- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01961531
BrUOG 291: Five Fraction Partial Breast Irradiation Using Non-invasive Image-guided Breast Brachytherapy (NIBB)
BrUOG 291: FIVE FRACTION PARTIAL BREAST IRRADIATION USING NON-INVASIVE IMAGE-GUIDED BREAST BRACHYTHERAPY (NIBB)
Study Overview
Detailed Description
The purpose of this study is to evaluate the rate of early and intermediate toxicity related to accelerated partial breast irradiation (APBI) delivered in a more convenient 5 fraction schedule using non-invasive image-guided breast brachytherapy (NIBB) (AccuBoost System) in women with resected, early stage breast cancer.
Non-invasive image-guided breast brachytherapy (NIBB), using advanced image-guided radiation technology, has the potential to eliminate the disadvantages of the conventional APBI techniques. NIBB facilitates non-invasive partial breast irradiation without the use of catheters or implants. Yet by using breast immobilization and precise image-guidance, it reduces non-target breast tissue within the irradiated field compared with other non-invasive APBI techniques such as 3D-CRT. This has made NIBB an attractive approach to deliver APBI.
We hypothesize that NIBB delivered in 5 treatments will be a more convenient, safe and effective modality to deliver partial breast irradiation.
Anticipated advantages of NIBB protocol treatment include:
- Convenient treatment schedule
- Short course can allow for increased patient access to treatment
- Non-invasive approach
- Increased accuracy with precise targeting of lumpectomy cavity using advanced imaging
- Reduced irradiation of non-target breast tissue
- Reduced skin toxicity
- No heart or lung radiation exposure
- Reduced late skin or breast toxicity
- High rate of good or excellent cosmetic outcome
- High rate of ipsilateral breast tumor control comparable to other APBI techniques
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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California
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La Jolla, California, United States, 92093
- UCSD Moores Cancer Center
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Florida
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Lakeland, Florida, United States, 33805
- Watson Cancer Center
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Rhode Island
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Providence, Rhode Island, United States, 02903
- Rhode Island Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- A confirmed histological diagnosis of invasive breast carcinoma or DCIS;
- Age greater or equal to 50 years old;
- Life expectancy > 6 months;
- Treated by breast conserving surgery
Pathologic lymph node negative, which includes (pN0 i-, i+);
Patients, who are at very low risk for sentinel node involvement and sentinel node biopsy is not performed, are eligible if the treating investigator documents clinically lymph node negative (cN0). These patients include:
- DCIS
- Microinvasion only
- Pure tubular or mucinous histology
- Patients ≥ 70yo with T1a-T1c; estrogen receptor +
Pathologic tumor size
- less than or equal to 2 cm for invasive disease;
- less than or equal to 3 cm for DCIS;
- Estrogen receptor positive if invasive disease (DCIS can be ER negative)
- Negative surgical margins greater than or equal to 2 mm. A margin of <2mm is acceptable if at natural boundary, i.e. skin or pectoralis fascia.
- No lymphovascular invasion;
- ECOG performance status of 0-2 (Appendix 1);
- Informed consent signed.
Exclusion Criteria:
- Known BRCA 1/2 Mutation; (BRCA 1 and 2 testing is not required)
- Active lupus or scleraderma;
- Pregnancy;
- Psychiatric or addictive disorder that would preclude attending follow-up;
- Neoadjuvant chemotherapy (adjuvant chemotherapy is permitted);
- Suspicious remaining microcalcification on post-surgery mammogram (unless biopsy proven benign);
- pN+ on axillary dissection or in the sentinel lymph node biopsy (N0i+ are considered node negative and are not excluded);
- Multicentric disease;
- Paget's disease of the nipple;
- Breast Implants
- Distant metastases;
- Lumpectomy cavity not well visualized on AccuBoost imaging;
- Lumpectomy cavity with 1cm margin (CTV/PTV) not adequately encompassed by any available applicator.
- Breast separation with compression > 8cm at time of simulation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Accuboost APBI
28Gy delivered in 5 daily fractions
|
28Gy delivered in 5 daily fractions
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Patients With Any Toxicity Related to the Radiation Treatment
Time Frame: during treatment, 2 and 6 weeks post treatment and then every 6 months for up to 2 years
|
Any toxicity related to the radiation treatment will be scored and graded using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v3.0.
|
during treatment, 2 and 6 weeks post treatment and then every 6 months for up to 2 years
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of Participants With Ipsilateral Breast Local Recurrence
Time Frame: annually for 2 years post treatment
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annually for 2 years post treatment
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Jaroslaw Hepel, M.D., Brown University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 291
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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Mayo ClinicCompletedBreast CancerUnited States
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-
Masaryk Memorial Cancer InstituteCompletedEarly-stage Breast CancerCzechia
-
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University Hospital ErlangenUnknown
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Washington University School of MedicineCompletedBreast NeoplasmsUnited States
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AHS Cancer Control AlbertaAlberta Cancer FoundationUnknown