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RecruitingNCT07725172Updated Sep 29, 2026

Radiation Therapy and Thymus Function in Young Women With Breast Cancer

An observational study in Breast Cancer, sponsored by Duke University. Recruiting at 1 site in United States. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by Duke University · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
125
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

Breast cancer treatment sometimes includes radiation to the breast or chest wall. There is a small gland, called the thymus, located in the upper chest that may receive a small amount of the radiation aimed at the breast. The goal of this study is to collect blood samples from young women with breast cancer to study the effect of radiation therapy on the thymus gland.

Read the detailed description

This study includes participants whose plan of care may or may not include radiation therapy.

  • Participants whose plan of care includes radiation therapy will have about three teaspoons of research blood collected at the following time points:

    • Before the start of radiation therapy
    • At the end of radiation therapy
    • About six months after completing radiation therapy
  • Participants whose plan of care does NOT include radiation therapy will have about three teaspoons of research blood collected at the following timepoints:

    • After surgery (up to three months after surgery)
    • About 8 months after the first research blood collection
02

Conditions studied

  • Breast Cancer

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Keywords

  • breast cancer in young women
  • blood collection
  • thymopoesis
  • thymus
  • radiation therapy
03

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population includes women age 18-50 with breast cancer seen in the Duke Breast Oncology Program

Inclusion criteria

  • Women aged 18 to 50 undergoing mastectomy or breast-conserving surgery for breast cancer of any subtype at DUMC and associated satellite centers
  • Histologic documentation of breast cancer based on pathology
  • Systemic therapies including hormone therapy, targeted therapy, chemotherapy and immunotherapy as given for breast cancer treatment at the discretion of the treating medical oncologist are allowed and use of such therapies will be documented and included as a covariate
  • Willing and able to provide written informed consent

Exclusion criteria

Exclusion Criteria:

  • Prior history of therapeutic high-dose irradiation of the thorax (e.g. for treatment of lung cancer, head/neck cancer, Hodgkin disease, etc., not just radiological imaging alone)
  • History of thymectomy or treatment with immunosuppressive drugs within the past six months
  • Individuals with rheumatoid arthritis or other autoimmune conditions
  • Individuals with Down's syndrome
  • Male patients
04

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
125 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Radiation Therapy

    Up to 100 Breast cancer patients receiving radiation therapy

    Procedure: Blood draw for the laboratory assessment

  • No Radiation Therapy

    Up to 25 Breast cancer patients NOT receiving radiation therapy as control

    Procedure: Blood draw for the laboratory assessment

Interventions

  • ProcedureBlood draw for the laboratory assessment

    Blood will be drawn and processed for Peripheral Blood Mononuclear Cells (PBMCs). PBMC biomarkers will be used to assess thymopoiesis .

05

What researchers measure

Primary outcomes

  1. Level of signal joint T cell Receptor Exclusion Circles (sjTREC) in peripheral blood T cells

    As measured by quantitative PCR in participants receiving radiotherapy (RT)

    Time frame: baseline

  2. Level of signal joint T cell Receptor Exclusion Circles (sjTREC) in peripheral blood T cells

    As measured by quantitative PCR in participants receiving radiotherapy (RT)

    Time frame: at the end of RT, about 5 weeks

  3. Level of signal joint T cell Receptor Exclusion Circles (sjTREC) in peripheral blood T cells

    As measured by quantitative PCR in participants receiving radiotherapy (RT)

    Time frame: 6 months post-RT

  4. Level of signal joint T cell Receptor Exclusion Circles (sjTREC) in peripheral blood T cells

    As measured by quantitative PCR in participants NOT receiving radiotherapy (RT)

    Time frame: within 3 months after breast cancer surgery

  5. Level of signal joint T cell Receptor Exclusion Circles (sjTREC) in peripheral blood T cells

    As measured by quantitative PCR in participants NOT receiving radiotherapy (RT)

    Time frame: approximately 8-11 months after breast cancer surgery

  6. Level of CD4+ recent thymic emigrant (RTE) cells in participant blood samples

    As measured by flow cytometry in blood from participants receiving radiotherapy (RT)

    Time frame: baseline

  7. Level of CD4+ RTE cells in participant blood samples

    As measured by flow cytometry in blood from participants receiving radiotherapy (RT)

    Time frame: at the end of RT, about 5 weeks

  8. Level of CD4+ RTE cells in participant blood samples

    As measured by flow cytometry in blood from participants receiving radiotherapy (RT)

    Time frame: 6 months post RT

  9. Level of CD4+ RTE cells in participant blood samples

    As measured by flow cytometry in blood from participants NOT receiving radiotherapy (RT)

    Time frame: within 3 months of breast cancer surgery

  10. Level of CD4+ RTE cells in participant blood samples

    As measured by flow cytometry in blood from participants NOT receiving radiotherapy (RT)

    Time frame: approximately 8-11 months after breast cancer surgery

  11. Effect of adjuvant radiotherapy treatment dose on levels of sjTREC-containing T cells

    using a linear mixed-effect model in participants receiving RT

    Time frame: 6 months post RT

  12. Effect of adjuvant radiotherapy treatment fractionation on levels of sjTREC-containing T cells

    using a linear mixed-effect model in participants receiving RT

    Time frame: 6 months post RT

  13. Effect of adjuvant radiotherapy treatment fractionation on levels of CD4+ RTE cells

    using a linear mixed-effect model in participants receiving RT

    Time frame: 6 months post RT

  14. Effect of adjuvant radiotherapy treatment dose on levels of CD4+ RTE cells

    using a linear mixed-effect model in participants receiving RT

    Time frame: 6 months post RT

06

Study locations

1 of 1 sites recruiting
  • Duke Cancer Center
    Durham, North Carolina 27710, United States
    • Eileen Duffy, RN OCN · Contact · eileen.duffy@duke.edu · 919-668-3726
    • Linda Kaltenbach, PhD · Contact · Linda.Kaltenbach@duke.edu · (919) 668-3726
    • Susan McDuff, MD PhD · Principal investigator
    • Andrew Macintyre, PhD · Principal investigator
    Recruiting
07

References and documents

Individual participant data

Plan to share: Undecided — IPD may be shared after publication if deidentified.

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07725172
Lead sponsor
Duke University
Responsible party
Sponsor
First posted
Jul 24, 2026
Start date
Sep 2026 (estimated)
Primary completion
Sep 2029 (estimated)
Completion
Sep 2029 (estimated)
Last update
Sep 29, 2026

Study contacts

Duke Radiation Oncology Clinical Trials
Contact
RadOnc-Clinical_Trials@dm.duke.edu
(919 668-3726
Susan McDuff, MD PhD
principal investigator · Duke University Health System (DUHS)
Andrew Macintyre, PhD
principal investigator · Duke Human Vaccine Institute

Oversight

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

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