Actively Recruiting

Phase 2
Age: 60Years +
FEMALE
NCT06897488

EMERALD: Endocrine Therapy oMission With Radiation in ER+ Breast Cancer: Assessing Quality of Life and Disease Control: a Prospective Phase II Trial

Led by M.D. Anderson Cancer Center · Updated on 2025-10-30

300

Participants Needed

1

Research Sites

284 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This clinical research study is to learn about the effects of giving radiotherapy alone after lumpectomy to patients who have early-stage, low-risk breast cancers and who are 60 years of age or older.

CONDITIONS

Official Title

EMERALD: Endocrine Therapy oMission With Radiation in ER+ Breast Cancer: Assessing Quality of Life and Disease Control: a Prospective Phase II Trial

Who Can Participate

Age: 60Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of pathologically-confirmed invasive breast cancer
  • Age 60 years or older
  • Treatment with breast conserving surgery (lumpectomy)
  • Tumor size 3cm or smaller including any DCIS component
  • Ki-67 . 20% and/or Oncotype 0-10 (Ultra Low)
  • Final surgical margins negative (no tumor on ink)
  • Tumor is estrogen receptor positive, progesterone receptor positive, and HER2 non-amplified
  • Clinical nodal stage cN0
  • If pathologic nodal staging is done, must be pN0 or pN0(i+)
  • Discussion with breast medical oncologist regarding adjuvant treatment options
  • Patients who never start endocrine therapy or discontinue it within 6 months after initiation
  • Patients treated as luminal A breast cancer if biomarker evaluation is not feasible and documented by PI/protocol collaborators
Not Eligible

You will not qualify if you...

  • Node positive disease (N1-3)
  • Metastatic disease (M1)
  • Grade 3 disease and lymphovascular space invasion in the tumor
  • Synchronous bilateral breast cancer
  • Receipt of neoadjuvant therapy
  • Collagen vascular disease associated with increased radiation toxicities (e.g., scleroderma, systemic lupus erythematosus)
  • Other cancer diagnosis within prior 5 years except treated basal or squamous cell carcinoma of skin
  • Psychiatric illness or social situations limiting study compliance
  • Prior radiotherapy to the index breast or recurrent breast cancer
  • Known carrier of breast cancer predisposition mutations including BRCA1 or BRCA2

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

The University of Texas M. D. Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

S

Simona Shaitelman, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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EMERALD: Endocrine Therapy oMission With Radiation in ER+ Breast Cancer: Assessing Quality of Life and Disease Control: a Prospective Phase II Trial | DecenTrialz