[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100651683":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":25,"centralContacts":31,"locations":41,"responsibleParty":57,"collaborators":25,"id":60,"slug":61,"hasResults":62,"nctId":63,"briefTitle":64,"officialTitle":65,"acronym":25,"eligibilityCriteria":66,"healthyVolunteers":62,"sex":67,"minAge":68,"maxAge":25,"enrollmentInfo":69,"targetDuration":25,"studyType":72,"phases":73,"briefSummary":75,"conditions":76,"keywords":25,"overallStatus":44,"whyStopped":25,"lastUpdateSubmitDate":78,"lastUpdatePostDateStruct":79,"startDateStruct":82,"completionDateStruct":84,"leadSponsor":86,"locationsCount":87},{"fullName":5,"class":6},"Fudan University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Radiotherapy Omission","EXPERIMENTAL","Patients will undergo observation alone after breast-conserving surgery and receive standard follow-up and endocrine therapy.",[13],"Drug: tamoxifen",{"label":15,"type":16,"description":17,"interventionNames":18},"Adjuvant Radiotherapy","ACTIVE_COMPARATOR","Patients will receive postoperative adjuvant radiotherapy after breast-conserving surgery in addition to endocrine therapy.",[19,13],"Radiation: Adjuvant Radiotherapy",[21,26],{"type":22,"name":15,"description":23,"armGroupLabels":24,"otherNames":25},"RADIATION","One of the following protocol-approved radiotherapy regimens may be delivered:\n\n* Partial breast irradiation (PBI): 26 Gy in 5 fractions；\n* Partial breast irradiation (PBI): 40.05 Gy in 15 fractions.\n* Whole breast ultrahypofractionated radiotherapy: 26 Gy in 5 fractions；\n* Moderate hypofractionated whole breast radiotherapy: 40.05 Gy in 15 fractions. Radiotherapy should start within 3 months after surgery.",[15],null,{"type":27,"name":28,"description":29,"armGroupLabels":30,"otherNames":25},"DRUG","tamoxifen","Adjuvant endocrine therapy with tamoxifen according to institutional practice.",[15,9],[32,37],{"name":33,"role":34,"phone":35,"phoneExt":25,"email":36},"Xiaoli Yu","CONTACT","+86-021-64175590","xiaoliyu@fudan.edu.cn",{"name":38,"role":34,"phone":39,"phoneExt":25,"email":40},"Jin Meng","+86 18121299532","jinmeng@fudan.edu.cn",[42],{"facility":43,"status":44,"city":45,"state":25,"zip":46,"country":47,"countryCode":48,"cosmosGeoPoint":49,"geoPoint":54,"contacts":55},"Fudan University Shanghai Cancer Center","RECRUITING","Shanghai","200032","China","CN",{"type":50,"coordinates":51},"Point",[52,53],121.45806,31.22222,{"lat":53,"lon":52},[56],{"name":33,"role":34,"phone":35,"phoneExt":25,"email":36},{"type":58,"investigatorFullName":33,"investigatorTitle":59,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"PRINCIPAL_INVESTIGATOR","Professor","100651683","phase-3-omission-of-adjuvant-radiotherapy-in-low--and-intermediate-risk-ductal-carcinoma-in-situ-after-breast-conserving-surgery-100651683",false,"NCT07762885","Omission of Adjuvant Radiotherapy in Low- and Intermediate-Risk Ductal Carcinoma In Situ After Breast-Conserving Surgery","A Prospective, Multicenter, Randomized Phase III Non-Inferiority Trial Evaluating Omission of Adjuvant Radiotherapy in Low- and Intermediate-Risk ER-Positive HER2-Negative Ductal Carcinoma In Situ Following Breast-Conserving Surgery","Inclusion Criteria:\n\n1. Female patients aged ≥40 years；\n2. Histologically confirmed low- or intermediate-grade ductal carcinoma in situ (DCIS) without invasive carcinoma, including incidental DCIS identified within benign breast lesions；\n3. Tumor size ≤2.5 cm on final pathology；\n4. Negative surgical margins ≥3 mm, including margins obtained after re-excision；\n5. Estrogen receptor-positive disease (ER ≥10%) with planned endocrine therapy using tamoxifen；\n6. Unifocal lesion；\n7. Absence of comedo necrosis；\n8. Screen-detected disease without bloody nipple discharge or palpable mass；\n9. Clinically node-negative disease；\n10. Patients randomized to the radiotherapy arm must initiate radiotherapy within 3 months after surgery；\n11. Central pathology review by the participating institution required；\n12. Ability to understand and willingness to sign written informed consent.\n\nExclusion Criteria:\n\n1. Known BRCA1 or BRCA2 germline mutation carriers (genetic testing not mandatory)；\n2. Contraindications to radiotherapy, including active connective tissue disease；\n3. Active infection requiring systemic treatment；\n4. Bilateral breast cancer or prior contralateral breast cancer；\n5. Severe uncontrolled comorbidities, including significant cardiac, pulmonary, hepatic, renal, hematologic, or psychiatric disorders；\n6. History of other malignancies, including thyroid cancer, except adequately treated basal cell carcinoma of the skin or cervical carcinoma in situ；\n7. Prior thoracic radiotherapy；\n8. Pregnant or breastfeeding patients；\n9. Estimated life expectancy ≤5 years；\n10. Poor compliance or inability to adhere to study follow-up requirements.","FEMALE","40 Years",{"count":70,"type":71},636,"ESTIMATED","INTERVENTIONAL",[74],"PHASE3","This is a prospective, multicenter, randomized, open-label, phase III non-inferiority trial designed to evaluate whether omission of postoperative radiotherapy is clinically acceptable in patients with low- and intermediate-risk ductal carcinoma in situ (DCIS) following breast-conserving surgery. Eligible patients include women aged ≥40 years with ER-positive, low- or intermediate-grade DCIS, tumor size ≤2.5 cm, negative surgical margins ≥3 mm, absence of comedo necrosis, and screen-detected unifocal disease. Patients will be randomized to postoperative observation alone or adjuvant radiotherapy. The primary endpoint is 5-year ipsilateral breast tumor recurrence (IBTR).",[77],"Ductal Carcinoma In Situ, DCIS","2026-08-09",{"date":80,"type":81},"2026-08-13","ACTUAL",{"date":83,"type":81},"2026-07-01",{"date":85,"type":71},"2036-06",{"name":5,"class":6},1]