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Clinical Trials/NCT03585621
NCT03585621
Active, Not Recruiting
N/A

A Phase I-II Study of Stereotactic Body Radiation Therapy for Breast Cancer (SBRT Breast)

Toronto Sunnybrook Regional Cancer Centre1 site in 1 country24 target enrollmentJuly 17, 2018
ConditionsBreast Cancer

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.

Registry
clinicaltrials.gov
Start Date
July 17, 2018
End Date
July 17, 2026
Last Updated
7 months ago
Study Type
Interventional
Study Design
Sequential
Sex
All

Investigators

Sponsor
Toronto Sunnybrook Regional Cancer Centre
Responsible Party
Principal Investigator
Principal Investigator

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)

Study Sites (1)

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