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Active, not recruitingNCT00185744Updated Mar 20, 2026

Accelerated Partial Breast Irradiation Following Lumpectomy for Breast Cancer

An interventional study of Intra-Operative Radiotherapy (IORT) and Lumpectomy in Breast Cancer and Carcinoma, Ductal, sponsored by Stanford University. Active, not recruiting at 1 site in United States. Open to female participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-03-20.

Sponsored by Stanford University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
121
Allocation
Non-randomized
Ages
40 Years and older
Sex
Female
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Study summary

To determine whether an accelerated course of radiotherapy delivered to the lumpectomy cavity plus margin using IORT as a single dose, intracavitary brachytherapy with the MammoSite device over 5 days, partial breast 3-D CRT in 5 days, or stereotactic APBI over 4 days is a feasible and safe alternative to a six and a half week course of whole breast radiotherapy. The study will measure both short and long-term complications of radiation treatment, short and long-term breast cosmesis, local rates of in-breast cancer recurrence, regional recurrences, distant metastases, and overall survival.

02

Conditions studied

  • Breast Cancer
  • Carcinoma, Ductal
03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 121 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Stanford University is the lead sponsor of 2,117 studies on the registry; 425 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 197 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
40 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Women >= 40 with invasive ductal carcinoma or ductal carcinoma in situ
  2. Patient chooses lumpectomy rather than mastectomy as treatment for breast cancer
  3. Tumor \< 2.5 cm in size, 2 mm margin of normal breast tissue between cancer and edge of specimen.

Exclusion criteria

Exclusion Criteria:

  1. Men
  2. Prior malignancy, breast or other if metastatic or with anticipated survival of \< 5 years
  3. Pregnant women
  4. Immunocompromised
  5. Poorly controlled insulin dependent diabetes
  6. Contraindication to radiotherapy, e.g. connective tissue disorder such as scleroderma
  7. Breast cancer that involves skin or chest wall
  8. Multifocal or Multicentric breast cancer
  9. Invasive lobular carcinoma
  10. Diffuse microcalcifications on mammography
  11. Invasive carcinoma with extensive intraductal component (EIC)
  12. Greater than 12 weeks since definitive surgical excision or completion of chemotherapy
  13. Involved lymph nodes detected by frozen section or touch preparation at time of lumpectomy
  14. Patients with 1 to 3 positive lymph nodes determined postoperatively (does not include patients with micro-metastases)
  15. Subglandular or submuscular breast implants (does not include patients having implants placed AFTER intra-operative radiotherapy)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
121 participants (actual)

Study arms

  • Experimental
    Accelerated Partial Breast Irradiation

    lumpectomy with accelerated partial breast irradiation

    Radiation: Intra-Operative Radiotherapy (IORT) · Procedure: Lumpectomy · Radiation: Intracavitary Brachytherapy · Radiation: Accelerated External Beam 3-D Conformal Radiotherapy · Radiation: Stereotactic APBI

  • Active comparator
    Standard Therapy

    lumpectomy and whole breast irradiation

    Procedure: Lumpectomy · Radiation: Whole Breast Radiotherapy

Interventions

  • RadiationIntra-Operative Radiotherapy (IORT)

    single dose in the operating room after lumpectomy

  • ProcedureLumpectomy
  • RadiationWhole Breast Radiotherapy

    six and a half week treatment

  • RadiationIntracavitary Brachytherapy

    5 day treatment

    Also known as: MammoSite

  • RadiationAccelerated External Beam 3-D Conformal Radiotherapy

    5 day treatment

  • RadiationStereotactic APBI

    4 day treatment

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What researchers measure

Primary outcomes

  1. In-breast tumor recurrence (IBTR)

    Proportion of subjects that experience in-breast tumor recurrence (IBTR), to be assessed through or by March 2029

    Time frame: 20 years

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Study locations

1 site
  • Stanford University School of Medicine
    Stanford, California 94305, United States
08

References and documents

Publications

  • Horst KC, Fasola C, Ikeda D, Daniel B, Ognibene G, Goffinet DR, Dirbas FM. Five-year results of a prospective clinical trial investigating accelerated partial breast irradiation using 3D conformal radiotherapy after lumpectomy for early stage breast cancer. Breast. 2016 Aug;28:178-83. doi: 10.1016/j.breast.2016.06.001. Epub 2016 Jun 17. PubMed 27322859 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00185744
Lead sponsor
Stanford University
Responsible party
Sponsor
First posted
Sep 16, 2005
Start date
Sep 2002
Primary completion
Mar 2029 (estimated)
Completion
Mar 2029 (estimated)
Last update
Mar 20, 2026

Study contacts

Frederick M. Dirbas
principal investigator · Stanford University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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