Table 3

Stopping rules, the table describes the number of patients at which the study arm should be put on hold

Stoping rulesAfter 5 included patients per armAfter 10 included patients per armAfter 15 included patients per arm
1a. Severe complications such as Clavien-Dindo grade III complications after thermal ablation and prior to surgical resection, and/or complications related to thermal ablation which interfere with surgical excision such that the surgical procedure should be deviated (eg, surgical procedure cannot be performed due to a large haematoma).3 patients3 patients4 patients
1b. Severe complications after thermal ablation and surgery, with or without radiotherapy related to the study intervention (thermal ablation), which result in unplanned mastectomy.1 patient1 patient1 patient
2.Premature termination of thermal ablation procedure, due to pain or discomfort because of an insufficient pain protocol (local anaesthetics with or without sedation).3 patients3 patients4 patients
3.Irradical resection (more than focally irradical*) after thermal ablation and surgical resection, in which, a margin is considered irradical if viable or necrotic tumour tissue is found in the specimen at pathologic evaluation (R1 resection).3 patients3 patients4 patients
4a. Missed target (ablation zone completely outside of the tumour area on MRI) on MRI 2 weeks after thermal ablation.3 patients3 patients4 patients
4b. Incomplete ablation rate as determined on pathological examination.4 patients5 patients6 patients
  • *An irradical resection or R1 resection is defined as viable or necrotic tumour (either invasive or DCIS) reaching in the ink in a small area (≤4 mm). The stopping rule applies to more than focally irradical tumours: viable or necrotic tumour (either invasive or DCIS) reaches the ink in a larger area (>4 mm) or in multiple smaller areas.