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RecruitingNCT06926543CONCERTUpdated Apr 13, 2025

Postoperative Radiotherapy in Breast Cancer- Concurrent or Sequential With Chemotherapy

A Phase 3 interventional study of Chemoradiation and Chemoradiation in Invasive Breast Cancer, Stage III Breast Cancer and Stage IIB Breast Cancer, sponsored by Dr. Tabassum Wadasadawala. Recruiting at 5 sites in India. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-13.

Sponsored by Dr. Tabassum Wadasadawala · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled May 2024, registered Feb 2025).
  • Started May 2024; still recruiting 2 years 4 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
858
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This clinical research aims to determine if concurrent chemotherapy and radiation therapy is more effective than sequential chemotherapy and radiation therapy for patients with stage IIB-III breast cancer. It seeks to answer the following key questions:

  1. When compared to sequential treatment, does concurrent chemoradiotherapy increase disease-free survival?
  2. What effects does concurrent treatment have on post-operative look, quality of life, and side effects including arm swelling (lymphoedema)?
  3. What are each treatment approach's financial costs?

Researchers will compare the following to groups:

Arm A: Participants in the sequential treatment group will first undergo chemotherapy and then radiation.

and Arm B: Participants in the concurrent treatment group will undergo radiation therapy while undergoing chemotherapy.

Participants are going to:

  1. Get the usual chemotherapy (taxanes and/or anthracyclines).
  2. Receive radiation therapy for three to four weeks.
  3. Have follow-up visits every 6months for 5years to check for cancer recurrence, side effects, and quality of life.
02

Conditions studied

  • Invasive Breast Cancer
  • Stage III Breast Cancer
  • Stage IIB Breast Cancer

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Keywords

  • Invasive breast cancer
  • Chemoradiation
  • Sequential
  • Concurrent
  • adjuvant therapy
03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 858 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

This is the only study on the registry with Dr. Tabassum Wadasadawala as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Pathologically confirmed invasive breast cancer
  2. Stage IIB-III invasive breast cancer (AJCC 8th edition)
  3. Patients planned for adjuvant chemotherapy and adjuvant radiotherapy
  4. Patients fit to receive adjuvant chemotherapy and radiotherapy
  5. Age > 18 years

Exclusion criteria

Exclusion Criteria:

  1. Hypersensitivity to taxanes
  2. Patients receiving entire chemotherapy prior to surgery (neoadjuvant setting)
  3. Unable or unwilling for regular follow up
  4. Bilateral tumour needed RT to both sides
  5. Patients planned for RT to oligometastatic sites
  6. Unfavourable anatomical factors potentially leading to higher radiotherapy dose to heart and/or lungs (Exceeding the protocol specific mandatory dose constraints).
  7. Pregnant patient
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
858 participants (estimated)

Study arms

  • Active comparator
    Arm A: Standard Arm

    Participants randomized to arm A arm will receive sequential chemotherapy and radiotherapy

    Drug: Chemoradiation

  • Experimental
    Arm B: Experimental arm

    Participants randomized to arm B will receive concurrent chemotherapy and radiotherapy

    Drug: Chemoradiation

Interventions

  • DrugChemoradiation

    This intervention will consist of getting chemotherapy followed by radiotherapy, i.e, in a sequential manner

  • DrugChemoradiation

    This intervention will consist of getting chemotherapy and radiotherapy at the same time, i.e, in a concurrent manner.

06

What researchers measure

Primary outcomes

  1. Study the 3-year Disease Free Survival.

    Time frame: From enrollment to 3 years after treatment at six months intervals.

Secondary outcomes

  1. Impact of concurrent regimen on patient's Quality of life using the EORTC QLQ 30 and BR 23 and EQ5D5L questionnaire.

    Time frame: From enrollment at pre-raditherapy, post-radiotherapy completion and on follow up at 12-monthly interval up to 3 years.

  2. Subjective and objective assessment of cosmesis in breast-conserving surgery patients, utilizing the Harvard scale and the BCCT core photographic evaluation, respectively.

    All patients who undergo breast conservation surgery will be eligible for this sub-study in which we intend to collect frontal breast photographs for objective assessment of breast cosmesis.

    Time frame: From enrollment at pre-raditherapy, post-radiotherapy completion and on follow up at 12-monthly interval up to 3 years.

