关于新辅助化疗前应用纳米炭标记触诊阴性乳腺癌在后续保乳手术中定位效果评价的单臂研究

注册号:

Registration number:

ChiCTR-OOC-15006844 

最近更新日期:

Date of Last Refreshed on:

2015-07-30 14:56:31 

注册时间:

Date of Registration:

2015-07-30 12:00:02 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

关于新辅助化疗前应用纳米炭标记触诊阴性乳腺癌在后续保乳手术中定位效果评价的单臂研究

Public title:

A single-arm study to evaluate the efficiency about using carbon nanoparticles to track nonpalpable breast cancer before neoadjuvant chemotherapy followed by breast-conserving surgery.

注册题目简写:

English Acronym:

研究课题的正式科学名称:

A single-arm study to evaluate the efficiency about using carbon nanoparticles to track nonpalpable breast cancer before neoadjuvant chemotherapy followed by breast-conserving surgery.

Scientific title:

The efficiency about using carbon nanoparticles to track nonpalpable breast cancer before neoadjuvant chemotherapy followed by breast-conserving surgery.

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

王瑜 

研究负责人:

王瑜 

Applicant:

Yu Wang 

Study leader:

Yu Wang 

申请注册联系人电话:

Applicant telephone:

+86 13805019453

研究负责人电话:

Study leader's
telephone:

+86 13805019453

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

flyfishwang@hotmail.com

研究负责人电子邮件:

Study leader's E-mail:

flyfishwang@hotmail.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

福建省福州市西二环北路156号南京军区福州总医院普通外科

研究负责人通讯地址:

福建省福州市西二环北路156号南京军区福州总医院普通外科

Applicant address:

156 North Second Ring Road, Fuzhou, Fujian, China

Study leader's address:

156 North Second Ring Road, Fuzhou, Fujian, China

申请注册联系人邮政编码:

Applicant postcode:

350025

研究负责人邮政编码:

Study leader's postcode:

350025

申请人所在单位:

南京军区福州总医院普通外科

Applicant's institution:

Department of general surgery, Fuzhou General Hospital of Nanjing Military

研究负责人所在单位:

Affiliation of the Leader:

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2015071

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

中国人民解放军南京军区福州总医院医学伦理委员会

Name of the ethic committee:

Ethic Committee of Fuzhou General Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2015-07-01 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

南京军区福州总医院普通外科

Primary sponsor:

Department of general surgery, Fuzhou General Hospital of Nanjing Military

研究实施负责(组长)单位地址:

福建省福州市西二环北路156号南京军区福州总医院普通外科

Primary sponsor's address:

156 North Second Ring Road, Fuzhou, Fujian, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

福建

市(区县):

福州

Country:

China

Province:

Fujian

City:

Fuzhou

单位(医院):

南京军区福州总医院普通外科

具体地址:

福建省福州市西二环北路156号南京军区福州总医院普通外科

Institution
hospital:

Department of general surgery, Fuzhou General Hospital of Nanjing Military

Address:

156 North Second Ring Road, Fuzhou, Fujian, China

经费或物资来源:

自筹

Source(s) of funding:

self-founded

研究疾病:

乳腺癌  

Target disease:

Breast Cancer

研究疾病代码:

174.901 (ICD-9)

Target disease code:

174.901 (ICD-9)

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

单臂 

Study design:

Single arm 

研究目的:

临床上部分乳腺癌患者接受新辅助化疗后不能定位原发肿瘤,此类患者若考虑行保乳手术可能会造成术中不能准确定位原发肿瘤部位,而出现原发灶区域的残余癌细胞切除不彻底,无疑增加局部复发风险率。因此新辅助化疗前应用纳米碳标记定位,可在后续保乳手术中准确识别肿物位置、大小及淋巴结转移情况,提高保乳手术治疗的成功率。  

Objectives of Study:

Clinically, Part of the nonpalpable breast cancer patients cannot track primary tumor after neoadjuvant chemotherapy. Acceptance of breast-conserving surgery may lead to inaccurate location to primary neoplasms, which means that the residual cancer cells in the primary foci may not be completely cut off and the risk of local recurrence raise beyond doubt. It may heip us track the location,size, lymph node metastasis of tumor using carbon nanoparticles before neoadjuvant chemotherapy followed by breast-conserving surgery, which improves the success rate of operation.

