ClinicalTrials.gg
Status unknownNCT00818051Updated Jan 7, 2011

Radiation Therapy in Treating Women Who Have Undergone Breast Conservation Surgery and Systemic Therapy for Early Breast Cancer

A Phase 3 interventional study of intensity-modulated radiation therapy in Breast Cancer, sponsored by Institute of Cancer Research, United Kingdom. Status unknown at 1 site in United Kingdom. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-01-07.

Sponsored by Institute of Cancer Research, United Kingdom · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jan 2009), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
840
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. Specialized radiation therapy, such as intensity-modulated radiation therapy, that delivers a high dose of radiation directly to the tumor may kill more tumor cells and cause less damage to normal tissue. It is not yet known which radiation therapy schedule is more effective in treating breast cancer.

PURPOSE: This randomized phase III trial is studying three different radiation therapy schedules to compare how well they work in treating women who have undergone breast conservation surgery and systemic therapy for early breast cancer.

Read the detailed description

OBJECTIVES:

  • To test dose-escalated intensity-modulated radiotherapy after breast conservation surgery in women with early breast cancer who are at higher than average risk for local recurrence.

OUTLINE: This is a multicenter study. Patients are stratified according to center. Patients are randomized to 1 of 3 treatment arms.

  • Arm I (control): Patients undergo sequential boost dose intensity-modulated radiotherapy (IMRT) 5 days a week for 4.6 weeks (23 fractions; 56 Gy).
  • Arm II: Patients undergo concurrent boost dose IMRT 5 days a week for 3 weeks (15 fractions; 48 Gy).
  • Arm III: Patients undergo concurrent boost dose IMRT 5 days a week for 3 weeks (15 fractions; 53 Gy).

Quality-of-life questionnaires are administered at baseline, 6 months, and at 1, 3, and 5 years. Photograph assessments of the breasts are taken at baseline and at 3 and 5 years. Blood samples are collected at baseline and periodically thereafter. Tissue samples are also collected from primary tumor, including new primary tumor in either breast, and recurrent tumor.

After completion of study treatment, patients are followed annually for 10 years.

02

Conditions studied

  • Breast Cancer

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Keywords

  • stage IA breast cancer
  • stage IB breast cancer
  • stage II breast cancer
  • stage IIIA breast cancer
03

In context

Breast Neoplasms

12,815 studies on the registry are indexed under Breast Neoplasms; 2,920 are open to participants now.

This study's planned enrollment of 840 is above the median of 72 across 9,494 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Institute of Cancer Research, United Kingdom is the lead sponsor of 113 studies on the registry; 27 are open to participants now.

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 invasive breast cancer

    • Resectable, unilateral disease
    • T1-3, N0-1, M0 disease
  • Has undergone prior breast conservation surgery with complete microscopic resection AND received appropriate systemic therapy for early breast cancer
  • Requires a tumor bed boost plus whole breast radiotherapy as indicated by ≥ 1 of the following:

    • Age 18-49 years
    • Tumor size > 2.0 cm after primary surgery (maximum microscopic diameter of invasive component)
    • Tumor of any size treated by primary medical therapy
    • Grade III disease
    • Minimum microscopic margin of noncancerous tissue \< 5 mm (excluding deep margin if at deep fascia)
    • Lymphovascular invasion
    • Axillary node positive
  • Hormone receptor status not specified

PATIENT CHARACTERISTICS:

  • Menopausal status not specified
  • No prior malignancy other than non-melanoma skin cancer or carcinoma in situ of the cervix

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • No prior mastectomy
  • No concurrent chemotherapy except primary or sequential chemotherapy
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Enrollment
840 participants (estimated)

Study arms

  • Active comparator
    Arm I (control)

    Patients undergo sequential boost dose intensity-modulated radiotherapy (IMRT) 5 days a week for 4.6 weeks (23 fractions; 56 Gy).

    Radiation: intensity-modulated radiation therapy

  • Experimental
    Arm II

    Patients undergo concurrent boost dose IMRT 5 days a week for 3 weeks (15 fractions; 48 Gy).

    Radiation: intensity-modulated radiation therapy

  • Experimental
    Arm III

    Patients undergo concurrent boost dose IMRT 5 days a week for 3 weeks (15 fractions; 53 Gy).

    Radiation: intensity-modulated radiation therapy

Interventions

  • Radiationintensity-modulated radiation therapy

    Given as 48, 53, or 56 Gy

06

What researchers measure

Primary outcomes

  1. Palpable induration inside the boost volume of the irradiated breast

Secondary outcomes

  1. Other late adverse effects in normal tissue as measured by clinical and photographic assessments and patient self-assessments (quality-of-life questionnaires)

  2. Local tumor control

  3. Location of tumor relapse in breast

  4. Contralateral primary tumors

  5. Regional and distant metastases

  6. Overall survival

07

Study locations

1 of 1 sites recruiting
  • Royal Marsden - Surrey
    Sutton, England SM2 5PT, United Kingdom
    • John R. Yarnold, MD, FRCR · Contact · 44-20-8661-3388
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 7, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00818051
First posted
Jan 7, 2009
Start date
Aug 2008
Last update
Jan 7, 2011

Study contacts

John R. Yarnold, MD, FRCR
principal investigator · Royal Marsden NHS Foundation Trust
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jan 2009. You cannot join it, but the record below documents what was studied.

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