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Group: Deep Organ Tumours

ECT: Limited clinical publication volume87 publications

Breast Cancer

Chest wall recurrences and skin metastases of breast cancer are among the indications with the most publications for electrochemotherapy in the corpus. These lesions often develop in irradiated tissue and may bleed and be malodorous; local control, control of bleeding and quality of life are among the clinical outcomes assessed in this literature.

120publication records119 unique studies once versions are merged
49clinical publication records
53preclinical publication records
8reviews
1991–2026publication span

Clinical publications: randomized, prospective and retrospective studies, case series and case reports. Preclinical publications: animal, in vitro, modelling and experimental biophysics studies.

Clinical and Technical Data Reported in the Publications

The sum of the fields reported in the full text of 119 of the 120 publications in this area. The numbers are summed, not interpreted.

Sum of the patient counts reported across publications1,908 (reported in 45 publications)
Publications relating their cohort to other publicationspossible cohort overlap (5)
Total lesions reported2,439 (in 23 publications)
Devices used (70 publications naming a device)Cliniporator (18) · BTX ECM830 (16) · BTX Gemini X2 (2) · CUY21EDIT square-wave electropulser (2) · GT-01 (2) · ELECTRO cell B10 (2)
Agent delivered and route (95 publications reporting an agent)bleomycin · intravenous (37) · bleomycin (10) · bleomycin · both intravenous and intratumoural (9) · other (9) · plasmid DNA · intratumoural (7) · other · other route (3)
Approach (63 publications report it)percutaneous (41) · transcutaneous surface (19) · open surgical (2) · intraoperative (1)
Image guidance (38 publications report it)direct vision (30) · ultrasound (6) · computed tomography (3)
Response criteria (49 publications report it)clinical examination (14) · RECIST (12) · RECIST 1.1 (9) · WHO criteria (4) · other (4)
Combination therapy (64 publications report it)systemic chemotherapy (34) · other combination (33) · targeted therapy (5) · radiotherapy (4) · checkpoint inhibitor (4)
Publications reporting retreatment37 of 90 publications (29 do not report it)
Field strength20–7000 V/cm (51 records, median 1000)
Applied voltage100–1300 V (14 records, median 1000)
Number of pulses1–30000 (69 records, median 8)
Pulse duration0.3–90000 µs (67 records, median 100)

The totals are not a count of unique patients: the same cohort may have been reported in more than one publication.

Literature Status by Method

Publication count, clinical and preclinical split, literature volume and publication span for each clinical method. The badge at the top of the page summarises the ECT record only; the full split by method is here.

Electrochemotherapy (ECT)

87publication records
45clinical publication records
26preclinical publication records

Limited clinical publication volumethreshold 10/87 records

Clinical and preclinical split of that figure: 6 clinical, 1 preclinical.

1991–2026

Irreversible electroporation (IRE)

8publication records
0clinical publication records
7preclinical publication records

Exploratory / low-volume literaturethreshold 1/8 records

Clinical and preclinical split of that figure: 0 clinical, 1 preclinical.

2009–2022

Calcium electroporation

3publication records
1clinical publication records
2preclinical publication records

Exploratory / low-volume literaturethreshold 0/3 records

No record for this method feeds the volume label.

2019–2025

Gene electrotransfer

7publication records
0clinical publication records
7preclinical publication records

Exploratory / low-volume literaturethreshold 0/7 records

No record for this method feeds the volume label.

2007–2020

Other electroporation applications

15publication records
3clinical publication records
11preclinical publication records

This set does not name a single clinical method; no literature volume is assigned.

2000–2026

Mechanisms Mentioned in Abstracts

The figure is the number of abstracts mentioning the mechanism. A mention does not mean it was demonstrated in that study.

Increased Intracellular Bleomycin Accumulation 30 Reversible Membrane Permeabilisation 21 Increased Intracellular Cisplatin Accumulation 17 Optimisation of Pulse Parameters 13 Potentiation of Cytotoxic Drug Permeability 12 Apoptosis Induction 12 Electric Field Distribution and Modelling 11 Electrode Geometry and Placement 10 Irreversible Pore Formation and Cell Death 10 Gene Electrotransfer (Plasmid DNA) 9 Mitochondrial Dysfunction and Oxidative Stress 9 Necrosis and Necroptosis 9

Study Type Distribution

The percentage gives the share of the whole area.

Study typePublicationsShare within this area
Randomized Clinical Trial1
<1%
Prospective Clinical Study6
5%
Clinical Study25
21%
Retrospective Clinical Study4
3%
Case Series1
<1%
Case Report12
10%
Systematic Review / Meta-Analysis1
<1%
Review7
6%
Animal Study23
19%
In Vitro Study29
24%
In Silico / Modelling1
<1%
Editorial / Letter3
2%
Correction / Erratum3
2%
Not reported3
2%
Protocol1
<1%

Publication Table

120 publication records sorted by study design. Click a title to open the citation, mechanism and full abstract drawer.

Classifications are generated automatically and can be wrong for individual records. Methodology

