---|---|
| D000078702 | Radiofrequency Therapy |
| D013812 | Therapeutics |
| D055011 | Ablation Techniques |
| D013514 | Surgical Procedures, Operative |
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