- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02065960
Feasibility Study of Stereotactic Body Radiotherapy for Early Breast Cancer (ARTEMIS)
Feasibility Study of the Role of Stereotactic Body Radiotherapy for the Treatment of Early Stage Breast Cancer
Most women with early breast cancer are treated with breast conserving therapy (BCT), consisting of breast conserving surgery (surgery to remove the cancer itself) followed by radiation to the breast. This treatment can take time and is associated with its own side effect profile. An innovative radiation technique called stereotactic body radiotherapy (SBRT) can deliver large doses of radiation precisely to the tumour while avoiding critical organs, therefore destroying the cancer and avoiding surgery altogether. SBRT has been successfully used for a number of cancers and it is proposed that it could be used to eradicate breast cancer. This feasibility study will investigate the feasibility and safety of treatment using SBRT in women with early stage breast cancer.
Thirty-two women age 70 years or older with early breast cancer will be treated with SBRT (5 treatments) followed by breast conserving surgery and hormonal therapy. An MRI and breast conserving surgery will be performed at 8-12 weeks after radiation to assess response to treatment. The primary outcome of the study will be feasibility, meaning the ability to deliver radiation treatment as planned. Secondary outcomes will include treatment related toxicity and pathological response.
If this study shows that SBRT can be used to treat patients primarily, it will lead to further evaluation of SBRT for early breast cancer.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Julie Arsenault, MD, FRCPC
- Phone Number: 905-387-9495
- Email: julie.arsenault@jcc.hhsc.ca
Study Locations
-
-
Ontario
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Hamilton, Ontario, Canada, L8V 5C2
- Recruiting
- Juravinski Cancer Centre
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Women age ≥ 70 years;
- New histological diagnosis of invasive carcinoma of the breast, grade I or II, estrogen and progesterone receptor (ER and PR) positive, HER2 negative on needle biopsy and limited to Stage I (T1 N0 M0) on clinical and radiological assessment with MRI of the breasts and axillary ultrasound;
- Candidate for breast conserving surgery;
- Signed study consent form completed prior to study entry.
Exclusion Criteria:
- Breast cancer with disease within 5 mm from skin or chest wall;
- Previous or concomitant invasive malignancies treated within 5 years of study entry;
- Serious non-malignant disease (cardiovascular, pulmonary, systemic lupus or scleroderma), which would preclude to definitive radiation therapy;
- Psychiatric disorders, which would preclude from obtaining informed consent
- Geographic inaccessibility for follow-up
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Stereotactic body radiotherapy (SBRT)
Radiotherapy with SBRT to a dose of 40 Gy in 5 fractions delivered every other day over a period of 10-12 days, followed by breast conserving surgery.
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Feasibility
Time Frame: At time of radiation treatment delivery
|
The primary outcome for this study will be successful delivery of SBRT as per protocol without a major deviation.
|
At time of radiation treatment delivery
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Acute Radiation Toxicity
Time Frame: Within 3 months from radiation
|
Within 3 months from radiation
|
Late Radiation Toxicity
Time Frame: 3 months or more after radiation
|
3 months or more after radiation
|
Pathological Response
Time Frame: At time of surgery (10-12 weeks post-radiation)
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At time of surgery (10-12 weeks post-radiation)
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Ipsilateral Breast Tumour Recurrence
Time Frame: At 5 years post-registration
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At 5 years post-registration
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Disease Free Survival
Time Frame: At 5 years post-registration
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At 5 years post-registration
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Julie Arsenault, MD, FRCPC, Juravinski Cancer Centre
- Principal Investigator: Do-Hoon Kim, BASc, MD, MSc, FRCPC, Juravinski Cancer Centre
- Principal Investigator: Timothy Whelan, BSc, BM,BCh, MSc, FRCPC, Juravinski Cancer Centre
Study record dates
Study Major Dates
Study Start
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 13-699
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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