120 publication records shown

RegimePublicationYearStudy typeModelMechanismPatients / lesionsDeviceAgent and routeReported outcomeAbstract
ECT
Tahvildari et al · Int J Cancer Manag
2025Randomized Clinical TrialHumanMuscle Contraction and Anaesthesia Requirement, Potentiation of Cytotoxic Drug Permeability64–bleomycin · both intravenous and intratumoural–Background: Skin metastases occur in 5% - 30% of breast cancer patients, highlighting the need for effective treatments. Electrochemotherapy, which combines electric pulses with chemotherapy…
ECT
Russano et al · Clin Exp Metastasis
2025Prospective Clinical StudyHumanSystemic / Abscopal Immune Response195 / 593–bleomycin · both intravenous and intratumouralobjective response 82% (195 patients)Electrochemotherapy (ECT) is a local treatment combining chemotherapy with electroporation. This prospective multicentre study aimed to evaluate the efficacy of ECT in the treatment of patie…
Other EP
Aigner et al · European Journal of Surgical Oncology
2023Prospective Clinical StudyHumanReversible Membrane Permeabilisation, Increased Intracellular Bleomycin Accumulation11–bleomycin · intraarterial–Relapsed unresectable triple negative breast cancer is a demanding disease with currently no standard treatment option. Especially for patients with huge tumor masses a treatment that offers…
ECT
Matthiessen et al · Clin Breast Cancer
2018Prospective Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Muscle Contraction and Anaesthesia Requirement119 / 244–bleomycin · both intravenous and intratumouralcomplete response 50% (90 patients)Background: Cutaneous recurrence from breast cancer can pose a clinical challenge. It might be the only disease site, or could be part of disseminated disease, and often profoundly affects q…
ECT
Matthiessen et al · Annals of Oncology
2016Prospective Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Muscle Contraction and Anaesthesia Requirement104IGEA electroporation systembleomycin · both intravenous and intratumouralcomplete response 51% (75 patients)Cutaneous recurrence from breast cancer can pose a clinical challenge. It may be the only disease site, or be part of disseminated disease, and often profoundly impacts quality of life. Elec…
ECT
Benevento et al · Int J Surg Case Rep
2015Prospective Clinical StudyHuman–1 / 51IGEA square wave electroporatorbleomycin · intravenouscomplete response 100% (51 lesions)Introduction: Angiosarcomas are highly malignant endothelial cell tumors with poor prognosis. These can be due to breast cancer itself or to subsequent therapeutic modalities. No evidence-ba…
ECT
Cabula · European Journal of Surgical Oncology (EJSO)
2013Prospective Clinical StudyHuman–5–bleomycinlocal recurrence 0 count (5 patients)C. Cabula* Ospedale Oncologico, Cagliari, Italy * Corresponding author. Cabula C. Cagliari, Italy. E-mail address: carlocabula@oncologiachirurgica.it. ABSTRACTS 5 patients with breast cancer…
Other EP
Aigner et al · Cancers (Basel)
2024Clinical StudyHumanReversible Membrane Permeabilisation, Increased Intracellular Bleomycin Accumulation14Cliniporatorcisplatin · intraarterialcomplete response 2 count (14 patients)Background: Relapsed unresectable triple-negative breast cancer is a demanding disease with only a few treatment options. Especially for patients with unresectable tumor masses, a treatment …
Other EP
Bieżuńska-Kusiak et al · Pharmaceuticals (Basel)
2023Clinical StudyHuman––BTX ECM830calcium chloride–Breast cancer ranks among the top three most common malignant neoplasms in Poland. The use of calcium ion-assisted electroporation is an alternative approach to the classic treatment of this…
ECT
Di Prata et al · Cancers (Basel)
2023Clinical StudyHuman–171Cliniporatorbleomycin · intravenouscomplete response 49% (171 patients)Electrochemotherapy has been proven to be an efficient treatment for cutaneous metastases of various cancers. Data on breast cancer (BC) patients with cutaneous metastases were retrieved fro…
ECT
Bartolo et al · The Breast
2019Clinical StudyHuman–30–bleomycin · intravenousoverall survival 100% (30 patients)Surgery of the primary tumor and the axilla is a mandatory part of the treatment in early breast cancer (BC). In the metastatic setting, surgery may be discussed as a procedure, improving lo…
ECT
Wichtowski et al · Oncol Res Treat
2018Clinical StudyHuman–38Cliniporatorbleomycin · intravenouscomplete response 42% (38 patients)Introduction: Breast cancer is responsible for more than 50% of cutaneous metastases. One of the treatment options is electrochemotherapy (ECT). It is an effective method of local tumor abla…
ECT
Grischke et al · Radiol Oncol
2017Clinical StudyHumanNecrosis and Necroptosis33Cliniporatorbleomycin · intravenousobjective response 90%Background: Electrochemotherapy (ECT) is an established procedure for treating breast cancer loco-regional recurrences following surgical intervention and/or radiotherapy. Limited informatio…
ECT
Guida et al · Annals of Oncology
2017Clinical StudyHuman–125 / 214–bleomycincomplete response 58.4% (113 patients)This publication has no abstract.
ECT
Bourke et al · Breast Cancer Res Treat
2016Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation–Cliniporatorbleomycin · intravenous–Purpose: Electrochemotherapy (ECT) is the application of electric pulses to tumour tissue to render the cell membranes permeable to usually impermeant hydrophilic anti-cancer drugs, thereby …
ECT
Piechocki et al · Curr. Gynecol. Oncol.
2016Clinical StudyHumanHaemostasis and Bleeding Control13Cliniporatorbleomycin · intravenouscomplete response 1 count (13 patients)Electrochemotherapy is a local therapy method reserved for cases not subject to surgery in advanced surface-localized cancers in the integuments. It may be applied in treating primary skin n…
ECT
Denzi et al · Biomed Eng Online
