Definitive Radiation Therapy for Inoperable Breast Cancer

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorAlexander Stessin

About this trial

The purpose of this study is to find out if adding radiation therapy to routine medications for breast cancer helps in reducing and preventing the cancer from getting worse. Patients with a locally advanced breast cancer who cannot, or do not want to, undergo surgery are eligible to participate. Participation in this study does not prevent you from undergoing surgery in the future.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Biopsy proven invasive carcinoma of the breast, either lobular, ductal and/or no special type

T1-T4, N0-2, M0-1 invasive breast carcinoma by radiological or clinical criteria

Cancer is deemed unresectable, or the patient is a poor surgical candidate as determined following evaluation by a surgeon, or patient declines surgery.

Life expectancy > 6 months

Disqualifiers

Concurrent systemic therapy (except for endocrine therapy, HER2-targeted therapy, or immunotherapy which are permitted)

Prior radiation to ipsilateral breast or regional nodes

Inability to receive study treatment planning and treatment secondary to body habitus

Trial design

Design model

Parallel

Treatments tested in this trial

  • Whole breast radiation with simultaneous integrated boost (WB-SIB) to primary breast tumor

    Radiation

    Radiation with 26Gy to the whole breast and 40Gy simultaneous integrated boost to gross disease in the breast, in five fractions

  • Whole breast radiation with simultaneous integrated boost (WB-SIB) to primary breast tumor and ipsilateral axillary lymph nodes

    Radiation

    Radiation with 26Gy to the whole breast and regional nodes with a 40Gy simultaneous integrated boost to gross disease in breast and ipsilateral axillary nodal areas, in five fractions

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: A: Ipsilateral axillary node-negative breast cancerExperimental treatment 1 intervention
Group B: B: Ipsilateral axillary node-positive breast cancerExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Treatment Safety

Incidence of physician-assessed treatment-related toxicity ≥ Grade 4 events, as defined using CTCAE 5.0

Time frame
12 months

Secondary outcomes

1

Acute Toxicity

Percent of participants with any physician-assessed treatment-related Grade 1-5 events using CTCAE 5.0. Grade 1 events are limited to fatigue, skin, breast, ribs, heart and lungs.

Time frame
12 months
2

Late Toxicity

Percent of participants with any physician-assessed treatment-related Grade 2-5 events using CTCAE 5.0.

Time frame
5 years
3

Treatment Tolerability by EORTC QLQ-C30

Patient reported quality of life measured using the quality of life questionnaire C30 (QLQ-C30), developed by the European Organisation for Research and Treatment of Cancer. This scale includes 5 functional and 3 symptom scales, each scored as a 0-100 scale, where higher scores indicate a better outcome on functional scales and global health status, and a worse outcome on symptoms.

Time frame
2 years
4

Treatment Tolerability by EORTC QLQ-BR42

Patient reported quality of life measured using the quality of life questionnaire BR42 (QLQ-BR42), developed by the European Organisation for Research and Treatment of Cancer. This scale assesses symptoms, body image and sexual functioning scales, each scored as a 0-100 scale, where higher scores indicate worse outcome on symptoms.

Time frame
2 years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Alexander Stessin

Lead sponsor

Stony Brook University

Sponsor institution

Northwell Health

Collaborator