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Efficacy of OneMark Device in Identifying Breast Cancer for Surgery and Surveillance
NCT07087691 · University of California, San Diego
In plain English
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Official title
Pilot Post-Marketing Study on the Efficacy of OneMark in Identifying Breast Cancer For Surgery and Over Time in High and Low Density Breast Tissue
About this study
This is a prospective, open-label, single-site study to evaluate the OneMark visualization device in 2 patient populations: patients with breast cancer undergoing resection surgery, and patient at high risk of breast cancer in a surveillance program. In addition, the study enrolls 2 physician populations: surgeons and radiologists specialized in breast cancer.
In the surgery cohort, the investigators will compare the OneMark device to the standard of care wireless localization system, SAVI SCOUT. The visibility of the two devices will be evaluated before, during, and after surgery (ex vivo).
In the surveillance cohort, the investigators will evaluate the detectability over time of the OneMark device placed as fiducial during breast biopsy in patients with low or high density breast tissue. If participants in the surveillance group will require surgery during the study, the surgeons can opt to place a SAVI SCOUT marker and will evaluate the visibility of both devices like in the cohort described above.
We hypothesize that the OneMark device has superior intra-operative visibility compared to the SAVI SCOUT system for detection of breast cancer for surgical resection. We also hypothesize that, when the OneMark device is used as fiducial during surveillance, it will be visible over time.
Eligibility criteria
Inclusion Criteria:
* Provision of signed and dated informed consent form.
* Stated willingness to comply with all study procedures and availability for the duration of the study.
* Age ≥ 18 years.
* In good general health as evidenced by medical history.
* Deemed able to undergo general anesthesia for surgical resection.
* For individuals who are capable of menstruating: must be post-menopausal, defined as no menses in the 12 months before enrollment or age \> 60 years. No additional requirements - besides the age requirement in inclusion criterion # 3 - are needed for individuals who are not capable of menstruating.
For surgery cohort only:
* Male and female patients with stage T1/T2 breast cancer visible by ultrasound.
For surveillance cohort only:
* Male and female patients with abnormal mammogram Breast Imaging Reporting and Data System (BI-RADS) category 4 or 5.
* Ultrasound visible unifocal breast tumor \< 5 cm in diameter.
* Low density tissue by mammogram either category A (fatty replaced) or category B (scattered densities); or high density tissue by mammogram either category C (heterogeneously dense) or category D (extremely dense).
Exclusion Criteria:
* Pregnancy or lactation.
* Known allergic reactions to components of OneMark System or SAVI SCOUT.
* Feverish illness within 7 days of placement of the device.
* Previous treatment with another investigational drug or other intervention within 1 month of enrollment.
* Previous use of neoadjuvant chemotherapy within 6 months of enrollment.
Study design
Enrollment target: 60 participants
Allocation: non_randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2025-12-22
Estimated completion: 2028-09
Last updated: 2026-02-03
Interventions
Device: OneMark device
Primary outcomes
- • Comparison of visibility rankings of OneMark marker and SAVI SCOUT (At time of surgery)
Sponsor
University of California, San Diego · other
With: View Point Medical
Contacts & investigators
ContactSara M Grossi, MD · contact · cancerCTO@health.ucsd.edu · (858) 822-5354
ContactBreast Research Team · contact · cancerCTO@health.ucsd.edu · (858) 822-5354
InvestigatorSara M Grossi, MD · principal_investigator, University of California, San Diego
All locations (1)
University of California, San DiegoRecruiting
La Jolla, California, United States