FDA Authorizes Cryoablation for Low-Risk Breast Cancer
FDA has granted IceCure Medical’s de novo marketing authorization for the ProSense cryoablation system for treating early-stage, low-risk breast cancer in women aged 70 years and older who are also receiving adjuvant endocrine therapy. The company says ProSense offers a minimally invasive, outpatient alternative to lumpectomy, using extreme cold to destroy tumors without removing breast tissue. The system allows physicians to insert a thin, hollow cryoprobe into the tumor under ultrasound guidance, where liquid nitrogen cools the probe to –170°C, creating an ice ball that freezes and eliminates the targeted tissue.
FDA’s decision was supported by results from the ICE3 clinical trial, which followed 194 women aged 60 and older with low-risk, early-stage disease. Only 3.1% of patients experienced local recurrence within five years after undergoing cryoablation and endocrine therapy, IceCure says. Most side effects — such as swelling, bruising, or mild pain—were minor and resolved without lasting impact.
The marketing authorization covers patients aged 70 and above with biologically low-risk tumors no larger than 1.5 cm, and no lymph node involvement. It also includes patients deemed unsuitable for surgical treatment.
As part of the approval, IceCure will conduct a post-market surveillance study involving about 400 patients across 30 sites to further evaluate the procedure’s outcomes.