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临床试验/NCT01394575
NCT01394575Unknown2 期

Phase 2 Study of Whole Breast Irradiation With Inversely Intensity Modulated Radiotherapy and Simultaneously Integrated Boost for Early Stage Breast Cancer Patients

Fudan University1 个研究点 分布在 1 个国家目标入组 190 人开始时间: 2011年7月1日最近更新:
适应症
干预措施

试验速览

阶段
2 期
入组人数
190
试验地点
1
主要终点
Radiation toxicity

研究概览

简要总结

This is a phase II study. In patients with node-negative invasive breast cancer or carcinoma in situ treated by breast conserving surgery, postoperative whole breast irradiation with inversely intensity modulated radiotherapy and a simultaneous integrated boost is technically feasible. The aim of this study is to evaluate the radiation toxicity, cosmetic outcome and local control rate in a single center

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
Female
接受健康志愿者
否

入选标准

  • •Eastern Cooperative Oncology Group performance score﹤2
  • •All patients aged >18 years and < 70 years after breast conserving surgery.
  • •On histological examination, the tumor must be DCIS or invasive adenocarcinoma of the breast.
  • •Negative nodal status determined by sentinel node biopsy, or axillary dissection. Axillary staging is not required for patients with DCIS
  • •No evidence of distant metastasis
  • •Gross disease may be unifocal or multifocal with pathologic (invasive and/or DCIS) tumor size excised with negative margins(>2mm)
  • •Surgical treatment of the breast must have been lumpectomy. Re-excision of surgical margins is permitted.
  • •The patient must consent to be in the study and must have signed an approved consent form.

排除标准

  • •Eastern Cooperative Oncology Group performance score≧2
  • •Presence of extensive intraductal component (ductal carcinoma in situ occupying > 25% of the primary invasive tumour and present adjacent to the primary tumour).Suspicious microcalcifications, densities, or palpable abnormalities (in the ipsilateral or contralateral breast) unless biopsied and found to be benign.
  • •Proven multicentric carcinoma (invasive cancer or DCIS) in more than one quadrant of separated.
  • •Metastatic disease (M1)
  • •Pregnancy or lactating
  • •Surgical margins that cannot be microscopically assessed or are positive at pathologic evaluation.
  • •Psychiatric or addictive disorders that preclude obtaining informed consent or adherence to protocol.
  • •Collagen vascular disease, specifically dermatomyositis with a CPK level above normal or with an active skin rash, systemic lupus erythematosis, or scleroderma.
  • •Prior breast or thoracic RT for any condition.
  • •Previous or concomitant malignancies except non-melanoma skin cancer, carcinoma in situ of the cervix, and invasive carcinoma of the colon, thyroid, cervix, or endometrium treated five years prior to study entry.
  • •Synchronous chemotherapy or target therapy is not permitted.
  • •Refusal of the patients to be included in the study

研究组 & 干预措施

IMRT-SIB

Experimental

干预措施: IMRT with an simultaneous integrated boost (Radiation)

结局指标

主要结局

Radiation toxicity

时间窗: first analysis will occur 2 year after accrual of all patients

Cosmetic outcome

时间窗: first analysis will occur 2 year after accrual of all patients

次要结局

  • Time to ipsilateral breast recurrence(first analysis will occur 5 year after accrual of all patients)
  • Local recurrence rate(first analysis will occur 5 year after accrual of all patients)
  • Disease free survival(first analysis will occur 5 year after accrual of all patients)
  • Overall survival(first analysis will occur 5 year after accrual of all patients)

研究者

申办方类型
Other

研究点 (1)

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