Hypofractionated Irradiation At Regional Nodal Area for Breast Cancer Vs Existed Standard Treatment
Recruiting
Phase 3Interventional Study
Breast Cancer
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Pivotal Trial
This treatment is in the last trial phase before FDA approval.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 – 75
Sex
Female
Trial phase
Phase 3
Study type
Interventional
Purpose
Treatment
Participants needed
801 (estimated)
Sponsor
Ruijin Hospital · Other
Who this trial is looking for
This trial is looking for women with breast cancer who have had surgery. Participants will receive either a shorter or standard course of radiation therapy to see which is more effective and safe.
Are You a Good Fit for This Trial?
You may be able to join if
I am between 18 and 75 years old.
I have been diagnosed with invasive breast cancer.
I have had breast conservation surgery or a mastectomy.
I have positive axillary lymph nodes.
I have a life expectancy of more than 5 years.
I have a negative surgical margin width of more than 2mm.
I have a good performance status.
I can provide written informed consent.
You may not be able to join if
I have positive supraclavicular lymph nodes or ipsilateral internal mammary nodes.
I am pregnant or breastfeeding.
I have severe medical conditions that would prevent radiation treatment.
I have had another type of cancer in the last 5 years.
I have simultaneous contralateral breast cancer.
I have received previous radiation therapy to the chest or surrounding areas.
I have active collagen vascular disease.
I have evidence of metastatic disease or advanced cancer.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
The main objective of this trial is to investigate the efficacy and safety of hypofractionated radiotherapy of 3 or 4 weeks by comparing with conventional radiotherapy of 5 or 6 weeks using intensity-modulated radiation therapy (IMRT) in breast cancer patients with an indication for regional nodal irradiation (RNI) following mastectomy or breast conserving surgery. Patients will be randomized to h…
The main objective of this trial is to investigate the efficacy and safety of hypofractionated radiotherapy of 3 or 4 weeks by comparing with conventional radiotherapy of 5 or 6 weeks using intensity-modulated radiation therapy (IMRT) in breast cancer patients with an indication for regional nodal irradiation (RNI) following mastectomy or breast conserving surgery. Patients will be randomized to hypofractionated radiotherapy or conventional radiotherapy delivered to chest wall or whole breast and regional lymph regions (including supraclavicular and internal mammary lymph nodes). Eligible breast cancer patients will be followed for at least 5 years to evaluate the difference in 5-year locoregional recurrence, over survival, distant metastasis, toxicity and life quality between two groups.
Trial Locations
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Eligibility Criteria
Inclusion criteria :
* Age 18-75 years old
* unilateral histologically confirmed invasive breast carcinoma of pT1-3
* breast conservation surgery or mastectomy
* Breast reconstruction is allowed
* histologically confirmed positive axillary lymph nodes (positive sentinel lymph nodes without axillary…
Inclusion criteria :
* Age 18-75 years old
* unilateral histologically confirmed invasive breast carcinoma of pT1-3
* breast conservation surgery or mastectomy
* Breast reconstruction is allowed
* histologically confirmed positive axillary lymph nodes (positive sentinel lymph nodes without axillary dissection is allowed)
* Life expectancy of \>5 years
* A minimum negative surgical margin width of \>2mm
* Karnofsky Performance Status ≥80
* Estrogen-receptor, Progesterone-receptor, human epidermal growth factor receptor-2 (HER-2) and Ki67 index can be performed on the primary breast tumor or axillary nodes.
* Written informed consent
Exclusion criteria:
* Supraclavicular lymph nodes, positive ipsilateral internal mammary lymph nodes or residual axillary nodes that may be eligible for a boost dose.
* Pregnant or lactating
* Severe non-neoplastic medical comorbidities
* Diagnosis of non-breast malignancy within 5 years preceding enrollment (except for basal cell carcinoma of the skin or carcinoma in situ of the cervix).
* Simultaneous contralateral breast cancer
* Previous RT to thoracic and/or axillary, cervical region
* Active collagen vascular disease
* Evidence of distant metastatic disease and/or T4 disease
Notes for exlusion criteria:
1. Patients with severe non-neoplastic medical comorbidities (e.g.,severe ischemic heart disease, severe arrhythmia or severe chronic obstructive pulmonary disease ) that would preclude radiation treatment will be excluded.
2. Simultaneous contralateral breast cancer includes histologically confirmed DCIS only.
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