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To test effect of hydrogen peroxide on radiation sensitivity in breast cancer patients

Phase 2
Conditions
Health Condition 1: C509- Malignant neoplasm of breast of unspecified site
Registration Number
CTRI/2022/02/040331
Lead Sponsor
The Institute of Cancer Research
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Patient age 18 years and over.

Primary locally advanced breast cancer, or locally recurrent breast cancer with/without metastases

Radical/high dose palliative RT required for lifetime control of local morbidities.

Patient physically and mentally fit for radical/high dose palliative RT.

Target tumour accessible for intra-tumoural injection.

Patient suitable/compliant with MRI protocol

At least one tumour diameter =30mm and =150mm measurable by ultrasound, MRI, CT or PET-CT

Patients with predicted life expectancy of 12 months or more.

Negative pregnancy test before start of RT in women of child bearing potential and an ability/ willingness to protect against pregnancy from consent and for 3 months post-RT.

Documented informed consent obtained.

Exclusion Criteria

Prior RT to the target area.

Maximum diameter of target tumour 150mm measurable by ultrasound, MRI, CT or PET-CT.

Anatomical location and/or extent of disease difficult to access for safe intra-tumoural drug injections, for example by virtue of contiguous major blood vessels and/or brachial plexus.

Concomitant chemotherapy or biological therapy except Herceptin, Pertuzumab and Denosumab (all endocrine therapies and bisphosphonates are allowed concomitantly; other cytotoxics and biological therapies apart from those mentioned above should be stopped 3 weeks prior to RT).

Pregnancy or nursing.

Hypersensitivity to any of the KORTUC ingredients.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To test efficacy <br/ ><br>Timepoint: Complete tumour response based on best response assessed by contrast enhanced MRI, according to criteria <br/ ><br>outlined in protocol, performed up to and including 12 months post-RT.
Secondary Outcome Measures
NameTimeMethod
To further characterise efficacy & safetyTimepoint: Overall survival at 6,12&24 months <br/ ><br>Loco-regional recurrence,local progression-free survival & distant recurrence at 6, 12 & 24 months <br/ ><br>Proportion of patients with either complete response on MRI up to & including 12 months or pathological complete response following tumour resection before 12 months. <br/ ><br>Proportion of patients with partial response & stable <br/ ><br>disease <br/ ><br>Planned/unplanned tumour excision & pathological <br/ ><br>response <br/ ><br>Adverse events <br/ ><br>Compliance with KORTUC administration
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