Status:

COMPLETED

Hypofractionated Radiotherapy Post-Lumpectomy in Women With Node Negative Breast Cancer

Lead Sponsor:

Ontario Clinical Oncology Group (OCOG)

Conditions:

Breast Cancer

Eligibility:

FEMALE

Phase:

NA

Brief Summary

To determine if hypofractionated radiotherapy to the whole breast (4,250 cGy/16 fractions over 22 days) is equally effective to standard fractionated radiotherapy (5,000 cGy/25 fractions over 35 days)...

Eligibility Criteria

Inclusion

  • The female patient has a histological diagnosis of invasive carcinoma of the breast, and no evidence of metastatic disease.
  • Has had a lumpectomy (including segmental resection and partial mastectomy), that is, surgical excision of the tumour with a rim of normal tissue.
  • Patient has not had an axillary dissection, OR for patients who have had an axillary dissection, all nodes are negative for metastatic disease.

Exclusion

  • Tumour greater than 5 cm in greatest diameter on pathological examination.
  • The presence of invasive or intraductal (noninvasive) breast cancer involving the surgical margins.
  • Clinical evidence prior to surgery of infiltration of the skin of the involved breast such as edema, ulceration, or fixation of the tumour to underlying muscle, or inflammatory breast cancer.
  • Bilateral malignancy of the breast (synchronous or metachronous).
  • More than one primary invasive tumour in the same breast.
  • Previous surgery for breast cancer.
  • Pathological status of axilla is unknown.
  • Status for adjuvant systemic therapy not determined.
  • For patients not treated with adjuvant chemotherapy: unable to commence radiation therapy within 16 weeks of last surgical procedure on the breast.
  • For patients treated with adjuvant chemotherapy: unable to commence radiation therapy within 8 weeks of the last dose of chemotherapy.
  • Serious nonmalignant disease (eg. cardiovascular, renal, etc.) which would preclude surgical or radiation treatment.
  • Currently pregnant or lactating.
  • Breast deemed too large to permit satisfactory radiation (ie. separation \> 25 cm).
  • Previous concomitant malignancies of any type except squamous, or basal cell carcinomas of the skin, or carcinoma \\fIin situ\\fR of the cervix which have been effectively treated.
  • Geographic inaccessibility for follow-up.
  • Psychiatric or addictive disorders which preclude obtaining informed consent or adherence to the protocol.

Key Trial Info

Start Date :

April 1 1993

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2015

Estimated Enrollment :

1234 Patients enrolled

Trial Details

Trial ID

NCT00156052

Start Date

April 1 1993

End Date

June 1 2015

Last Update

June 8 2015

Active Locations (11)

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Page 1 of 3 (11 locations)

1

Regional Cancer Program of the Sudbury Regional Hospital

Greater Sudbury, Ontario, Canada, P3E 5J1

2

Juravinski Cancer Centre

Hamilton, Ontario, Canada, L8V 5C2

3

Cancer Centre of Southeastern Ontario at Kingston General Hospital

Kingston, Ontario, Canada, K7L 5P9

4

London Regional Cancer Centre

London, Ontario, Canada, N6A 4L6