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Clinical Trials/NCT04994067
NCT04994067
Recruiting
Not Applicable

Intra-Operative Radiation Therapy (IORT) Using the IntraBeam® System - A Registry Protocol

Albert Einstein College of Medicine1 site in 1 country500 target enrollmentAugust 9, 2018
ConditionsBreast Cancer

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Breast Cancer
Sponsor
Albert Einstein College of Medicine
Enrollment
500
Locations
1
Primary Endpoint
Number of patients with regionally controlled disease
Status
Recruiting
Last Updated
7 months ago

Overview

Brief Summary

This registry trial is designed to track the local control rates and side effects of IORT, which will be implemented for women who are suitable partial breast irradiation (PBI) per the latest American Society of Radiation Oncology (ASTRO) guidelines.

Detailed Description

Eligible patients will be referred for radiation oncology consultation by the operating surgeon. Patients will be presented with all radiation options and if they choose IORT, they will be offered enrollment onto the registry trial and consented accordingly. The registry will collect treatment data from the operation, radiation and pathology notes post IORT for each patient enrolled. Sources of research material, i.e. resected breast tissue and lymph nodes, will be obtained as part of routine clinical care. No additional tissue will be collected from patients due to enrollment on this registry trial. No additional studies will be performed outside of the routine standard of care. Post treatment, the registry will collect data based on the standard of care follow up schedule. Follow-up visits will be scheduled 2-3 weeks post-operatively, as per standard of care, to review the final pathology and for the initial toxicity assessment. Patients found to have positive margins and/or lymph node involvement may require further surgery and/or additional external beam radiation. Additional follow-up visits with radiation oncology will be scheduled at 6 months and 1, 2, 3, 4, and 5 years following IORT. Toxicity will be scored using Common Terminology Criteria for Adverse Events (CTCAE) v4.03. Local control will be evaluated using clinical exam and semi-annual to annual mammograms. All such information will be tracked and recorded into the registry database.

Registry
clinicaltrials.gov
Start Date
August 9, 2018
End Date
August 1, 2032
Last Updated
7 months ago
Study Type
Observational
Sex
Female

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Female gender
  • cT1-2N0, \<3.5cm invasive breast cancer, estrogen-receptor positive or DCIS of breast, Grade 1-2, mammographically detected, \< 2.5 cm, estrogen-receptor positive
  • Suitable for breast conserving surgery
  • No contraindication to radiation
  • Mammogram within 6 months of planned procedure
  • Fitness for lumpectomy under general anesthesia
  • Planned to receive IORT
  • Exclusion criteria
  • Known axillary lymph node positive breast cancer (negative biopsy not required)
  • Multicentric cancer in the same breast as diagnosed by clinical examination, mammography, ultrasound, MRI or pathologic assessment, not amenable to excision with negative margins with a single lumpectomy.

Exclusion Criteria

  • Not provided

Outcomes

Primary Outcomes

Number of patients with regionally controlled disease

Time Frame: 5 years following radiation therapy

How many patients have recurrent nodal disease following intra-operative radiation

Number of patients with grade 2 or higher toxicities

Time Frame: 5 years following radiation therapy

How many patients have toxicity as measured by the CTCAE

Number of patients with locally controlled disease

Time Frame: 5 years following radiation therapy

How many patients have recurrent disease following intra-operative radiation

Study Sites (1)

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