2015Clinical StudyHumanNecrosis and Necroptosis, Electrode Geometry and Placement1 / 1Cliniporator VITAEbleomycin · intravenous–Background: Breast cancer is the most common cancer in women worldwide and is the second most common cause of cancer death in women. Electrochemotherapy (ECT) used in early-phase clinical tr…
ECT
Kalavathy et al · JCPCR
2015Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Electrode Geometry and Placement2–bleomycin · both intravenous and intratumouralobjective response 90% (1 patients)Electrochemotherapy (ECT) is a local cancer treatment modality where the intracellular accumulation of a chemotherapeutic agent is enhanced in the presence of an electrical field by the phen…
ECT
Mercantini et al · The American Surgeon™
2015Clinical StudyHuman–2Cliniporatorbleomycin · intravenouscomplete response 100% (2 patients)This publication has no abstract.
ECT
Sundararajan · JCPCR
2015Clinical StudyHumanIncreased Intracellular Cisplatin Accumulation, Increased Intracellular Bleomycin Accumulation–BTX ECM830othercell viability 44%Triple negative breast cancer (TNBC) has poor prognosis. This is due to lack of estrogen, progesterone and HER-2 receptors. About 15% of all breast cancers are TNBC. This year in the US alon…
ECT
Wichmann Matthiessen et al · Radiol Oncol
2013Clinical StudyHuman–11 / 16–bleomycin · intravenousobjective response 31% (16 lesions)Background: Electrochemotherapy is a local anticancer treatment very efficient for treatment of small cutaneous metastases. The method is now being investigated for large cutaneous recurrenc…
ECT
Campana et al · European Journal of Surgical Oncology (EJSO)
2013Clinical StudyHuman–60 / 242––complete response 36.7% (60 patients)This publication has no abstract.
ECT
Nizar et al · The Breast
2013Clinical StudyHuman–18–bleomycinobjective response 80.5%Locally advanced breast cancer (LABC) remains a common daily clinical encounter in many parts of the world including the Middle East. Improvement in the outcome of patients with breast cance…
ECT
Oom et al · The Breast
2013Clinical StudyHuman–10–bleomycincomplete response 53% (17 sessions)The presence of HER2 overexpression predicts a poor prognosis for patients. It is associated with a high rate of disease progression despite the widespread use of HER2-targeted therapies. Th…
ECT
Benevento et al · BMC Surg
2012Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Potentiation of Cytotoxic Drug Permeability12 / 142Cliniporatorbleomycin · intravenouscomplete response 75.3% (142 lesions)Background: The management of cutaneous metastases often represents a challenge because they may be widespread and may recur after radiotherapy or chemotherapy; breast cancer accounts for 51…
ECT
Cabula · European Journal of Surgical Oncology (EJSO)
2012Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Increased Intracellular Cisplatin Accumulation1–bleomycin · intravenous–Electrochemotherapy (ECT), a new palliative treatment for cutaneous metastases, involves the delivery of electrical pulses to lesions several minutes after intravenous or intratumor injectio…
ECT
Campana et al · Breast Cancer Res Treat
2012Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation35 / 196–bleomycin · intravenousobjective response 91.4% (35 patients)Electrochemotherapy (ECT) represents an attractive locoregional therapy for unresectable chest wall recurrence (CWR) from breast cancer. Thirty-five patients with cutaneous CWR after mastect…
ECT
Matthiessen et al · Acta Oncol
2012Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation17 / 25Cliniporatorbleomycin · intravenousobjective response 0.17 ratio (12 patients)Background: Cutaneous recurrences of breast cancer may cause considerable discomfort due to ulceration, oozing, and pain and can also be difficult to treat. Electrochemotherapy is a localise…
ECT
Sersa et al · Radiotherapy and Oncology
2012Clinical StudyAnimal (In Vivo)–––bleomycin · intravenous–This publication has no abstract.
ECT
Matthiessen et al · European Journal of Cancer Supplements
2009Clinical StudyHuman–5square wave electroporatorbleomycin · intravenous–This publication has no abstract.
ECT
Whelan et al · European Journal of Cancer Supplements
2006Clinical StudyHuman–1–bleomycin · both intravenous and intratumoural–The application of combined chemotherapy and cancer cell permeabilising electric pulses (electrochemotherapy) has been demonstrated here to be clinically effective in the treatment and contr…
ECT
Rebersek et al · Anticancer Drugs
2004Clinical StudyHumanIncreased Intracellular Cisplatin Accumulation––––We have evaluated the efficiency of electrochemotherapy with cisplatin on cutaneous tumor lesions of breast cancer and have compared its efficiency with the efficiency of intratumoral (i.t.)…
ECT
Sena et al · Eur J Surg Oncol
2026Retrospective Clinical StudyHuman–19Cliniporatorbleomycin · intravenouscomplete response 11 count (11 patients)Background: Cutaneous and subcutaneous recurrence of breast cancer represents a challenging clinical scenario, particularly in patients previously treated with surgery, radiotherapy, and sys…
ECT
Russano et al · Front Oncol
2021Retrospective Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation55Cliniporatorbleomycin · both intravenous and intratumouralcomplete response 64% (55 patients)The treatment of cutaneous and subcutaneous localizations from breast cancer (BC) is still a therapeutic challenge. Electrochemotherapy (ECT) is one of the available options, and it is chara…
ECT
Cabula et al · Ann Surg Oncol
2015Retrospective Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation125 / 239–bleomycin · intravenousobjective response 90.2% (113 patients)Background: The management of breast cancer (BC) skin metastases represents a therapeutic challenge. Electrochemotherapy (ECT) combines the administration of bleomycin with temporary permeab…
ECT
Campana et al · J Cancer Res Clin Oncol