药物成份或治疗方案详述:

纳米炭 

Description for medicine or protocol of treatment in detail:

Carbon Nanoparticles 

纳入标准:

Inclusion criteria

排除标准:

1、年龄18<岁,或>70岁;2、多中心型乳腺癌或散在的恶性钙化灶;3、经新辅助化疗后肿瘤最大直径仍>3 cm;4、乳头偏斜或内陷;5、腋窝可触及明显肿大或融合淋巴结;6、辅助检查发现远处转移;7、术前新辅助化疗不接受或不能耐受TAC方案;8、妊娠期和哺乳期妇女;9、合并严重心、肝、肾、内分泌系统疾病的患者,且以上疾病预期生存期<2年者;10、对纳米炭过敏者;11、患者因自身原因退出试验;

Exclusion criteria:

1. Multi-center lesions or malignant calcification foci;
2. The maximum lesion diameter after neoadjuvant therapy is over 3cm;
3. Internal or oblique nipple;
4. Apparant swollen or confertus axillary lymph nodes;
5. The founding of metastasis in supplementary examinations;
6. Breast cancer during pregnancy;
7. Patients who are not convenient to go to the doctors' office for recheck for any reason;
8. Complicated serious disease (such as: heart exclus disease, liver disease, kidney disease, etc) for exsist less than 2 years by estimate;
9. Have a particular allergy to Carbon nanoparticles;
10. Quit the test because of their own reasons.

研究实施时间:

Study execute time:

From 2015-07-13 00:00:00 To 2015-07-13 00:00:00  

征募观察对象时间:

Recruiting time:

From 2015-07-13 00:00:00 To 2015-07-13 00:00:00

干预措施:

Interventions:

组别:

纳米炭处理组

样本量:

16

Group:

Nano carbonparticles treatment group

Sample size:

干预措施:

新辅助化疗前在超声引导下每个点用0.1ml纳米炭悬浮液在距肿瘤周缘约0.5cm处沿着6个方向(每个方向相隔约60度)共注射12个点(每个方向两个点)

干预措施代码:

Intervention:

Before the new adjuvant chemotherapy, 0.1ml carbon nanoparticles suspension was injected under ultrasound guidance at 12 points along 6 tracks which were separated by 60 degrees (2 injection sites per track), The injection sites were 0.5 cm from the apparent margin of the primary lesion.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

福建 

市(区县):

福州 

Country:

China

Province:

Fujian

City:

Fuzhou

单位(医院):

南京军区福州总医院 

单位级别:

三级甲等 

Institution
hospital:

Fuzhou General Hospital of Nanjing Military

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

钼靶

指标类型:

主要指标

Outcome:

Molybdenum target

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

核磁共振成像

指标类型:

主要指标

Outcome:

Magnetic Resonance Imaging

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

癌胚抗原

指标类型:

主要指标

Outcome:

Carcinoembryonic antigen (CEA)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

糖抗原15-3

指标类型:

主要指标

Outcome:

Carbohydrate antigen 15–3 (CA 15–3 )

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

切缘阴性率

指标类型:

主要指标

Outcome:

Negative margin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

黑染淋巴结数及转移率

指标类型:

主要指标

Outcome:

The stained number of lymph nodes and matastasis rate

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

未黑染淋巴结的癌细胞检出率

指标类型:

主要指标

Outcome:

The non-stained number of lymph nodes and matastasis rate

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

手术时间

指标类型:

主要指标

Outcome:

Operation duration

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

美容效果满意度

指标类型:

主要指标

Outcome:

Postoperative cosmetic satisfaction rate

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

骨ECT

指标类型:

主要指标

Outcome:

Bone Emission Computed Tomography

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中出血量

指标类型:

次要指标

Outcome:

Intraoperative bleeding volume

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺部CT

指标类型:

次要指标

Outcome:

Computed Tomography of lung

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

手臂静脉血

Sample Name:

Blood

Tissue:

Vein of the arm

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

黑染及未黑染淋巴结

组织:

乳腺及同侧腋窝

Sample Name:

The stained and non-stained lymph nodes

Tissue:

Breast and ipsilateral axillary

人体标本去向

其它  

说明

福州南京军区总医院病理科标本库

Fate of sample:

0thers  

Note:

Pathology specimens library of Fuzhou General Hospital of Nanjing Military

标本中文名:

乳腺癌瘤体

组织:

乳腺

Sample Name:

Breast carcinoma

Tissue:

Breast

人体标本去向

使用后保存  

说明

福州南京军区总医院病理科标本库

Fate of sample:

Preservation after use  

Note:

Pathology specimens library of Fuzhou General Hospital of Nanjing Military

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 70 years

性别:

女性

Gender:

Female

随机方法(请说明由何人用什么方法产生随机序列):

单臂研究

Randomization Procedure (please state who generates the random number sequence and by what method):

A single-arm study

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

南京军区福州总医院普通外科

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Department of general surgery, Fuzhou General Hospital of Nanjing Military

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

南京军区福州总医院普通外科

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Department of general surgery, Fuzhou General Hospital of Nanjing Military

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2015-07-30 14:56:31