  3. The difference in direct and indirect cost of treatment in the two arms will be assessed using the FACT-COST.

    As patients in the intervention arm will complete their treatment at least 6-8 weeks before the patients in the standard arm, it will have huge impact on the expenditure that the patient bears for staying, food as well as transport to the hospital. Hence, we would like to collect data pertaining to patient's daily expenditure during their adjuvant treatment.

    Time frame: From enrollment at start of adjuvant chemotherapy, pre-radiotherapy and at post radiotherapy treatment.

  4. To assess the rate of lymphedema in the two arms of the trial using subjective and objective methods

    As the breast cancer treatment increases the risk of swelling in the upper limb, we would like to assess for the same. This will help us to diagnose lymphedema at an early stage and will be able to treat it more effectively.

    Time frame: From enrollment at pre-radiotherapy, post-radiotherapy completion and annually thereafter till 3 years

  5. Overall survival (OS)outcome assessment in the two arms.

    Time frame: From enrollment to 5 years after treatment at 6 months intervals

  6. Breast Cancer Specific Survival (BCSS) will be assessed with regular follow-ups.

    Time frame: From enrollment to 5 years after treatment at 6 months intervals

07

Study locations

1 of 5 sites recruiting
  • Homi Bhabha Cancer Hospital & Research Centre
    Vishkhapatnam, Andhra Pradesh 530053, India
    • Rohit Vadgaonkar · Contact · dr.ravad@gmail.com · +910167 224 1241
    • Rohit Vadgaonkar · Principal investigator
    Not yet recruiting
  • Tata Memorial Centre
    Mumbai, Maharasthra 400012, India
    • Tabassum Wadasadawala · Contact · drtabs.radonc@gmail.com · (+91-22) 24177026
    • Tabassum Wadasadawala, MD, DNB (Radiotherapy) · Principal investigator
    • Rajiv Sarin, MD, DNB (Radiation oncology) · Sub investigator
    • Rima Pathak, MD (Radiotherapy) · Sub investigator
    • Revathy Krishnamurthy, MD (Radiotherapy) · Sub investigator
    • Sudeep Gupta, MD, DM (Medical oncology) · Sub investigator
    • Seema Gulia, MD, DM (Medical oncology) · Sub investigator
    • Sushmita Rath, MD, DM (Medical oncology) · Sub investigator
    • Shalaka Joshi, MS, DNB (General Surgery) · Sub investigator
    • Anuradha Daptardar, Bsc (Physiotherapy) · Sub investigator
    Recruiting
  • Homi Bhabha Cancer Hospital and Research Centre
    New Chandigarh, Punjab 140901, India
    Not yet recruiting
  • Homi Bhabha Cancer Hospital, Sangrur
    Sangrur, Punjab 148001, India
    • Jayashree Deshmkh · Contact · drjanvi299@gmail.com · +910167 224 1241
    • Jayashree Deshmukh · Principal investigator
    Not yet recruiting
  • Mahamana Pandit Madan Mohan Malviya Cancer Centre
    Varanasi, Uttar Pradesh 221005, India
    Not yet recruiting
08

References and documents

Publications

  • Wadasadawala T, Anup A, Carlton J, Sarin R, Gupta S, Parmar V, Pathak R, Ghosh J, Bajpai J, Gulia S, Krishnamurthy R. CONcurrent ChEmotherapy and RadioTherapy in adjuvant treatment of breast cancer (CONCERT): a phase 2 study. Ecancermedicalscience. 2023 Feb 23;17:1510. doi: 10.3332/ecancer.2023.1510. eCollection 2023. PubMed 37113709 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06926543
Lead sponsor
Dr. Tabassum Wadasadawala
Responsible party
Dr. Tabassum Wadasadawala (Professor and Radiation oncologist, Tata Memorial Centre) — Sponsor-investigator
First posted
Apr 13, 2025
Start date
May 14, 2024
Primary completion
May 2031 (estimated)
Completion
May 2031 (estimated)
Last update
Apr 13, 2025

Study contacts

Tabassum Wadasadawala, MD, DNB Radiotherapy
Contact
drtabs.radonc@gmail.com
(+91-22) 24177026 ext. 7026

Oversight

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

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