2014Retrospective Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation55 / 212–bleomycin · both intravenous and intratumouralobjective response 40% (55 patients)Purpose: To evaluate the efficacy and toxicity of electrochemotherapy (ECT) in elderly metastatic breast cancer (BC) patients. Methods: Retrospective analysis of 55 patients with superficial…
ECT
Shahverdi et al · Int J Cancer Manag
2026Case SeriesHuman–10–bleomycin · intravenouscomplete response 2 count (10 patients)Background and Objective: Breast cancer (BC), the second most prevalent cancer worldwide, poses a significant health challenge. Despite major advances in therapeutic modalities for BC, patie…
ECT
Mazzotti · IJCCR
2024Case ReportHuman–1 / 1Cliniporatorbleomycin · intratumoural–Electrochemotherapy represents one of the therapeutic breakthroughs in the oncology field. In this case report, we describe a woman diagnosed with breast cancer in 2005. The case was treated…
ECT
Corrado et al · Anticancer Res
2023Case ReportHuman–1–bleomycin · intravenouslocal recurrence 0 count (1 patients)Background: We present the case of a recurrent malignant phyllodes tumor of the breast, after mastectomy and radiotherapy, in which electrochemotherapy (ECT) was applied to the tumor bed, to…
ECT
Campana et al · J Surg Case Rep
2022Case ReportHumanIncreased Intracellular Bleomycin Accumulation, Electrode Geometry and Placement1 / 1–bleomycin · intravenous–A 55-year-old woman with previous skin-sparing mastectomy and prosthetic reconstruction for multifocal ductal carcinoma developed homolateral axillary recurrence. Following nodal dissection,…
Calcium EP
Jensen · Case Rep Dermatol
2022Case ReportHumanCalcium Electroporation and ATP Depletion, Disruption of Calcium Homeostasis1Cliniporatorcalcium chloride · intratumouralcomplete response 1 count (1 patients)We report a case of successful treatment of cutaneous metastases in HER2-positive breast cancer with calcium electroporation (CaEP), in addition to trastuzumab, over a period of 5 years. CaE…
ECT
Esposito et al · Transl Cancer Res
2021Case ReportHumanNecrosis and Necroptosis, Increased Intracellular Bleomycin Accumulation1Cliniporatorbleomycin · intravenouscomplete response 1 count (1 patients)Electrochemotherapy has been shown to be safe, effective and non-invasive loco-regional treatment for chest wall breast cancer recurrence. Electrochemotherapy is a palliative treatment offer…
ECT
Cencelj-Arnez et al · Radiol Oncol
2020Case ReportHuman–1 / 40Cliniporatorbleomycin · intravenouscomplete response 100% (6 lesions)Background: Radiotherapy-associated angiosarcoma (RAA) of the breast is a rare complication of radiotherapy, which is often difficult to identify and has poor prognosis. It usually presents …
ECT
Esposito et al · –
2020Case Report–Necrosis and Necroptosis, Optimisation of Pulse Parameters–Cliniporatorbleomycin · intravenous–Background Electrochemotherapy has been shown to be safe, effective and non-invasive loco-regional treatment for chest wall breast cancer recurrence. Electrochemotherapy is the gold standard…
ECT
Radica et al · AME Case Rep
2020Case ReportHumanIncreased Intracellular Bleomycin Accumulation, Necrosis and Necroptosis1 / 1Cliniporatorbleomycin · intravenouslocal control 30 days (1 patients)Breast cancer is the most common cause of chest wall recurrence, skin, and subcutaneous tissue metastases which mainly occur as multiple nodes in the skin and subcutaneous tissue. When it oc…
ECT
Di Meo et al · J Eur Acad Dermatol Venereol
2019Case ReportHuman–1 / 5–bleomycin · intravenouscomplete response 1 count (1 patients)N/A
ECT
Mofid et al · Acta Med Iran
2017Case ReportHumanMuscle Contraction and Anaesthesia Requirement1 / 1ECT-SBDCbleomycin · intravenoustumour volume change 47% (1 patients)Electrochemotherapy (ECT) is a new local treatment method for solid and superficial tumors. During this new technique, patients experience an unpleasant sensation and slight edema. Most unpl…
ECT
Wichtowski et al · Breast Care (Basel)
2016Case ReportHuman–1–– · intravenous–Background: Chest wall recurrence (CWR) from breast cancer after mastectomy is a difficult to treat disease. Electrochemotherapy (ECT) provides a safe, efficient, and non-invasive locoregion…
ECT
Cabula · Updates Surg
2012Case ReportHuman–1 / 1Cliniporatorbleomycin · intravenouscomplete response 0 months (1 patients)Neoadjuvant electrochemotherapy of breast cancer: our experience on first case treated in Italy Carlo Cabula Received: 29 December 2010 / Accepted: 17 July 2012 / Published online: 12 August…
ECT
Ferioli et al · Clin Exp Metastasis
2020Systematic Review / Meta-AnalysisHumanIncreased Intracellular Bleomycin Accumulation, Increased Intracellular Cisplatin Accumulation––bleomycin · intravenous–Skin metastases occur in 5-30% of breast cancer (BC) patients. Standard treatments include systemic therapies (chemotherapy, endocrine therapy, and immunotherapy) and local treatments (surge…
Other EP
Russano et al · Ther Adv Med Oncol
2025ReviewLiterature Analysis–––bleomycin · intravenouscomplete response 81.5%Cutaneous metastases from breast cancer, although relatively uncommon, represent the most frequent form of skin metastases overall and pose a significant clinical and therapeutic challenge. …
ECT
Russano et al · Biomedicines
2025ReviewLiterature AnalysisIncreased Intracellular Bleomycin Accumulation, Increased Intracellular Cisplatin Accumulation––bleomycin · intravenousobjective response 87% (55 patients)Cutaneous metastases from breast carcinoma represent a debilitating complication of advanced disease progression, significantly impacting patients' quality of life. Electrochemotherapy (ECT)…
ECT
Campana et al · Handbook of Electroporation
2017ReviewLiterature Analysis–––bleomycin · intravenousobjective response 90.2% (125 patients)Skin metastases occur more commonly in breast cancer (BC) than in any other malignancy in women, exceeding 20% of all cutaneous metastases. They most commonly present on the chest wall (CW),…
