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CompletedNCT00527293Updated Aug 25, 2015

Partial Breast Radiation Therapy in Treating Women Undergoing Breast-Conserving Therapy for Early Stage Breast Cancer

An Early Phase 1 interventional study of adjuvant therapy and 3-dimensional conformal radiation therapy in Breast Cancer, sponsored by Case Comprehensive Cancer Center. Completed at 4 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-08-25.

Sponsored by Case Comprehensive Cancer Center · Early Phase 1, Interventional, and Supportive care

Phase
Early Phase 1
Study type
Interventional
Enrollment
29
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Study summary

RATIONALE: Radiation therapy uses high-energy x-rays and other types of radiation to kill tumor cells. Giving radiation therapy in different ways may kill more tumor cells.

PURPOSE: This clinical trial is studying how well partial breast radiation therapy works in treating women undergoing breast-conserving therapy for early stage breast cancer.

Read the detailed description

OBJECTIVES:

  • To determine the cosmetic outcome resulting from partial breast irradiation using two different techniques.
  • To determine patient satisfaction with partial breast irradiation as it pertains to their overall treatment experience as measured by a questionnaire.
  • To determine if there are patient factors that limit a patient's suitability to receive partial breast irradiation delivered by a particular technique.
  • To evaluate wound healing and overall complication rate after partial breast irradiation.
  • To determine ipsilateral breast tumor recurrence rates and tumor bed recurrence rates.

OUTLINE: Patients undergo partial breast irradiation comprising either MammoSite® brachytherapy twice daily for 5-10 days OR 3-dimensional conformal radiotherapy twice daily for 5-10 days.

After completion of study therapy, patients are followed periodically for up to 5 years.

02

Conditions studied

  • Breast Cancer

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Keywords

  • stage I breast cancer
  • stage II breast cancer
  • invasive ductal breast carcinoma
  • medullary ductal breast carcinoma with lymphocytic infiltrate
  • mucinous ductal breast carcinoma
  • tubular ductal breast carcinoma
  • papillary ductal breast carcinoma
03

In context

Breast Neoplasms

12,543 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 29 is below the median of 72 across 9,302 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Case Comprehensive Cancer Center is the lead sponsor of 484 studies on the registry; 59 are open to participants now.

Of its 74 completed or terminated interventional studies of FDA-regulated products, 45 (61%) have results posted.

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

04

Who can participate

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

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed breast cancer, including the following histologic subtypes:

    • Invasive ductal carcinoma
    • Medullary ductal carcinoma
    • Papillary ductal carcinoma
    • Colloid (mucinous) ductal carcinoma
    • Tubular ductal carcinoma
  • The following histologic subtypes are not allowed:

    • Invasive lobular carcinoma
    • Extensive lobular carcinoma in situ
    • Ductal carcinoma in situ (DCIS)
    • Nonepithelial breast malignancies, such as lymphoma or sarcoma
  • No extensive intraductal component by Harvard definition (i.e., more than 25% of the invasive tumor is DCIS or DCIS present in adjacent tissue)
  • Stage I or II disease (T1, N0; T1, N1a; T2, N0; or T2, N1a)

    • Lesion ≤ 3 cm
    • No more than 3 positive lymph nodes

      • Patients with 4 or more positive axillary lymph nodes found at the time of axillary lymph node dissection/sentinel lymph node biopsy are not eligible
  • Has undergone tylectomy (lumpectomy) and axillary lymph node sampling (axillary node dissection or sentinel node biopsy)

    • Negative resection margins with ≥ 2 mm margin from invasive or in situ cancer OR a negative re-excision margin
  • Unifocal breast cancer

    • No multicentric carcinoma (tumors in different quadrants of the breast or tumors separated by ≥ 4 cm)

      • No palpable or radiographically suspicious contralateral axillary, ipsilateral or contralateral supraclavicular, infraclavicular, or internal mammary lymph nodes unless these are histologically confirmed negative
  • No skin involvement of disease
  • No Paget's disease of the nipple
  • No distant metastatic disease
  • Hormone-receptor status not specified

PATIENT CHARACTERISTICS:

  • Female
  • Menopausal status not specified
  • Not pregnant or lactating
  • Negative pregnancy test
  • Fertile patients must use effective contraception for ≥ 1 week prior to, during, and for ≥ 2 weeks after completion of study treatment
  • No collagen vascular disorders, specifically systemic lupus erythematosus, scleroderma, or dermatomyositis
  • No psychiatric, neurologic, or addictive disorders that would preclude obtaining informed consent
  • No other malignancy within the past 5 years, except non-melanomatous skin cancer

PRIOR CONCURRENT THERAPY:

  • No prior radiotherapy to the breast
  • No chemotherapy for at least 2 weeks before and 2 weeks after completion of study radiotherapy
  • Concurrent hormonal therapy allowed
05

Study design

Phase
Early Phase 1
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
29 participants (actual)

Study arms

  • Experimental
    MammoSite Brachytherapy

    Patients undergo partial breast irradiation comprising either MammoSite® brachytherapy twice daily for 5-10 days

    Procedure: adjuvant therapy · Radiation: brachytherapy

  • Experimental
    3-dimensional conformal radiotherapy

    3-dimensional conformal radiotherapy twice daily for 5-10 days.

    Procedure: adjuvant therapy · Radiation: 3-dimensional conformal radiation therapy

Interventions

  • Procedureadjuvant therapy

    If chemotherapy is planned, it must begin no earlier than two weeks following completion of radiation. If chemotherapy is given first, a minimum of 2 weeks from the last cycle must elapse prior to the start of radiation.

  • Radiation3-dimensional conformal radiation therapy

    3-dimensional conformal radiotherapy twice daily for 5-10 days.

  • Radiationbrachytherapy

    Patients undergo partial breast irradiation comprising either MammoSite® brachytherapy twice daily for 5-10 days

06

What researchers measure

Primary outcomes

  1. Cosmetic outcome as determined by an established scale employed by the radiation oncologist and the surgeon

    Time frame: 1 month after RT & Q3mos for one year

  2. Patient satisfaction with partial breast irradiation as measured by a questionnaire

    Time frame: Pre-treatment 1 mo 3 mo 6 mo 9 mo 1yr 5 yr

  3. Wound healing and overall complication rate after partial breast irradiation

    Time frame: 1 month after RT & Q3mos for one year

  4. Determination of which patients are best suited for each individual technique of partial breast irradiation

    Time frame: Patients will be followed for a period of five years following completion of radiation.

  5. Ipsilateral breast tumor recurrence rates and tumor bed recurrence rates

    Time frame: Ipsilateral breast 6 mos after dx, bilateral annually x 5 years

07

Study locations

4 sites
  • Lake/University Ireland Cancer Center
    Cleveland, Ohio 44060, United States
  • Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center
    Cleveland, Ohio 44106-5065, United States
  • UHHS Chagrin Highlands Medical Center
    Cleveland, Ohio 44122, United States
  • UHHS Westlake Medical Center
    Cleveland, Ohio 44145, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 25, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00527293
Lead sponsor
Case Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Sep 10, 2007
Start date
Jun 2007
Primary completion
Oct 2010
Completion
Feb 2015
Last update
Aug 25, 2015

Study contacts

Janice Lyons, MD
study chair · Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2015. You cannot join it, but the record below documents what was studied.

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