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CompletedNCT03461588Updated Mar 25, 2020

Prospective Assessment of Radiation-induced Heart Injury in Left-sided Breast Cancer

An interventional study of free-breathing and deep inspiratory breath-holding in Breast Neoplasms, Heart Injuries and Radiation Toxicity, sponsored by Shu lian Wang. Completed at 2 sites in China. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2020-03-25.

Sponsored by Shu lian Wang · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Jan 2017, registered Feb 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
Female
01

Study summary

This study is to prospectively investigate the cardiac dose-sparing effect and clinical benefit of deep inspiration breath-hold (DIBH) technique. Patients with left-sided breast cancer treated with breast conserving surgery followed by radiotherapy is enrolled. Radiotherapy is delivered with either free-breathing or deep inspiration breath-hold (DIBH) technique. The cardiac dose parameters and cardiac toxicity are prospective evaluated, and the dose-effect relationship is analyzed.

Read the detailed description

Patients with left-sided breast cancer treated with breast conserving surgery are prospectively enrolled. Two types of radiation treatment are delivered based on attending physician's preferences: radiation to whole breast +- regional nodal areas with free-breathing technique, or with deep inspiration breath-hold (DIBH) technique. The cardiac dose parameters including heart dose and the dose to left anterior coronary artery are assessed, and the cardiac toxicities regularly assessed with cardiac enzymes,electrocardiogram(ECG) and normal gated single-photon emission computed tomography-myocardial perfusion imaging before, during and after radiation.The dose-effect relationship of heart injuries is analyzed.

02

Conditions studied

  • Breast Neoplasms
  • Heart Injuries
  • Radiation Toxicity
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's enrollment of 140 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Shu lian Wang is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
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

  1. Left-sided breast cancer
  2. Underwent breast conserving surgery
  3. Planned for postoperative whole breast +- regional nodal radiotherapy
  4. No basic heart disease

Exclusion criteria

Exclusion Criteria:

  1. Abnormal cardiac baseline examination
  2. History of chest radiation
  3. Can not tolerate deep inspiratory breath-holding
05

Study design

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

Study arms

  • Active comparator
    Free-breathing

    standard treatment

    Radiation: free-breathing

  • Experimental
    Deep inspiratory breath-holding

    new technique

    Radiation: deep inspiratory breath-holding

Interventions

  • Radiationfree-breathing

    patients are irradiated to whole breast +- regional nodal areas with free-breathing technique after breast conserving surgery

  • Radiationdeep inspiratory breath-holding

    patients are irradiated to whole breast +- regional nodal areas with deep inspiratory breast-holding technique after breast conserving surgery

06

What researchers measure

Primary outcomes

  1. Number of participants with treatment-related cardiac adverse events as assessed by CTCAE v4.0

    The cardiac adverse events are regularly assessed with cardiac symptoms,cardiac enzymes(TnT,BNP),electrocardiogram(ECG) and normal gated single-photon emission computed tomography-myocardial perfusion imaging.

    Time frame: up to 2 years

07

Study locations

2 sites
  • Cancer Hospital, Chinese Academy of Medical Sciences
    Beijing, 100021, China
  • Cancer Hosptical, Chinese Academy of Medical Sciences
    Beijing, 100021, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 25, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03461588
Lead sponsor
Shu lian Wang
Responsible party
Shu lian Wang (professor of medicine, Chinese Academy of Medical Sciences) — Sponsor-investigator
First posted
Mar 12, 2018
Start date
Jan 1, 2017
Primary completion
Jan 30, 2020
Completion
Jan 30, 2020
Last update
Mar 25, 2020

Study contacts

Shulian Wang, M.D.
principal investigator · Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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