An interventional study of Behavioral dietary intervention and Therapeutic conventional surgery in Ductal Breast Carcinoma in Situ, Invasive Ductal Breast Carcinoma and Invasive Lobular Breast Carcinoma, sponsored by Sidney Kimmel Cancer Center at Thomas Jefferson University. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-06.
Sponsored by Sidney Kimmel Cancer Center at Thomas Jefferson University · Not applicable, Interventional, and Supportive care
This pilot clinical trial studies caloric restriction in patients with stage 0-I breast cancer during surgery and radiation therapy. Reducing caloric intake may prevent disease progression in patients with breast cancer. Radiation therapy uses high energy x rays to kill tumor cells. Giving dietary intervention and radiation therapy together may kill more tumor cells.
PRIMARY OBJECTIVE:
Investigate the feasibility of a clinical trial administering ionizing radiation with concurrent caloric restriction (CR) for the treatment of breast cancer.
SECONDARY OBJECTIVE:
OUTLINE:
Beginning 2-4 weeks after completion of lumpectomy, patients receive food diaries to complete for 7-10 days. Dietary counselors then give patients guidelines for dietary modifications to reduce caloric intake by 25% of their normal diet. Patients follow caloric restricted diet for 10 weeks (2 weeks prior to radiation therapy, during 6 weeks of radiation therapy, and at least 2 weeks after radiation therapy). Patients undergo radiation therapy once daily (QD) 5 days a week for 6 weeks.
285 studies on the registry are indexed under Carcinoma, Intraductal, Noninfiltrating; 54 are open to participants now.
This study's enrollment of 38 is below the median of 66 across 207 interventional studies indexed under Carcinoma, Intraductal, Noninfiltrating.
Browse Carcinoma, Intraductal, Noninfiltrating studies →Sidney Kimmel Cancer Center at Thomas Jefferson University is the lead sponsor of 120 studies on the registry; none are open to participants now.
Of its 23 completed or terminated interventional studies of FDA-regulated products, 7 (30%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Appropriate stage for protocol entry, including no clinical evidence for distant , based upon the following minimum diagnostic workup:
Patient must not have any of the following severe, active co-morbidity, defined as follows:
Patient may not have any active gastrointestinal/malabsorption disorder at the discretion of the Principal Investigator
Exclusion Criteria:
Severe, active co-morbidity, defined as follows:
Active gastrointestinal/malabsorption disorder at the discretion of the Principal Investigator
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).
Your pathology report is the document that shows this.
Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.
A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.
Studies often ask for 60 or 70 and above. Your doctor gives the score.
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.
Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.
Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.
The human immunodeficiency virus, which weakens the immune system.
Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.
Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.
Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.
Histologically or cytologically confirmed
The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).
Your pathology report is the document that shows this.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Metastases
Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Karnofsky performance status (KPS)
A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.
Studies often ask for 60 or 70 and above. Your doctor gives the score.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Childbearing potential
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraception
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
BMI (body mass index)
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Cancer (malignancy)
Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.
Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
COPD
Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
HIV
The human immunodeficiency virus, which weakens the immune system.
Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Corticosteroids (steroids)
Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.
Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Beginning 2-4 weeks after completion of lumpectomy, patients receive food diaries to complete for 7-10 days. Dietary counselors then give patients guidelines for dietary modifications to reduce caloric intake by 25% of their normal diet. Patients follow caloric restricted diet for 10 weeks (2 weeks prior to radiation therapy, during 6 weeks of radiation therapy, and at least 2 weeks after radiation therapy). Patients undergo radiation therapy QD 5 days a week for 6 weeks.
Behavioral: Behavioral dietary intervention · Procedure: Therapeutic conventional surgery · Radiation: Radiation therapy · Other: Counseling intervention · Procedure: Quality-of-life assessment
Receive caloric restricted dietary intervention
Undergo definitive lumpectomy
Undergo radiation therapy
Also known as: Irradiation, Radiotherapy, Radiation
Receive dietary counseling
Also known as: Counseling and communications studies
Ancillary studies
Also known as: Quality of life assessment
Number of Participants Who Are Adherent to the Diet Restriction
Computed along with a 95% exact confidence interval. Exact binomial test (with a one-sided alpha of 0.05) will be used to test whether adherence is greater than 60%.
Time frame: Up to week 12
Change in Body Fat Measurement
Analyzed via a paired t-test. Change in body fat measurement as determined by the Durnin-Womersley 4-fold technique
Time frame: Baseline to 4 weeks after completion of study
Change in Body Mass Index (BMI)
Assessed via mixed-effects regression. Weight changes over time assessed by modeling BMI as a function of time
Time frame: Baseline to 4 weeks after completion of study
Change in Heart Rate Over Time
Assessed via mixed-effects regression.
Time frame: Baseline to 4 weeks after completion of study
Patterns of Change Over Time in Serum Markers
Assessed via mixed-effects regression.
