Single Pre-Operative Radiation Therapy - With Delayed Surgery for Low Risk Breast Cancer (SPORT-DS)
Single Pre-Operative Radiation Therapy - With Delayed Surgery (SPORT-DS) for Low Risk Breast Cancer: A Phase 1 Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Quebec
-
Montreal, Quebec, Canada, H1T 2M4
- Maisonneuve-Rosemont Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Female aged 65 years or older
- World Health Organization (WHO) performance status 0-2
- Invasive ductal carcinoma proven by biopsy done ≤ 12 weeks from treatment start
- Unifocal disease on preoperative staging ultrasound done ≤ 12 weeks from treatment start
- Tumors less than 2cm clinically on physical exam, as well as on breast ultrasound
- No clinical evidence of nodal disease (i.e. cN0), on physical examination done ≤ 12 weeks from treatment start, as well as on breast ultrasound
- Estrogen receptor status (ER) positive on biopsy
- Her2 negative on biopsy
- Grade 1 or 2 on biopsy
- Planned surgery is a partial mastectomy with sentinel lymph node biopsy
- Localisation markers placed before treatment
Exclusion Criteria:
- Age less than 65 years
- A known deleterious mutation in BRCA 1 and/or BRCA 2
- Clinical tumor size > 2.0 cm in greatest diameter on staging ultrasound
- Tumor histology limited to lobular carcinoma only
- Clinically positive axillary nodes (cN+)
- Lymphovascular invasion on biopsy
- Pure ductal or lobular carcinoma in situ on biopsy
- Extensive intraductal component on biopsy
- Neoadjuvant hormonal manipulation or chemotherapy
- Prior history of cancer (Patients with prior or concurrent basal cell or squamous cell skin cancers are eligible for the trial)
- More than one primary tumor in different quadrants of the same breast
- Diffuse microcalcifications on mammography
- Paget's disease of the nipple
- Previous irradiation to the ipsilateral breast
- Presence of an ipsilateral breast implant or pacemaker
- Serious non-malignant disease (e.g. cardiovascular, pulmonary, systemic lupus erythematosus (SLE), scleroderma) which would preclude definitive radiation treatment
- Estrogen receptor status (ER) not known
- Currently pregnant or lactating
- Psychiatric or addictive disorders which would preclude obtaining informed consent or adherence to protocol
- Geographic inaccessibility for follow-up
- Lack of preoperative staging with breast and axillary ultrasound
- Inability to adequately plan the patient for the experimental technique
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Single Pre-Operative Radiation Therapy with Delayed Surgery
|
Single Pre-Operative Radiation Therapy - with Delayed Surgery
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
rate of pathological complete response
Time Frame: at the time of surgery
|
at the time of surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
incidence of radiation toxicity
Time Frame: in the 2 years after treatment
|
in the 2 years after treatment
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SPORT-DS
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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