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临床试验/NCT03585621
NCT03585621进行中(未招募)不适用

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

Toronto Sunnybrook Regional Cancer Centre2 个研究点 分布在 1 个国家目标入组 24 人开始时间: 2018年7月17日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
24
试验地点
2
主要终点
Acute toxicity

研究概览

简要总结

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.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 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.

排除标准

  • 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

结局指标

主要结局

Acute toxicity

时间窗: 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

次要结局

  • Breast Symptom Scores(2 years post treatment)
  • Patient Reported Pain Level(2 years post treatment)
  • Tumour Response Rate(2 years post treatment)
  • Patient Reported Quality of Life(2 years post treatment)

研究者

发起方
Toronto Sunnybrook Regional Cancer Centre
申办方类型
Other
责任方
Principal Investigator
主要研究者

Danny Vesprini, MD, MSc, FRCPC

Deputy Chief, Department of Radiation Oncology - Clinical Care

Toronto Sunnybrook Regional Cancer Centre

研究点 (2)

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Stereotactic Body Radiation Therapy for Breast Cancer | 临床试验