ECT
Wichtowski et al · Breast Care (Basel)
2017ReviewLiterature AnalysisIncreased Intracellular Bleomycin Accumulation, Increased Intracellular Cisplatin Accumulation––other · both intravenous and intratumoural–Breast cancer is the most common cause of skin metastases in women. The probability of their occurrence ranges from about 5% in the entire population to as much as 30% in the late stages of …
IRE
Thomson et al · Tech Vasc Interv Radiol
2015ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation––––Irreversible electroporation (IRE) is a novel nonthermal focal ablation technique that uses a series of brief but intense electric pulses delivered by paired electrodes into a targeted regio…
ECT
Schmidt et al · Geburtshilfe Frauenheilkd
2014ReviewLiterature Analysis–––bleomycin · intravenousobjective response 84.1% (1894 lesions)Electrochemotherapy is a new method for the local treatment of cutaneous and subcutaneous metastases. If surgery and/or radiotherapy are no longer possible, this innovative technology can be…
ECT
Sersa et al · Cancer Treat Rev
2012ReviewHumanIncreased Intracellular Bleomycin Accumulation, Increased Intracellular Cisplatin Accumulation– / 171–bleomycin · intravenousobjective response 95% (58 lesions)Chest wall breast cancer recurrence after mastectomy is a disease difficult to treat. Its incidence varies between 5% and 30% in different subset of patients. When possible, radical surgical…
ECT
Radzevičiūtė-Valčiukė et al · Front Immunol
2026Animal StudyAnimal (In Vivo)Tissue Conductivity and Impedance Change, Optimisation of Pulse Parameters–square-wave unipolar and bipolar pulse generator developed acalcium chloride · intratumouralcomplete response 70% (13 animals)Calcium electrochemotherapy (CaECT) is an effective alternative to standard chemotherapeutic treatments, utilizing intracellular delivery of supraphysiological calcium concentrations to indu…
ECT
YazdanParast et al · Biomedicines
2026Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Potentiation of Cytotoxic Drug Permeability–Oncoporeother · intratumouraltumour volume change 0.5 ratio (5 animals)Background : Electrochemotherapy enhances the intracellular delivery of anticancer agents through electroporation but is traditionally limited to cytotoxic drugs associated with significant …
Calcium EP
Barauskaitė-Šarkinienė et al · Int J Mol Sci
2025Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin Accumulation, Irreversible Pore Formation and Cell Death–Amber Charge pulse generatorbleomycin · other route–Electrochemotherapy (ECT) uses electroporation to enhance drug delivery into tumor cells, triggering bystander effects like immunogenicity and cell death. This study investigated bystander e…
ECT
Omerzel et al · Cancers (Basel)
2025Animal StudyAnimal (In Vivo)Immune Checkpoint Inhibitor Combination, Potentiation of Cytotoxic Drug Permeability–GT-01, ELECTRO cell B10bleomycin · intravenouscomplete response 100% (12 animals)Background : Electrochemotherapy (ECT) is a clinically validated local ablative treatment increasingly recognized for its ability to induce immunogenic cell death and stimulate antitumor imm…
Other EP
Pastori et al · J Vasc Interv Radiol
2024Animal StudyAnimal (In Vivo)Systemic / Abscopal Immune Response, Necrosis and Necroptosis–Aliya, RF3000––Purpose: To compare the immune response and survival after size-matched radiofrequency (RF) ablation and a proprietary form of pulsed electric field (PEF) ablation in murine tumors. Material…
ECT
Bosnjak et al · Bioelectrochemistry
2021Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin Accumulation, DNA Damage and Double-Strand Breaks–ELECTRO Cell B10bleomycin · intravenous–Electrochemotherapy (ECT), a local therapy, has different effectiveness among tumor types. In breast cancer, its effectiveness is low; therefore, combined therapies are needed. The aim of ou…
Gene ET
Guo · Front Immunol
2020Animal StudyAnimal (In Vivo)Gene Electrotransfer (Plasmid DNA)–BTX ECM830plasmid DNA · intratumouralcomplete response 25% (8 animals)Interleukin 15 (IL-15) has been evaluated as a potential treatment for solid tumors in clinical trials, but the effectiveness of systemic IL-15 administration as a monotherapy has not been r…
ECT
Sundararajan et al · Biomedicines
2020Animal StudyAnimal (In Vivo)––BTX ECM830, needle array electrodesother · intratumouraltumour volume change 16.67% (6 animals)In the US, every 12 min, six women are diagnosed with breast cancer and one dies. This highlights a critical need for developing alternate therapies using natural compounds, which are cost e…
Gene ET
Savarin · Technol Cancer Res Treat
2018Animal StudyAnimal (In Vivo)Antivascular Effect and Vessel Disruption, Gene Electrotransfer (Plasmid DNA)–ELECTRO cell B10– · intratumoural–Vascular-targeted therapies exhibit radiosensitizing effects by remodeling tumor vasculature, thus facilitating the increased oxygenation of the remaining tumor tissue. To examine these phen…
ECT
Lanza et al · J Vet Med Sci
2017Animal StudyAnimal (In Vivo)Increased Intracellular Cisplatin Accumulation– / 2Onkodisruptorcisplatin · intratumouraldisease-free survival 10 months (2 patients)Two male rats (Rattus norvegicus; 18 and 24 months old), were referred for treatment of large masses located in the axillary area. Following total body radiography and hematological and seru…
IRE
Zhang et al · PLoS One
2017Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation–NanoKnife––Background and aim: Irreversible electroporation (IRE) was confirmed to control several solid tumors effectively in vivo. Our preclinical study aimed to assess the feasibility and safety of …
IRE
Zhang et al · Biomed Microdevices
