A Phase I-II Study of Stereotactic Body Radiation Therapy for Breast Cancer (SBRT Breast)
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Breast Cancer
- Sponsor
- Toronto Sunnybrook Regional Cancer Centre
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Acute toxicity
- Status
- Active, Not Recruiting
- Last Updated
- 7 months ago
Overview
Brief Summary
This is a prospective, single institution, phase I-II study of stereotactic body radiotherapy (SBRT) for unresected breast cancer. Twenty-four patients with advanced breast cancer who are not candidates for surgery (metastatic disease, unresectable, medically inoperable) or decline surgery will be enrolled in a prospective study using SBRT (4 fractions of radiation therapy over 12-15 days) as the primary treatment modality.
Investigators
Danny Vesprini, MD, MSc, FRCPC
Deputy Chief, Department of Radiation Oncology - Clinical Care
Toronto Sunnybrook Regional Cancer Centre
Eligibility Criteria
Inclusion Criteria
- •Histologically confirmed diagnosis of invasive breast carcinoma of non-lobular histology.
- •Unifocal tumour Previously assessed by a breast surgeon and medical oncologist, with no surgery being recommended at time of enrollment.
- •Primary breast and axillary surgery not recommended/performed due to any of the following:
- •distant metastatic disease
- •unresectable T4 disease and/or
- •medically inoperable and/or
- •patient declined breast surgery Stages T1-T4, N1-N2, M0-M1 disease Ability to attend radiation planning and therapy, able to attend for follow-up care Able to provide written informed consent.
Exclusion Criteria
- •Received chemotherapy within 3 weeks prior to breast SBRT. (Concurrent endocrine therapy is permitted) Multifocal or multicentric tumours. Ipsilateral supraclavicular or infraclavicular nodal disease \>= 1cm size that is at the level of or superior to the brachial plexus Unable to meet the brachial plexus dose constraints despite compromising coverage of target volumes - as per the discretion of the treating physician Treatment target volume estimated to occupy \> 50% of the ipsilateral whole breast volume.
- •Locally recurrent breast cancer, with previous radiotherapy to the breast, or previous lumpectomy or mastectomy. Ipsilateral breast implant. Serious non-malignant disease that precludes definitive surgical or radiation treatment (e.g.
- •scleroderma, systemic lupus erythematosus, cardiovascular/pulmonary/renal disease).
- •Women who are pregnant or lactating. Psychiatric or addictive disorders that preclude obtaining informed consent or adherence to protocol
Outcomes
Primary Outcomes
Acute toxicity
Time Frame: 12 weeks post treatment
Incidence of side effects /toxicity associated with SBRT to the breast, during and in the three months following treatment using CTCAE v4.0
Secondary Outcomes
- Breast Symptom Scores(2 years post treatment)
- Patient Reported Pain Level(2 years post treatment)
- Patient Reported Quality of Life(2 years post treatment)
- Tumour Response Rate(2 years post treatment)