Concomitant Radiotherapy and New Drugs in Metastatic Breast Cancer

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorFondazione Policlinico Universitario Campus Bio-Medico

About this trial

The primary objective of the study is to describe the tolerance profile of radiation treatments performed during systemic treatment with new drugs (molecular targeted therapies, immunotherapy, others).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients suffering from stage IV breast cancer

Ongoing systemic treatment including: molecular targeted therapy, conjugated antibodies, monoclonal antibodies, tyrosine kinase inhibitors, immunotherapy (immunocheckpoint inhibitors)

Candidates for radiation treatment (both palliative and curative).

Disqualifiers

Previous radiation treatment on the same site

Absolute contraindications to radiotherapy

Systemic treatment administered as part of a clinical trial

Trial population

Patients suffering from stage IV breast cancer undergoing systemic treatment including: molecular targeted therapy, conjugated antibodies, monoclonal antibodies, tyrosine kinase inhibitors, immunotherapy (immunocheckpoint inhibitors)

Trial design

Design model

Other

Time perspective

Prospective

Treatments tested in this trial

  • Radiotherapy

    Radiation

    Conventional fractionated radiotherapy, moderate hypofractionated radiotherapy, stereotactic radiotherapy (SABR)

Treatment groups

300 Participants
are divided into 4 treatment groups
Group A: ADC's group1 intervention
Group B: Cyclin-dependent kinases 4 and 6 inhibitors (CDK4/6 group)1 intervention
Group C: Anti Human Epidermal Growth Factor Receptor 2 monoclonal antibodies (Anti-Her2 group)1 intervention
Group D: IT group1 intervention

Trial outcomes

Primary outcomes

1

Toxicity of Radiotherapy Treatments

Acute and Late Toxicity evaluated with CTCAE (Common Terminology Criteria for Adverse Events) scale v6.0

Time frame
Baseline, at 3, 6 month, one year from the end of radiation treatment, then yearly up to 3 years

Secondary outcomes

1

Response to Radiotherapy treatments with curative intent

Response classified according to RECIST (Response Evaluation Criteria in Solid Tumours) criteria

Time frame
evaluated at 3 months, 6 months, 1 year from treatments
2

Pain response to Radiotherapy treatments with palliative intent

Pain response classified according to NRS (Numering Pain Rating Scale); this scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable. Higher scores correspond to worse outcomes.

Time frame
evaluated at 3 and 6 months after treatments
3

Progression free survival (PFS)

assessed from the start of radiation treatment to progression, local recurrence, or death, whichever comes first.

Time frame
every 3 months after radiation treatments

Other outcomes

Sponsors and contacts

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