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Clinical study of photodynamic diagnosis during surgery with 5-ALA in breast cancer patients

Clinical study on the availability and safety of photodynamic diagnosis using 5-aminolevulinic acid during surgery for breast cancer patients

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCTs041220090
Enrollment
13
Registered
2022-11-08
Start date
2023-01-12
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

breast cancer

Interventions

2-4 hours before the start of surgery, the dose of 5-aminorevphosphate 20 mg / kg should be calculated based on the body weight at the time of admission, and the dose should be dissolved in water befo

Sponsors

Kotani Haruru
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Histologically, breast cancer has been diagnosed. 2) The status of estrogen receptor, progesterone receptor, and HER2 does not matter. 3) It does not matter if there is an infiltrated part. 4) Standard surgery for primary breast cancer will be performed. 5) The extent of the lesion is 2 cm or more by diagnostic imaging. 6) No history of photosensitivity. 7) Patients over 20 years old (at the time of signing the consent form) 8) Patients with an ECOG Performance Status of 0 to 2 as determined at the time of enrollment 9) Prior to enrollment, the latest 12-lead ECG test is normal or has no abnormalities requiring treatment. 10) Patients whose clinical laboratory values meet the following criteria (laboratory tests within 28 days prior to enrollment) (1) Platelet count 100,000/mm3 or more (2) Serum creatinine: Less than 1.5 times the upper limit of the institutional standard (3)AST (GOT): Less than 3.0 times the upper limit of the institutional standard (4)ALT (GPT): Less than 3.0 times the upper of the institutional standard (5)Serum bilirubin: Less than 1.5 times the upper limit of the institutional standard 12) Patients who are able to comply with the requirements of the study protocol 13) Patients who voluntarily consent to the document after understanding the contents of the consent explanation document

Exclusion criteria

Exclusion criteria: 1) Patients with any of the following history or complications (1) Myocardial infarction (2)Congestive heart failure (3)Angina requiring treatment (4) Arrhythmia requiring treatment 2) Patients with serious complications (interstitial pneumonia, pulmonary fibrosis, uncontrolled hypertension, uncontrolled diabetes, etc.) 3) Patients with serious infections (including active tuberculosis) 4) Patients with systolic blood pressure of 100 mmHg or less or diastolic blood pressure of 60 mmHg or less at the time of enrollment 5) Patients with a history of hypotension 6) Pregnant women, female patients who are breastfeeding or may be pregnant, 7)Patients who are not willing to use contraception 8) Patients with hypersensitivity or history of porphyrin-related substances 9)Patients with porphyria 10)Drugs known to cause photosensitivity: Patients receiving foods containing St. John's Wort, such as tetracycline antibiotics, sulphonamides, new quinolone antibacterial agents, etc. 11)Cases in which it is difficult to participate in the study due to mental illness or psychiatric symptoms 12)Patients judged by the investigator to be inappropriate

Design outcomes

Primary

MeasureTime frame
(usefulness) Verify that the Diagnostic Odds Ratio is 1 or greater. (safety) The following adverse events and side effects caused by the study drug 1)Photosensitivity and related events 2)Liver dysfunction. AST increase, ALT increase,LDH increase,blood bilirubin increase,gamma GTP increase 3)Hypotension Hypotension that developed within 6 hours after the start of study drug administration Occurrence of adverse events causally related to the study drug Occurrence of serious adverse events causally related to the study drug

Secondary

MeasureTime frame
1)Sensitivity Percentage of specimens that were positive for optical examination among those that were pathologically diagnosed as positive for tumor 2)Specificity Percentage of specimens pathologically diagnosed as negative for tumors that were negative by photodynamic diagnosis. 3) Positive Predictive Value Percentage of specimens that were positive for tumor diagnosis among those that were positive for photodynamic diagnosis. 4)Negative Predictive Value Percentage of specimens that were pathologically diagnosed as having a negative tumor among those that were negative by photodynamic diagnosis.

Contacts

Public ContactAkira Nakakami

Aichi Cancer Center

a.nakakami@aichi-cc.jp+81-52-762-6111

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026