2017Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation–NanoKnife––Irreversible electroporation (IRE) is considered predominantly as a non-thermal ablative technique that uses electrical fields to permeabilize cell membranes and lead to cell death. In this …
Gene ET
Stimac · PLoS One
2015Animal StudyAnimal (In Vivo)Gene Electrotransfer (Plasmid DNA), Antivascular Effect and Vessel Disruption–GT-01, ELECTRO cell B10 HVLVplasmid DNA · intratumoural–Vascular targeted therapies, targeting specific endothelial cell markers, are promising approaches for the treatment of cancer. One of the targets is endoglin, transforming growth factor-β (…
ECT
Mahna et al · J Membr Biol
2013Animal StudyAnimal (In Vivo)Optimisation of Pulse Parameters, Increased Intracellular Bleomycin Accumulation–ECTS-BDCbleomycin · intratumoural–From a fundamental point of view, chemotherapy is the most widely used treatment for cancers despite its side effects on normal cells and tissues. Electrochemotherapy (ECT) is a method for i…
ECT
Raeisi et al · Radiol Oncol
2012Animal StudyAnimal (In Vivo)Increased Intracellular Cisplatin Accumulation––cisplatin · intratumoural–Background: The aim of this study was to investigate the antitumor effectiveness of electrochemotherapy with cisplatin combined with suboptimal radiotherapy doses. Tumor radiosensitization w…
Other EP
Haller et al · Oncogene
2010Animal StudyAnimal (In Vivo)Gene Electrotransfer (Plasmid DNA)–Derma Vaxplasmid DNA · intratumouraltumour volume change 64% (8 animals)The Notch ligand delta-like ligand 4 (DLL4) is an essential component expressed by endothelial tip cells during angiogenic sprouting. We have described a conceptually novel therapeutic strat…
Gene ET
Shibata · BMC Med
2010Animal StudyAnimal (In Vivo)Gene Electrotransfer (Plasmid DNA), Apoptosis Induction–CUY21EDIT square-wave electropulserplasmid DNA · intratumoural–Background: Cancer metastasis contributes significantly to cancer mortality and is facilitated by lymphangiogenesis and angiogenesis. A new splicing variant, endogenous soluble vascular endo…
IRE
Neal et al · Breast Cancer Res Treat
2010Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Electric Field Distribution and Modelling–––tumour volume change 0.714286 ratio (7 lesions)Irreversible electroporation (IRE) is a therapeutic technology for the ablation of soft tissues using electrodes to deliver intense but short electric pulses across a cell membrane, creating…
Gene ET
Shibata et al · Cancer Gene Ther
2008Animal StudyAnimal (In Vivo)Gene Electrotransfer (Plasmid DNA)–CUY21EDIT square-wave electropulser––Cancer metastasis contributes significantly to cancer mortality and is facilitated by lymphangiogenesis and angiogenesis. Vascular endothelial growth factor-C (VEGF-C) and VEGF-A are involve…
Other EP
Anon · Molecular Therapy
2007Animal StudyAnimal (In Vivo)Gene Electrotransfer (Plasmid DNA)––plasmid DNA · intratumoural–Earlierstudies by our group have demonstrated the potential of branched Polyethyleneimine (PEl, 70Kd) conjugated poly(lactide-co-glycolide)PLGAmicroparticles forenhanced in vitro transfectio…
Gene ET
Curcio et al · Cancer Gene Ther
2007Animal StudyAnimal (In Vivo)–––plasmid DNA · intratumoural–A recently developed, adaptive constant-current electroporation technique was used to immunize mice with an intramuscular injection of plasmid coding for the extracellular and transmembrane …
Other EP
Wells et al · Gene Ther
2000Animal StudyAnimal (In Vivo)Gene Electrotransfer (Plasmid DNA), Electric Field Distribution and Modelling–Velonex model 345 pulse generatorplasmid DNA · intratumoural–Electroporation was applied to enhance gene transfer into subcutaneous MC2 murine breast tumors. Cultured MC2 cells were also transfected by electroporation or by cationic liposomes in the p…
ECT
Belehradek et al · Eur J Cancer
1991Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin Accumulation, Potentiation of Cytotoxic Drug Permeability– / 38Bioblockbleomycin · other routecomplete response 10 count (18 lesions)Electrochemotherapy delivers external electric pulses to the tumour site to induce local potentiation of the antitumour activity of intramuscular injections of bleomycin. C3H/Bi mice with sp…
ECT
Rembiałkowska et al · Bioelectrochemistry
2026In Vitro StudyCell CultureIncreased Intracellular Bleomycin Accumulation, Mitochondrial Dysfunction and Oxidative Stress–BTX ECM830bleomycin–Electrochemotherapy (ECT), combining pulsed electric fields (PEFs) with cytotoxic drugs, enhances intracellular drug delivery and tumor control; however, cellular stress responses determinin…
Other EP
Wei et al · Bioelectrochemistry
2026In Vitro StudyCell CultureMitochondrial Dysfunction and Oxidative Stress, Immunogenic Cell Death (ICD)–––cell viability 16.3%This study aimed to investigate the synergistic effect of cold atmospheric plasma (CAP) and pulsed electric field (PEF) in inducing immunogenic cell death (ICD) in triple-negative breast can…
ECT
Yetişsin et al · Artvin Çoruh Üniversitesi Orman Fakültesi Dergisi
2025In Vitro StudyCell Culture––BTX Gemini X2––The aim of the current study was to determine the phenolic substances in the stem of Asparagus officinalis L, leaves of Arum elongatum Steven and Urtica dioica L. plants collected from diffe…
ECT
Michel et al · Front Oncol
2025In Vitro StudyCell CultureReversible Membrane Permeabilisation, Nanosecond Pulsed Electric Field (nsPEF)–custom-made square-wave high-voltage pulse generatorother · other routecell viability 5.6%Introduction: Electroporation (EP) is a technique that transiently increases the permeability of the cell membrane through the application of high-voltage electric pulses, facilitating the i…
Other EP
Safaei et al · Bioelectromagnetics
2025In Vitro StudyCell CultureApoptosis Induction, Reversible Membrane Permeabilisation–BTX Gemini X2––Breast cancer is the second-leading cancer-related death among women. Survival rates decrease from 99% for localized stages of breast tumors to only 27% when distant metastases develop. Incr…
