Status:

COMPLETED

Partial Breast Irradiation Using Non Invasive Approach for Early Stage Breast Cancer

Lead Sponsor:

Jaroslaw Hepel

Collaborating Sponsors:

The Miriam Hospital

Rhode Island Hospital

Conditions:

Breast Cancer

Eligibility:

FEMALE

50+ years

Phase:

NA

Brief Summary

The purpose of this study is to evaluate the rate of early and intermediate toxicity related to the AccuBoost System for delivery of APBI in women with resected, early stage breast cancer.

Eligibility Criteria

Inclusion

  • A confirmed histological diagnosis of invasive breast carcinoma or DCIS
  • Age greater or equal to 50 years old
  • Life expectancy \> 6 months
  • Treated by breast conserving surgery with axillary node dissection or sentinel lymph node biopsy
  • Pathologic tumor size less than or equal to 2 cm
  • Invasive ductal, mucinous, tubular or colloid histology
  • Estrogen receptor positive for invasive carcinoma.
  • Unifocal/unicentric disease
  • Negative surgical margins greater than or equal to 2 mm
  • Pathologic lymph node negative
  • No evidence of lymphovascular invasion
  • ECOG performance status of 0 or 1 (Appendix 1)
  • Informed consent signed.

Exclusion

  • Known BRCA 1/2 Mutation; (BRCA 1 and 2 testing is not required)
  • Autoimmune disorder
  • Pregnancy
  • Breast implants
  • Psychiatric or addictive disorder that would preclude attending follow-up
  • Neoadjuvant chemotherapy (adjuvant chemotherapy is permitted)
  • Suspicious remaining microcalcification on post-surgery mammogram (unless biopsy proven benign)
  • Lobular features on histology (pure or mixed) or sarcoma histology
  • Node positive on axillary dissection or in the sentinel lymph node biopsy;
  • Extensive in situ carcinoma (EIC)
  • Multicentric or multifocal disease
  • Paget's disease of the nipple
  • Distant metastases
  • Lumpectomy cavity not well visualized on AccuBoost imaging
  • Lumpectomy cavity with 1cm margin (PTV) not adequately encompassed by any applicator (PTV \> 6cm)
  • Breast separation with compression \> 7cm.
  • Overlap of skin between orthogonal treatment axes.

Key Trial Info

Start Date :

August 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 6 2021

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT01463007

Start Date

August 1 2011

End Date

April 6 2021

Last Update

May 19 2021

Active Locations (4)

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Page 1 of 1 (4 locations)

1

Center For Cancer Care and Research- Watson Clinic

Lakeland, Florida, United States, 33805

2

Brown University Oncology Research Group

Providence, Rhode Island, United States, 02903

3

Lifespan Hospitals

Providence, Rhode Island, United States, 02903

4

Tacoma Radiation

Tacoma, Washington, United States, 98405-4250