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Visual guided surgery for the reduction of tumor tissue during breast conserving operation of patients with breast cancer

MOLECULAR FLUORESCENCE-GUIDED SURGERY USING BEVA800 FOR THE ASSESSMENT OF TUMOR MARGINS DURING BREAST CONSERVING SURGERY OF PATIENTS WITH PRIMARY BREAST CANCER (MARGIN-II) - MARGIN-II

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2018-003614-40-DE
Enrollment
55
Registered
2018-11-23
Start date
2019-06-06
Completion date
Unknown
Last updated
2022-08-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Primary breast cancer MedDRA version: 20.0 Level: PT Classification code 10006187 Term: Breast cancer System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)

Interventions

Product Name: Beva800 Pharmaceutical Form: Solution for injection INN or Proposed INN: BEVACIZUMAB-IRDye 800CW CAS Number: 216974-75-3 Concentration unit: mg milligram(s) Concentration type: equal Con

Sponsors

Bracco Imaging Spa
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: • Female participant =18 years of age; • Is able to give written informed consent and is willing to comply with the protocol requirements; • Is scheduled to undergo breast conserving surgery. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 55 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: • Is a pregnant or lactating female. Exclude the possibility of pregnancy: • by testing on site at the institution (serum or urine ßHCG) within prior to the start of investigational product administration, • by surgical history (e.g., Tubenligatur oder Hysterektomie), • post-menopausal with a minimum 1 year without menses; • Has any known allergy to one or more of the ingredients of the investigational product or the bevacizumab; • Has received or is scheduled to receive neo-adjuvant chemo- and/or radiotherapy; • Has received an investigational compound and/or medical device within 30 days before admission into this study; • Has any medical condition or other circumstances which would significantly decrease the chances of obtaining reliable data, achieving study objectives, or completing the study and/or post dose follow-up examinations; • Is determined by the Investigator that the subject is clinically unsuitable for the study

Design outcomes

Primary

MeasureTime frame
Main Objective: • To assess the efficacy of fluorescence imaging using the 4.5 mg of the fluorescent tracer, Beva800 at reducing the rate of positive tumor margins compared to standard-of-care BCS; • To obtain additional safety data on exposure of breast cancer patients to 4.5 mg Beva800. ;Secondary Objective: • To evaluate the surgical re-excision rate following BCS with use of fluorescence imaging with Beva800 and the Explorer Air camera within the first 30 days after surgery.;Primary end point(s): For assessment of positive margins after standard of care and MFGS, the specimens from the surgery will be examined according to the standard of care histopathology analysis. Details of tumor dimensions, location (single or multiple regions; right or left breast) along with all other histopathology minimum dataset items will be collected. The distance from the tumor to the radial margins (medial, lateral, superior, inferior, posterior and anterior) will be collected. Individual shavings will be examined according to standard of care histopathology analysis. Efficacy is determined by the number of patients in which a positive margin could be identified using fluorescence guided surgery but not using standard of care. The results per patient will be divided into two clusters, results after standard of care and results after fluorescence guided surgery, according to their margin status. The following criteria will be applied for the assessment of positive or negative margin: Positive margin (invasive carcinoma) = ink on tumor (=tumor cells at the resection margin) Positive margin (DCIS) = tumor cells within 2 mm distance from the resection margin Negative margin (invasive carcinoma) = no tumor cells at the resection margin Negative margin (DCIS) = no tumor cells within 2 mm distance from the resection margin. Need for re-operation will be collected within 30 days post breast surgery.;Timepoint(s) of evaluation of this end point: Immediately after fluorescence guided s

Secondary

MeasureTime frame
Secondary end point(s): N/A;Timepoint(s) of evaluation of this end point: N/A

Countries

Germany

Contacts

Public ContactPaola Pianezzola

Bracco Imaging SpA

Paola.Pianezzola@bracco.com00390221772324

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026