Digital Tomosynthesis Mammography and Digital Mammography in Screening Patients for Breast Cancer
This randomized phase III trial studies digital tomosynthesis mammography and digital mammography in screening patients for breast cancer. Screening for breast cancer with tomosynthesis mammography may be superior to digital mammography for breast cancer screening and may help reduce the need for additional imaging or treatment.
Conditions:
🦠 Breast Screening
🗓️ Study Start (Actual) 28 September 2017
🗓️ Primary Completion (Estimated) 31 December 2030
✅ Study Completion (Estimated) 31 December 2030
👥 Enrollment (Estimated) 128905
🔬 Study Type INTERVENTIONAL
📊 Phase PHASE3
Locations:
📍 Birmingham, Alabama, United States
📍 Mobile, Alabama, United States
📍 Phoenix, Arizona, United States
📍 Phoenix, Arizona, United States
📍 Phoenix, Arizona, United States
📍 Phoenix, Arizona, United States
📍 Scottsdale, Arizona, United States
📍 Little Rock, Arkansas, United States
📍 Bakersfield, California, United States
📍 Los Angeles, California, United States
📍 Los Angeles, California, United States
📍 San Francisco, California, United States
📍 Aurora, Colorado, United States
📍 Colorado Springs, Colorado, United States
📍 Denver, Colorado, United States
📍 Englewood, Colorado, United States
📍 Highlands Ranch, Colorado, United States
📍 Lone Tree, Colorado, United States
📍 Newark, Delaware, United States
📍 Washington, District of Columbia, United States
📍 Jacksonville, Florida, United States
📍 Atlanta, Georgia, United States
📍 Braselton, Georgia, United States
📍 Savannah, Georgia, United States
📍 Honolulu, Hawaii, United States
📍 Boise, Idaho, United States
📍 Boise, Idaho, United States
📍 Chicago, Illinois, United States
📍 Danville, Illinois, United States
📍 Decatur, Illinois, United States
📍 Hoopeston, Illinois, United States
📍 Mattoon, Illinois, United States
📍 Urbana, Illinois, United States
📍 Indianapolis, Indiana, United States
📍 Munster, Indiana, United States
📍 Munster, Indiana, United States
📍 Des Moines, Iowa, United States
📍 Iowa City, Iowa, United States
📍 Owensboro, Kentucky, United States
📍 Baton Rouge, Louisiana, United States
📍 Baton Rouge, Louisiana, United States
📍 New Orleans, Louisiana, United States
📍 New Orleans, Louisiana, United States
📍 Shreveport, Louisiana, United States
📍 Shreveport, Louisiana, United States
📍 Kensington, Maryland, United States
📍 Boston, Massachusetts, United States
📍 Worcester, Massachusetts, United States
📍 Ann Arbor, Michigan, United States
📍 Ann Arbor, Michigan, United States
📍 Battle Creek, Michigan, United States
📍 Detroit, Michigan, United States
📍 Detroit, Michigan, United States
📍 Farmington Hills, Michigan, United States
📍 Grand Rapids, Michigan, United States
📍 Kalamazoo, Michigan, United States
📍 West Bloomfield, Michigan, United States
📍 Duluth, Minnesota, United States
📍 Minneapolis, Minnesota, United States
📍 Rochester, Minnesota, United States
📍 Saint Louis Park, Minnesota, United States
📍 Saint Paul, Minnesota, United States
📍 Thief River Falls, Minnesota, United States
📍 Virginia, Minnesota, United States
📍 Carson City, Nevada, United States
📍 Flemington, New Jersey, United States
📍 New Brunswick, New Jersey, United States
📍 Red Bank, New Jersey, United States
📍 Sewell, New Jersey, United States
📍 Albuquerque, New Mexico, United States
📍 Bronx, New York, United States
📍 Bronx, New York, United States
📍 Elmira, New York, United States
📍 New York, New York, United States
📍 New York, New York, United States
📍 New York, New York, United States
📍 Rochester, New York, United States
📍 Chapel Hill, North Carolina, United States
📍 Durham, North Carolina, United States
📍 Hillsborough, North Carolina, United States
📍 Winston-Salem, North Carolina, United States
📍 Bismarck, North Dakota, United States
📍 Fargo, North Dakota, United States
📍 Canton, Ohio, United States
📍 Cincinnati, Ohio, United States
📍 Cleveland, Ohio, United States
📍 Columbus, Ohio, United States
📍 Easton, Pennsylvania, United States
📍 Hershey, Pennsylvania, United States
📍 Philadelphia, Pennsylvania, United States
📍 Philadelphia, Pennsylvania, United States
📍 Philadelphia, Pennsylvania, United States
📍 Pittsburgh, Pennsylvania, United States
📍 Wexford, Pennsylvania, United States
📍 Charleston, South Carolina, United States
📍 Columbia, South Carolina, United States
📍 Greenville, South Carolina, United States
📍 Mount Pleasant, South Carolina, United States
📍 Spartanburg, South Carolina, United States
📍 Spartanburg, South Carolina, United States
📍 Knoxville, Tennessee, United States
📍 Memphis, Tennessee, United States
📍 Memphis, Tennessee, United States
📍 Nashville, Tennessee, United States
📍 Nashville, Tennessee, United States
📍 Dallas, Texas, United States
📍 Houston, Texas, United States
📍 Houston, Texas, United States
📍 San Antonio, Texas, United States
📍 Charlottesville, Virginia, United States
📍 Norfolk, Virginia, United States
📍 Norfolk, Virginia, United States
📍 Virginia Beach, Virginia, United States
📍 Seattle, Washington, United States
📍 Morgantown, West Virginia, United States
📍 Appleton, Wisconsin, United States
📍 La Crosse, Wisconsin, United States
📍 Madison, Wisconsin, United States
📍 Marshfield, Wisconsin, United States
📍 Mukwonago, Wisconsin, United States
📍 Oconomowoc, Wisconsin, United States
📍 Waukesha, Wisconsin, United States
📍 Buenos Aires, Argentina
📍 Vancouver, British Columbia, Canada
📍 London, Ontario, Canada
📍 Ottawa, Ontario, Canada
📍 Toronto, Ontario, Canada
📍 Toronto, Ontario, Canada
📍 Montreal, Quebec, Canada
📍 Quebec City, Quebec, Canada
📍 Goyang-si, Gyeonggi-do, Korea, Republic of
📍 San Juan, Puerto Rico

