Stereotactic Ablative Radiotherapy for OligoMetastatic Breast Cancer

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorVastra Gotaland Region

About this trial

TAORMINA is an international, multicentre, randomised phase 3 trial for patients with oligometastatic breast cancer (OMBC) that will be allocated to combined stereotactic ablative radiotherapy (SABR) + systemic therapy (investigational arm) versus systemic therapy alone (control arm) as 1st line therapy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Histologically or cytological confirmed recurrent OMBC.

Age ≥18 years old.

OMBC defined as 1-5 metastases in a maximum of two organs confirmed by PET-CT.

Patients already on 1st line systemic treatment can be enrolled if repeated tumour evaluations show stable disease.

Disqualifiers

> 1 line of systemic treatment for OMBC due to previous progressing disease (previous treatment of isolated local recurrences with a 2nd adjuvant treatment not included). Change due to toxicity allowed.

Oligometastases in brain.

Malignant pleural effusion or ascites.

Metastasis growth that involves > 3 vertebra and adjacent spinal cord, spine instability or neurological deficit resulting from compression, 25% spinal canal compromise or progressive neurological deficit.

Trial design

Design model

Parallel

Treatments tested in this trial

  • SABR

    Radiation

    Stereotactic Ablative Radiotherapy is delivered to all metastatic lesions.

Treatment groups

345 Participants
are divided into 2 treatment groups
Group A: Experimental SABR armExperimental treatment 1 intervention
Group B: Control systemic therapy armNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Progression-free survival (PFS)

Time from the date of randomisation to the date of disease-progression at any site or death from any cause.

Time frame
3 years after the last patient inclusion

Secondary outcomes

1

Overall survival (OS)

Time from the date of randomisation to the date of death from any cause.

Time frame
3 years after the last patient inclusion
2

Local Control Rate (LCR)

Time from the date of randomisation to the date of progress in previously treated metastases

Time frame
3 years after the last patient inclusion
3

Safety analysis - acute toxicity

Reported according to CTCAE v.5.0

Time frame
From the first dose of SABR to 3 months after the last dose of SABR
4

Safety analysis - late toxicity

Reported according to CTCAE v.5.0

Time frame
From the first dose of SABR to 3 years after the last dose of SABR

Other outcomes

Sponsors and contacts

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

Vastra Gotaland Region

Lead sponsor

Sahlgrenska University Hospital

Collaborator

Azienda Ospedaliero-Universitaria Careggi

Collaborator

Region Örebro County

Collaborator

Skane University Hospital

Collaborator

Karolinska University Hospital

Collaborator

University Hospital, Umeå

Collaborator

Oslo University Hospital

Collaborator

St. Olavs Hospital

Collaborator

Haukeland University Hospital

Collaborator

University Hospital of North Norway

Collaborator

Fondazione IRCCS Istituto Nazionale dei Tumori, Milano

Collaborator

Humanitas Research Hospital IRCCS, Rozzano-Milan

Collaborator

Cork University Hospital

Collaborator

St. James's Hospital, Ireland

Collaborator

Beaumont Hospital

Collaborator

Bon Secours Cork Cancer Centre

Collaborator

Galway University Hospitals

Collaborator

Institute of Oncology Ljubljana

Collaborator

Sheba Medical Center

Collaborator