ClinicalTrials.gg
Active, not recruitingNCT03460067Updated Mar 27, 2025

Omission of Radiation in Patients With Her-2 Positive Breast Cancer

An interventional study of Omission of Radiation in HER2-positive Breast Cancer, sponsored by University of Kansas Medical Center. Active, not recruiting at 1 site in United States. Open to female participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2025-03-27.

Sponsored by University of Kansas Medical Center · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Non-randomized
Ages
40 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 31 studies in Breast Neoplasms by University of Kansas Medical Center — 6 open to participants now, 14 under way, none of them phase 3. Breast Neoplasms · University of Kansas Medical Center.

Enrollment
26th of 28
12 · median 71
Started
2018
with 2 others
No phase
9 of 31
2 open now
Primary completion
2027-07
later than 9 of 13 live
Registered
18th of 31
by date

Among the 31 studies in Breast Neoplasms by University of Kansas Medical Center, this one is the 26th largest by enrollment of the 28 interventional ones that give a count, is one of 3 that started in 2018, is one of 9 with no phase, reaches primary completion later than 9 of the 13 other live ones, and was the 18th registered.

Breast Neoplasms

14,832 studies on the registry are indexed under Breast Neoplasms; 3,320 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

6 of the 31 studies in Breast Neoplasms by University of Kansas Medical Center are open now, in 1 country. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 6 open studies →

Where they have run

Who these studies take

Of the 2,399 Breast Neoplasms studies recruiting now, 1,570 (65%) set no upper age limit and 592 (25%) stop at 75 or younger; 103 take children under 18; 215 take healthy volunteers.

This study: 40 Years and older · female · no healthy volunteers.

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02

Study summary

The primary objective of this study is to describe the rate of local control in patients with her-2 positive early stage breast cancer with a complete response to chemotherapy and lumpectomy alone.

Read the detailed description

Participants, ages 40 and older diagnosed with stage I or stage II her-2 positive, node negative breast cancer patients will be recommended to continue trastuzumab +/- pertuzumab therapy after surgery to complete a full year of therapy as standard of care under the clinical management of the patient's medical oncologist.

Once neoadjuvant chemotherapy has been completed, the patient will be separated in to one of three arms based on a set of criteria for each. If the patient wishes to take part in the study, but does not have a lumpectomy with sentinel lymph node biopsy showing pCR, the patient will be placed in to Arm C and will proceed with radiation as standard of care. If the patient wishes to take part in the study, and has a lumpectomy with sentinel lymph node biopsy showing pCR, but does not agree to omission of radiation, the patient will be placed in to Arm B and will proceed with radiation as standard of care. If the patient wishes to take part in the study, and has a lumpectomy with sentinel lymph node biopsy showing pCR and agrees to omission of radiation, the patient will be placed in to Arm A with follow up assessments occuring at 1 month post-op, and every 3 months up to 5 years post-op.

Data will be collected on local, regional and distant recurrence at each follow-up.The self-administered FACT-B+4 quality of life questionnaire will be given to patients at baseline, at first postoperative visit, and at the one year post-operative visit.

Patients enrolling prior to chemotherapy will be asked to fill out the Breast-Q™ at the time of their first surgical consultation. Patients enrolled post-surgery will be asked to fill out the Breast-Q™ at their first post-operative visit. All patients will be asked to fill out the Breast-Q™ at their yearly postoperative visits. The Breast-Q™ is a validated patient assessment of breast cosmesis. This tool has both pre operative and post-operative components. Pre-operative Breast-Q™ questionnaire data is not required of participants in this study who enroll postoperatively.

03

Conditions studied

  • HER2-positive Breast Cancer

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Keywords

  • omission of radiation
  • trastuzumab
  • pertuzumab
  • biospecimen collection
  • lumpectomy
04

Who can participate

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

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.

Inclusion criteria

  • Ability to understand and the willingness to sign a written .
  • Performance Status 50% to 100% (Appendix A).
  • Women 40 years of age or older with a diagnosis of invasive ductal carcinoma
  • Her-2 3+ or FISH ratio of 2.2 or higher, background gene expression with normal copy number
  • Only women will be eligible. Subjects will be classified as being postmenopausal if they have had:

    • No spontaneous menses > 1 year, or
    • Bilateral surgical oophorectomy, or
    • No menses for \< 1 year with FSH and estradiol levels in according to institutional standards
  • cT1-2N0 on clinical staging (verified to have no suspicious axillary or internal mammary nodes on MRI or ultrasound)
  • Undergo chemotherapy with a trastuzumab based regimen prior to surgery and plan for completion of one year of trastuzumab
  • Patients are required to undergo lumpectomy with sentinel lymph node
  • Pathologic review shows no evidence of residual disease in the tumor bed (to also include no evidence of residual DCIS)
  • Tumor bed should be no larger than 5 cm in size on pathologic review
  • Fibrotic area of prior tumor located at least 3 mm away from surgical margins
  • No evidence of treatment related change in the lymph nodes on pathologic review

Exclusion criteria

Exclusion Criteria

  • Diagnosis of inflammatory breast cancer
  • Previously diagnosed excluding basal or squamous cell carcinoma of the skin (unless disease-free for 5 years or more)
  • Diagnosis of disease
Terms in these criteria, in plain language(7)

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.