📋 Eligibility Criteria

Description

    Inclusion Criteria:

    • * Women of childbearing potential must not be known to be pregnant or lactating
    • * Patients must be scheduled for, or have intent to schedule, a screening mammogram
    • * Patients must be able to tolerate digital breast tomosynthesis and full-field digital mammographic imaging required by protocol.
    • * Patients must be willing and able to provide a written informed consent
    • * Patients must not have symptoms or signs of benign or malignant breast disease (eg, nipple discharge, breast lump) warranting a diagnostic rather than a screening mammogram, and/or other imaging studies (eg, sonogram); patients with breast pain are eligible as long as other criteria are met
    • * Patients must not have had a screening mammogram within the last 11 months prior to date of randomization
    • * Patients must not have previous personal history of breast cancer including ductal carcinoma in situ
    • * Patients must not have breast enhancements (e.g., implants or injections)
    • * ANNUAL SCREENING REGIMEN ELIGIBILITY CHECK
    • * To be eligible for inclusion in the annual screening regimen one of the following three conditions must be met in addition to the eligibility criteria above:
    • * Patients are pre-menopausal; OR
    • * Post-menopausal aged 45-69 with any of the following three risks factors:
    • * Dense breasts (BIRADS density categories c-heterogeneously dense or d-extremely dense), or
    • * Family history of breast cancer (first degree relative with breast cancer), or, positive genetic testing for any deleterious genes that indicate an increased risk for breast cancer, or
    • * Currently on hormone therapy; OR
    • * Post-menopausal ages 70-74 with either of the following two risk factors:
    • * Dense breasts (BIRADS density categories c-heterogeneously dense or d-extremely dense), or
    • * Currently on hormone therapy
    • * Postmenopausal women are defined as those with their last menstrual period more than 12 months prior to study entry; for the purpose of defining menopausal status for women who have had surgical cessation of their periods, women who no longer have menses due to hysterectomy and oophorectomy will be considered postmenopausal; women who no longer have menses due to hysterectomy without oophorectomy will be considered premenopausal until age 52 and postmenopausal thereafter
    • * All other postmenopausal women are eligible for inclusion in the biennial screening regimen
    • * For those women who cannot be assigned to annual or biennial screening at the time of study entry and randomization because they are postmenopausal, have no family history or known deleterious breast cancer mutation, are not on hormone therapy AND have not had a prior mammogram, breast density will be determined by the radiologist?s recording of it at the time of interpretation of the first study screening examination, either DM or TM; for those who are randomized to TM, radiologists will assign BI-RADS density through review of the DM or synthetic DM portion of the TM examination; such women cannot be part of the planned stratification by screening frequency and are expected to represent far less than 1% of the Tomosynthesis Mammographic Imaging Screening Trial (TMIST) population
    • * Breast density will be determined by prior mammography reports, when available; all other risk factors used to determine patient eligibility for annual or biennial screening will be determined by subject self-report
Ages Eligible for Study: 45 Years to 74 Years (ADULT, OLDER_ADULT)
Sexes Eligible for Study: FEMALE
Accepts Healthy Volunteers: Yes

🗓️ Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

  • First Submitted 5 July 2017
  • First Submitted that Met QC Criteria 25 July 2017
  • First Posted 28 July 2017

Study Record Updates

  • Last Update Submitted that Met QC Criteria 29 June 2024
  • Last Update Posted 3 July 2024
  • Last Verified June 2024