ECT
Lekešytė et al · Pharmaceutics
2024In Vitro StudyHumanIncreased Intracellular Bleomycin Accumulation, Potentiation of Cytotoxic Drug Permeability–VilniusTECH pulse generatorbleomycincell viability 80%Background/Objectives: Electrochemotherapy (ECT) is a safe and efficient method of targeted drug delivery using pulsed electric fields (PEF), one that is based on the phenomenon of electropo…
ECT
Cvetkovic et al · Experimental and Applied Biomedical Research (EABR)
2023In Vitro StudyCell CultureReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death–ECM 399 Generator, BTX-Harvard Apparatus ECM 399 Generatorother–Despite advances in treatment, breast cancer remains one of the leading causes of death, and obviously new approaches to the treatment are needed. Due to minimal side effects, unlike more ag…
ECT
Giri et al · Explor Target Antitumor Ther
2023In Vitro StudyCell CultureMitochondrial Dysfunction and Oxidative Stress, Apoptosis Induction–BTX ECM830other · other route–Aim: Triple negative breast cancer (TNBC) is difficult to treat since it lacks all the three most commonly targeted hormone receptors. Patients afflicted with TNBC are treated with platinum …
ECT
Bute et al · Med Oncol
2022In Vitro StudyCell CultureOptimisation of Pulse Parameters––other–Traditional cancer treatments, such as chemotherapy and radiotherapy have several limitations. Therefore, their performance must be enhanced with combined methods. The purpose of this study …
ECT
Rembiałkowska et al · Molecules
2022In Vitro StudyCell CultureMitochondrial Dysfunction and Oxidative Stress, Optimisation of Pulse Parameters–PPG-20other–(1) Background: Pulsed electric field (PEF) techniques are commonly used to support the delivery of various molecules. A PEF seems a promising method for low permeability drugs or when cells…
ECT
Varadarajan et al · Appl Biochem Biotechnol
2022In Vitro StudyCell Culture––BTX ECM830other–With the absence of the three most common receptor targets, and with high vascularity and higher-grade tumors, triple-negative breast cancer (TNBC) is the most aggressive of all breast cance…
IRE
Jiang et al · Biosensors (Basel)
2022In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation–BTX ECM830––Irreversible electroporation (IRE) is a non-thermal tumor ablation technique that delivers short pulses of strong electric fields to cancer tissues and induces cell death through the destruc…
ECT
Abd-Elghany · Electromagn Biol Med
2021In Vitro StudyCell CultureNanosecond Pulsed Electric Field (nsPEF), Reversible Membrane Permeabilisation–Grass S44 Stimulator, FID Technologies pulsarbleomycin–The study aimed to evaluate the possibility to perform electrochemotherapy using nanosecond pulsed electric field (nsPEF) and low electric field (LEF) monopolar electrical impulses to allevi…
ECT
Sundararajan et al · Appl Biochem Biotechnol
2021In Vitro StudyCell CultureIncreased Intracellular Cisplatin Accumulation, Apoptosis Induction–BTX ECM830cisplatin–Heat shock proteins (HSPs) are available and/or induced for the survival of all organisms, including eukaryotic, prokaryotic, and plants, from higher temperature stresses. They are the chape…
ECT
Mittal et al · Bioelectrochemistry
2020In Vitro StudyCell CultureApoptosis Induction–BTX ECM830other–Curcumin (Cur), the yellow pigment of well-known turmeric (Curcuma longa L.) is effective in multiple cancers including triple negative breast cancer (TNBC). In combination with electrical p…
ECT
Mittal et al · Sci Rep
2020In Vitro StudyCell CultureMitochondrial Dysfunction and Oxidative Stress–BTX ECM830other · intratumouralcell viability 9% (4 samples)Triple negative breast cancer (TNBC) represents 15-20% of the over one million new breast cancer cases occurring each year. TNBC is an aggressive cancer phenotype, with low 5-year survival r…
Other EP
Rembiałkowska et al · Applied Sciences
2020In Vitro StudyCell CulturePotentiation of Cytotoxic Drug Permeability–BTX ECM830other–Electroporation increases the transmembrane transport of molecules. The combination of electric pulses with cytostatic compounds is beneficial for cancer treatment. Doxorubicin (DOX) is a co…
Gene ET
Sieni · Cancers (Basel)
2020In Vitro StudyCell CultureGene Electrotransfer (Plasmid DNA), Preservation of Extracellular Matrix and Tissue Scaffold–EPS-01plasmid DNA–Gene Electro-Transfer (GET) is a powerful method of DNA delivery with great potential for medical applications. Although GET has been extensively studied in vitro and in vivo, the optimal pa…
Other EP
Sieni et al · Bioelectrochemistry
2020In Vitro StudyCell CultureReversible Membrane Permeabilisation, Preservation of Extracellular Matrix and Tissue Scaffold–EPS-01––Nowadays, electroporation (EP) represents a promising method for the intracellular delivery of anticancer drugs. To setting up the process, the EP efficiency is usually evaluated by using ce…
IRE
Vera-Tizatl et al · Electromagn Biol Med
2020In Vitro StudyCell CultureReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death–BTX830 Square Wave Electroporation System, Gene Pulser––In order to establish cancer-type-specific electroporation protocols for breast cancer, electroporation was performed in vitro in two modalities: in-suspension and adhered cells. Electropora…
ECT
Aslam et al · RSC Adv
2019In Vitro StudyCell CultureTransmembrane Potential Change, Electric Field Distribution and Modelling––––Electroporation has offered important biomedical applications in electrochemotherapy, tissue ablation and gene editing recently. Time and computation efficient analytical and numerical model…
Calcium EP
Hoejholt et al · Sci Rep
2019In Vitro StudyCell CultureCalcium Electroporation and ATP Depletion, Increased Intracellular Bleomycin Accumulation–BTX T820calcium chloride · intratumoural–Calcium electroporation is a novel anti-cancer treatment investigated in clinical trials. We explored cell sensitivity to calcium electroporation and electroporation with bleomycin, using vi…