Time frame: Baseline to 4 weeks after completion of study
Patterns of Change Over Time in Psycho-social Outcomes Measured Using the Functional Assessment of Cancer Therapy-Breast (FACT-B)
Assessed via mixed-effects regression. The FACT-B is a questionnaire using a 5-point Likert scale (0-Not at all to 4-Very much)
Time frame: Baseline to 4 weeks after completion of study
Local Recurrence
Analyzed via survival methods, specifically the Kaplan-Meier method and the logrank test.
Time frame: Up to 4 weeks after completion of study
Distant Metastases
Analyzed via survival methods, specifically the Kaplan-Meier method and the logrank test.
Time frame: Up to 4 weeks after completion of study
Progression Free Survival
Analyzed via survival methods, specifically the Kaplan-Meier method and the logrank test.
Time frame: Up to 4 weeks after completion of study
Overall Survival
Analyzed via survival methods, specifically the Kaplan-Meier method and the logrank test.
Time frame: Up to 4 weeks after completion of study
| Milestone | Behavioral Dietary Intervention |
|---|---|
| Started | 38 |
| Completed | 32 |
| Not completed | 6 |
Computed along with a 95% exact confidence interval. Exact binomial test (with a one-sided alpha of 0.05) will be used to test whether adherence is greater than 60%.
| participants | Behavioral Dietary Intervention |
|---|---|
| Number of Participants Who Are Adherent to the Diet Restriction | 28 (NA to 74.5) |
Analyzed via a paired t-test. Change in body fat measurement as determined by the Durnin-Womersley 4-fold technique
| percentage of change in body fat | Behavioral Dietary Intervention |
|---|---|
| Change in Body Fat Measurement | -3.1 (-4.7 to -1.5) |
Assessed via mixed-effects regression. Weight changes over time assessed by modeling BMI as a function of time
| percentage of change in BMI | Behavioral Dietary Intervention |
|---|---|
| Change in Body Mass Index (BMI) | -1.2 (-1.6 to -0.8) |
Assessed via mixed-effects regression.
| beats per minute | Behavioral Dietary Intervention |
|---|---|
| Change in Heart Rate Over Time | 67.3 ± 1.5 |
Assessed via mixed-effects regression.
Results for this outcome have not been posted.
Assessed via mixed-effects regression. The FACT-B is a questionnaire using a 5-point Likert scale (0-Not at all to 4-Very much)
| score on a scale | Behavioral Dietary Intervention |
|---|---|
| Patterns of Change Over Time in Psycho-social Outcomes Measured Using the Functional Assessment of Cancer Therapy-Breast (FACT-B) | 0.8 (-6.2 to 7.8) |
Analyzed via survival methods, specifically the Kaplan-Meier method and the logrank test.
| Participants | Behavioral Dietary Intervention |
|---|---|
| Local Recurrence | NA |
Analyzed via survival methods, specifically the Kaplan-Meier method and the logrank test.
| Participants | Behavioral Dietary Intervention |
|---|---|
| Distant Metastases | NA |
Analyzed via survival methods, specifically the Kaplan-Meier method and the logrank test.
| Participants | Behavioral Dietary Intervention |
|---|---|
| Progression Free Survival | NA |
Analyzed via survival methods, specifically the Kaplan-Meier method and the logrank test.
| Participants | Behavioral Dietary Intervention |
|---|---|
| Overall Survival | NA |
Collected over baseline through 5 weeks after completion of study diet.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Behavioral Dietary Intervention | 0/38 (0%) | 0/38 (0%) | 14/38 (36.8%) |
| Event | Behavioral Dietary Intervention |
|---|---|
| DermatitisSkin and subcutaneous tissue disorders | 13/38 |
| fatigueGeneral disorders | 13/38 |
| hyperpigmentationSkin and subcutaneous tissue disorders | 10/38 |
| hot flashesGeneral disorders | 5/38 |
| Age, Categorical(Participants) | Behavioral Dietary Intervention |
|---|---|
| <=18 years | 0 |
| Between 18 and 65 years | 33 |
| >=65 years | 5 |
| Sex: Female, Male(Participants) | Behavioral Dietary Intervention |
|---|---|
| Female | 38 |
| Male | 0 |
| Ethnicity (NIH/OMB)(Participants) | Behavioral Dietary Intervention |
|---|---|
| Hispanic or Latino | 4 |
| Not Hispanic or Latino | 33 |
| Unknown or Not Reported | 1 |
| Race (NIH/OMB)(Participants) | Behavioral Dietary Intervention |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 1 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 15 |
| White | 18 |
| More than one race | 0 |
| Unknown or Not Reported | 4 |
| Region of Enrollment(participants) | Behavioral Dietary Intervention |
|---|---|
| United States | 38 |
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Carcinoma, Intraductal, Noninfiltrating →
Sidney Kimmel Cancer Center at Thomas Jefferson University →