CClinicalTrials.gg
Not yet recruitingNCT06131632ConSIBreCUpdated Jan 23, 2024

Conserving Surgery in Inflammatory Breast Cancer After Neoadjuvant Chemotherapy

An interventional study of Breast conserving surgery and Radical modified mastectomy in Inflammatory Breast Cancer, sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS. Not yet recruiting at 1 site in Italy. Open to female participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-23.

Sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
Female
01

Study summary

Inflammatory breast cancer is an aggressive and rare form of breast cancer, which accounts for 2-3% of all breast cancers. The classic presentation of inflammatory breast cancer includes erythema, edema, and peau d'orange of at least one/third of the breast.

Current treatment of inflammatory breast cancer include: neoadjuvant chemiotherapy, modified radical mastectomy and radiation therapy.

In the last two decades the development of new targeted therapies has significantly improved the efficacy of neoadjuvant chemiotherapy allowing a de-escalation of surgical treatment in patients with non-inflammatory breast cancer that achieve clinical complete response.

There are few retrospective studies that evaluate implications of surgical treatment on survival among these patients. This may justify trial aims to investigate the possible use of the breast conserving surgery in patients with inflammatory breast cancer that achieve clinical complete response after neoadjuvant chemiotherapy.

02

Conditions studied

  • Inflammatory Breast Cancer

Keywords

  • inflammatory breast cancer
  • breast conserving surgery
  • radical mastectomy
03

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Patients with inflammatory breast cancer
  • Clinical complete response after neoadjuvant chemiotherapy
  • Targeted tumor
  • Written informed consent

Exclusion criteria

Exclusion Criteria:

  • Metastasis
  • Progression disease
  • Recurrent disease
  • Contraindications to adjuvant radiation therapy
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Experimental
    Breast conserving surgery

    Procedure: Breast conserving surgery

  • Active comparator
    Radical modified mastectomy

    Procedure: Radical modified mastectomy

Interventions

  • ProcedureBreast conserving surgery

    Remove only a small part of the breast

  • ProcedureRadical modified mastectomy

    Remove all the breast parenchyma, nipple and skin

05

What researchers measure

Primary outcomes

  1. local recurrence rate

    Rate of recurrence in the breast parenchyma after conserving surgery vs radical mastectomy

    Time frame: 24 months

Secondary outcomes

  1. local recurrence-free survival

    Rate of disease free survival after breast conserving surgery vs radical mastectomy

    Time frame: 24 months

  2. overall survival

    overall survival after breast conserving surgery vs radical mastectomy

    Time frame: 24 months

06

Study locations

1 site
  • Fondazione Policlinico Universitario A. Gemelli IRCCS,
    Roma, 00168, Italy
07

Registry details

Key details

Study ID
NCT06131632
Lead sponsor
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Responsible party
Sponsor
First posted
Nov 14, 2023
Start date
Mar 1, 2024 (estimated)
Primary completion
Jan 1, 2026 (estimated)
Completion
Jan 1, 2028 (estimated)
Last update
Jan 23, 2024

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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