ECT
Mittal et al · Sci Rep
2019In Vitro StudyCell CultureIncreased Intracellular Cisplatin Accumulation, Apoptosis Induction–BTX ECM830cisplatinprogressive disease 507 countDue to the lack of the three main receptors, triple negative breast cancer (TNBC) is refractive to standard chemotherapy. Hence, alternate therapies are needed. TNBCs utilize glycolysis, whi…
ECT
Weżgowiec et al · Bioelectrochemistry
2018In Vitro StudyCell CultureReversible Membrane Permeabilisation, Apoptosis Induction–BTX ECM830other–Electrochemotherapy became one of the therapeutic protocols successfully used in oncology. However, biological effects occurring in cells, especially those which are drug resistant, have not…
IRE
Goswami et al · Bioelectrochemistry
2017In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation–Harvard Apparatus electroporation unit––Low-level electric fields have been demonstrated to induce spatial re-distribution of cell membrane receptors when applied for minutes or hours. However, there is limited literature on the i…
Other EP
Wezgowiec et al · Photodiagnosis Photodyn Ther
2013In Vitro StudyCell CultureReversible Membrane Permeabilisation, Potentiation of Cytotoxic Drug Permeability–BTX ECM830, BetaTech, Petri Pulser applicatorother–Background: Ineffective drug delivery is a vast problem of anticancer therapies. The aim of this study was to investigate the possibility of enhancement of cyanines transport through the cel…
Other EP
Pehlivanova et al · Cancer Cell Int
2012In Vitro StudyCell CultureReversible Membrane Permeabilisation–Chemipulse III––Background: Recently electroporation using biphasic pulses was successfully applied in clinical developments for treating tumours in humans and animals. We evaluated the effects of electrica…
Other EP
Kulbacka et al · Folia Biol (Praha)
2011In Vitro StudyCell Culture––BTX ECM830other · other route–Phototoxicity of drugs used in cancer photodynamic therapy could be augmented by increased accumulation of a photosensitizer in target cells. The intracellular delivery mode that enhances dr…
IRE
Neal et al · Ann Biomed Eng
2009In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation–96-Well Electroporation Plate System, Vi-Cell Cell Viability Analyzer–cell viability 5% (12 samples)Developments in breast cancer therapies show potential for replacing simple and radical mastectomies with less invasive techniques. Localized thermal techniques encounter difficulties, preve…
ECT
Vera-Tizatl et al · Technol Cancer Res Treat
2018In Silico / ModellingHumanElectrode Geometry and Placement, Electric Field Distribution and Modelling– / 3–––Breast cancer represents a rising problem concerning public health worldwide. Current efforts are aimed to the development of new minimally invasive and conservative treatment procedures for…
ECT
Łapińska et al · Adv Clin Exp Med
2022Editorial / LetterHuman–––––Breast cancer (BC) is the most common cancer in women, and its incidence is increasing every year. Current treatment is based on surgical resection, chemotherapy (CT), radiotherapy, and horm…
ECT
Bourke et al · Breast Cancer Res Treat
2017Editorial / LetterHuman–––bleomycin–, We read with interest Bourke et al.’s paper on the treatment of cutaneous metastases from breast cancer (BC) with electrochemotherapy (ECT) [1]. In a highly pretreated population—whose sur…
ECT
Campana et al · Breast Cancer Res Treat
2017Editorial / LetterHuman–––bleomycin · both intravenous and intratumouralobjective response 68.6% (236 lesions)Breast Cancer Res Treat (2017) 163:403–405 DOI 10.1007/s10549-017-4187-7 REBUTTAL LETTER Effective treatment of intractable cutaneous metastases of breast cancer with electrochemotherapy: a …
ECT
Bosnjak et al · Bioelectrochemistry
2021Correction / ErratumAnimal (In Vivo)–––bleomycin–Bioelectrochemistry 141 (2021) 107865 Contents lists available at ScienceDirect Bioelectrochemistry journal homepage: www.elsevier.com/locate/bioelechem Corrigendum Corrigendum to ‘‘PARP inh…
ECT
Mittal et al · Sci Rep
2019Correction / ErratumCell CultureIncreased Intracellular Cisplatin Accumulation––cisplatin–An amendment to this paper has been published and can be accessed via a link at the top of the paper.
ECT
Bourke et al · Breast Cancer Res Treat
2017Correction / Erratum––––––This publication has no abstract.
ECT
Poompavai et al · IEEE Trans. Radiat. Plasma Med. Sci.
2020Not reported–Thermal Effect and Joule Heating––––Short intense electric pulses surpass the capacitance of the cell membrane and leads to permeabilization [electroporation (EP)]. EP can be reversible [electrochemotherapy (ECT)] or irreversi…
ECT
Agresti et al · The Breast
2017ProtocolHuman–500–bleomycin–The multicentre cohort analysis conducted by GISEL (Italian Senological Group for Electrochemotherapy) confirmed that Electrochemotherapy (ECT) has high antitumor activity (> 90% ORR) on ski…
ECT
Banerjee et al · European Journal of Surgical Oncology (EJSO)
2016Not reported––––bleomycin · intravenous–This publication has no abstract.
ECT
Zheng et al · Gland Surg
2012Not reported––35–––Luca G. Campana, MD, PhD, Sarcoma and Melanoma Unit, Veneto Region Oncology Research Institute (IOVIRCCS) (Figure 1).

Limitations

Publication volume is not clinical efficacy or evidence quality. It describes how much literature exists in the area and of what kind; it does not indicate how strongly the treatment is supported, guideline endorsement or regulatory status.

Patient totals are not a count of unique patients. The same cohort may have been reported in more than one publication; the totals are not a meta-analysis.

How the corpus was assembled, the tier thresholds, the definition of a clinical publication and why methods are counted separately: Literature Map.