Actively Recruiting

Phase 3
Age: 65Years +
FEMALE
NCT06507618

Pre-Operative Window of ET to Inform RT Decisions (POWER II)

Led by University of Virginia · Updated on 2026-05-08

354

Participants Needed

5

Research Sites

501 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a Phase III, multisite exploratory study for women ≥ 65 years of age with early stage estrogen receptor positive (ER+) breast cancer. These individuals will be treated randomly assigned to one of two groups: Intervention, treated with 3 months of pre-operative endocrine therapy (pre-ET) OR Control, participants follow standard of care and proceed directly to breast cancer surgery. Both arms will be assessed for tolerance and compliance to the endocrine therapy by patient reported outcome (PRO) measures (patient surveys).

CONDITIONS

Official Title

Pre-Operative Window of ET to Inform RT Decisions (POWER II)

Who Can Participate

Age: 65Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of ER+, PR +/-, and HER2- non amplified invasive breast cancer with clinically negative lymph nodes
  • ECOG performance status between 0 and 2
  • Female aged 65 years or older
  • Eligible for and opted to receive breast conserving surgery (BCS)
  • Candidate for radiation therapy
  • Candidate for endocrine therapy (tamoxifen or an aromatase inhibitor)
  • Able to take oral medication and willing to follow endocrine therapy for 3 months before surgery
  • Agree to follow lifestyle considerations throughout the study
  • Provided signed and dated informed consent
  • Willing to comply with all study procedures and available for the study duration
Not Eligible

You will not qualify if you...

  • Bilateral synchronous breast cancer
  • Multicentric breast disease
  • Prior use of Tamoxifen or aromatase inhibitors
  • Previous radiation therapy to the same breast (ipsilateral)
  • Known additional malignancy that is progressing or requires active chemotherapy or radiation, unless deemed stable and low risk by investigator
  • Current or planned use of strong CYP2D6 inhibitors and unable to receive endocrine therapy agents not using this pathway

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 5 locations

1

Yale University

New Haven, Connecticut, United States, 06511

Actively Recruiting

2

University of Virginia

Charlottesville, Virginia, United States, 22903

Actively Recruiting

3

University of Virginia Community Health

Culpeper, Virginia, United States, 22701

Actively Recruiting

4

INOVA Schar Cancer

Fairfax, Virginia, United States, 22031

Actively Recruiting

5

Virginia Commonwealth University

Richmond, Virginia, United States, 23298

Actively Recruiting

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Research Team

M

Meagan Miller

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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