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.

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

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

Study arms

  • Experimental
    Arm A

    Patient is required to have lumpectomy with sentinel lymph node biopsy shows pCR and will complete 1 year of trastuzumab +/- pertuzumab treatment. No radiation, or an omission of radiation, will be given on this arm, including external beam, brachytherapy or intraoperative radiation. Patients will be required to follow up with a medical, surgical, or radiation oncologist every 3 months for 5 years. At these follow up visits, a physical exam will be performed to assess for any disease recurrence. Screening mammogram or MRI is recommended every 6 months for patients on this arm.

    Radiation: Omission of Radiation

  • No intervention
    Arm B

    Patient is required to have her-2 positive breast cancer, clinically node negative from exam. Patient will complete neoadjuvant chemotherapy per Medical Oncologist. This arm will undergo lumpectomy with sentinel lymph node biopsy shows pCR. The patient will proceed with radiation as standard of care. This arm includes a review of outcomes in the patient's medical chart as well as a collection of biospecimens such as blood and urine, for correlative studies.

  • No intervention
    Arm C

    Patient is required to have her-2 positive breast cancer, clinically node negative from exam. patient will complete neoadjuvant chemotherapy per Medical Oncologist. This arm will not undergo lumpectomy with sentinel lymph node biopsy shows pCR. The patient will proceed with radiation as standard of care. This arm includes a review of outcomes in the patient's medical chart as well as a collection of biospecimens, such as blood and urine, for correlative studies.

Interventions

  • RadiationOmission of Radiation

    No Radiation will be given. 1 year of trastuzumab +/- pertuzumab treatment will be given with 5 years of follow up occurring every 3 months to check for recurrence

This study also gives Trastuzumab, Pertuzumab. No intervention listed here names it: that was found by reading the record.

06

What researchers measure

Primary outcomes

  1. Ipsilateral Breast Cancer Recurrence

    Defined as biopsy positive her-2 positive tumor in the same breast

    Time frame: up to 5 year post-op

Secondary outcomes

  1. Regional Nodal Recurrence

    Will include recurrence in the ipsilateral draining axilla, supraclavicular fossa, or internal mammary nodes.

    Time frame: 1 month post-op, every three months post-op for 5 years

  2. Distance Metastasis

    Defined as biopsy proven disease outside of the affected breast and draining lymphatics, or definitive radiographical evidence of distant disease, to include a positive bone scan or enhancing lesions on MRI brain.

    Time frame: 1 month post-op, every three months post-op for 5 years

  3. Overall Survival

    Defined as death from any cause

    Time frame: 1 month post-op, every three months post-op for 5 years

  4. Quality of Life using FACT-B+4

    Measured using scores from patient reported outcomes from FACT-B+4 questionnaire

    Time frame: 1 month post-op, every three months post-op for 5 years

  5. Cosmetic (Breast) Outcomes

    Measured using scores from patient reported outcomes using the Breast Q questionnaire

    Time frame: 1 month post-op, every three months post-op for 5 years

  6. Lymphedema Rate

    Assessed by a diagnosis of Lymphedema in the medical record by trained lymphedema nurse.

    Time frame: 1 month post-op, every three months post-op for 5 years

07

Study locations

1 site
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2018 (actual). Primary completion is estimated for Jul 2027, 112 months after the start.

Of 2,663 non-industry interventional studies with no phase under Breast Neoplasms, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 66. This study's planned 112 months is above that.

Counting every sponsor, half of 2,773 studies reached it within 33 months; a quarter within 15 and three quarters within 66.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 24, 2018
First posted
Mar 9, 2018
StartActual
Feb 23, 2018
Primary completionEst.
Jul 16, 2027
CompletionEst.
Jul 16, 2027
Last update
Mar 27, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03460067
Responsible party
Sponsor
First posted
Mar 9, 2018
Start date
Feb 23, 2018
Primary completion
Jul 16, 2027 (estimated)
Completion
Jul 16, 2027 (estimated)
Last update
Mar 27, 2025

Study contacts

Shane Stecklein, MD, PhD
principal investigator · University of Kansas Medical Center

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 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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