- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05762900
Ultra-hypofractioNated Adjuvant Radiotherapy ± sImultaneous Integrated Boost for Low-risk Breast Cancer Patients (UNIQUE)
March 9, 2023 updated by: HAO JING, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Ultra-hypofractioNated Radiotherapy ± sImultaneous Integrated Boost for Low-risk(risQue) Breast Cancer Patients After Breast Conservative sUrgery or mastEctomy (UNIQUE)
This is a phase II study to investigate the feasibility of Ultra-hypofractionated radiotherapy with or without simultaneous integrated boost for low risk breast cancer patients who have received breast conservative surgery of mastectomy.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
During the study, the patients would undergo radiation of 5.2Gy for 5 fractions to the prophylactic radiation volumes and and a 6Gy per-fraction simultaneous boost to the tumor bed or other high-risk volumes.
Acute toxicity of grade 2 or higher in the following 12 weeks after radiotherapy is the primary end point.
Study Type
Interventional
Enrollment (Anticipated)
65
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Shu-Lian Wang, M.D.
- Phone Number: 8610-87788290
- Email: wangsl@cicams.ac.cn
Study Locations
-
-
-
Beijing, China, 100021
- Recruiting
- National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
-
Contact:
- Hao Jing, M.D.
- Phone Number: 8610-87788281
- Email: owletskim@163.com
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
35 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Patients diagnosed with invasive or non-invasive breast cancer;
- The patients have undergone breast-conserving surgery or mastectomy with axillary sentinel nodal biopsy or dissection;
- Stage ypT0-2N0-1 (if receive neoadjuvant therapy) or stage pT0-2N0-1 (if receive upfront surgery).
- No distant metastasis;
- Life expectancy ≥6 months;
- Organ function is fine (Hemoglobin ≥100g/L, leukocyte ≥2×109/L, neutrophil ≥1×109/L, platelet ≥80×109/L; Creatinine 1.5 mg/dl or less; Alanine aminotransferase/aspartate aminotransferase ≤2.5×UNL.);
- Patients are willing to cooperate to follow up;
- Patients should sign the informed consent;
- Women of childbearing age need effective contraception.
Exclusion Criteria:
- Biopsy proven ipsilateral supraclavicular, infraclavicular or internal mammary nodal involvement.
- Concurrent or previous neuropathy overlapping with the radiation volume or brachial plexus injury;
- Patients who had radiotherapy to the ipsilateral breast, lymph-drainage regions or adjacent areas before;
- Concurrent active connective tissue disease;
- Other malignancies, which affect patient life expectancy (except adequately treated basal cell carcinoma of the skin, carcinoma in situ of the cervix, superficial bladder neoplasms (no more than T1), early stage thyroid carcinoma);
- Severe comorbidities or active disease (Poorly controlled heart disease: New York Classification of Cardiac Function ≥ Grade 2, active coronary heart disease, unstable angina pectoris, arrhythmia requiring medical treatment/persistent refractory hypertension; Myocardial infarction, stroke within six months; Poorly controlled diabetes persists. Fasting blood glucose ≥ 10mmol/L, 2 hours postprandial blood glucose ≥ 13 mmol/L. Poorly controlled psychosis develops or worsens within six months; Active infection; Positive for antibodies to HIV).
- Pregnant or breast-feeding.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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: Ultra-hypofractionated arm
The patients will be treated by Ultra-hypofractionated irradiation.
|
5.2Gy per fraction for 5 fractions with an integrated boost of 6Gy per fraction.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The rate of patients who develop radiation-associated acute toxicity (≥ 2 degree)
Time Frame: until 12 weeks from the completion of postoperative radiotherapy
|
The investigators will record the incidence of ≥ 2 degree radiation-associated acute toxicity, such as breast or chest wall oedema, acute dermatitis, breast pain,itch of breast skin; ≥ 3 degree radiation-associated esophagitis; ≥ 3 degree radiation-associated lymphopenia.
|
until 12 weeks from the completion of postoperative radiotherapy
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Local recurrence rate
Time Frame: Local recurrence rate would be recorded and reported until at least 5 years after diagnosis.
|
The incidence of recurrence of any invasive or non-invasive breast cancer in the ipsilateral breast or chest wall.
|
Local recurrence rate would be recorded and reported until at least 5 years after diagnosis.
|
Local regional recurrence rate
Time Frame: Local regional recurrence rate would be recorded and reported until at least 5 years after diagnosis.
|
The incidence of recurrence in the ipsilateral breast/chest wall or the lymphatic nodal regions.
|
Local regional recurrence rate would be recorded and reported until at least 5 years after diagnosis.
|
Disease-free survival
Time Frame: Until at least 5 years after diagnosis.
|
The time interval from diagnosis to any event of recurrence or death.
|
Until at least 5 years after diagnosis.
|
Overall survival
Time Frame: Until at least 5 years after diagnosis.
|
The time interval from diagnosis to death from any reason.
|
Until at least 5 years after diagnosis.
|
The rate of patients who develop radiation-associated long-term toxicity
Time Frame: From 12 weeks to 5 years post radiotherapy.
|
The investigators will record the incidence of any long-term toxicities, such as skin or subcutaneous fibrosis, pain, breast distortion, brachial plexopathy, lymphodema, cardiac event, rib fracture, pulmonary fibrosis, and so on.
|
From 12 weeks to 5 years post radiotherapy.
|
Quality of Life.
Time Frame: European Organization Research and Treatment of Cancer Breast Cancer-Specific Quality of Life Questionnaire EORTC QLQ-C30 to record patients' quality of life before and at 12, 24 and 60 months after radiotherapy.
|
European Organization for Research and Treatment of Cancer General Quality of Life Questionnaire (brev: EORTC C-30) is used.
The higher the score, the worse the situation, with the range of 28 to 112.
|
European Organization Research and Treatment of Cancer Breast Cancer-Specific Quality of Life Questionnaire EORTC QLQ-C30 to record patients' quality of life before and at 12, 24 and 60 months after radiotherapy.
|
Quality of Life.
Time Frame: The patients' quality of life will be evaluated before and at 12, 24 and 60 months after radiotherapy.
|
European Organization for Research and Treatment of Cancer Breast Cancer-Specific Quality of Life Questionnaire (brev: EORTC BR-23) is used.
The higher the score, the worse the situation, with the range of 23 to 92.
|
The patients' quality of life will be evaluated before and at 12, 24 and 60 months after radiotherapy.
|
The cosmetic outcome.
Time Frame: The cosmetic outcome will be evaluated before and at 12, 24 and 60 months after radiotherapy.
|
Breast Cancer Treatment Outcome Scale 22 (brev: BCTOS 22) is used, for patients who receive breast conservative surgery.
The higher the score, the worse the cosmesis, with the range of 22 to 88.
|
The cosmetic outcome will be evaluated before and at 12, 24 and 60 months after radiotherapy.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 25, 2022
Primary Completion (Anticipated)
October 25, 2025
Study Completion (Anticipated)
October 25, 2030
Study Registration Dates
First Submitted
February 20, 2023
First Submitted That Met QC Criteria
March 9, 2023
First Posted (Estimate)
March 10, 2023
Study Record Updates
Last Update Posted (Estimate)
March 10, 2023
Last Update Submitted That Met QC Criteria
March 9, 2023
Last Verified
March 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 22/409-3611
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
Clinical Trials on Breast Cancer
-
Northwestern UniversityEisai Inc.UnknownMale Breast Cancer | Stage II Breast Cancer | Stage IIIA Breast Cancer | Stage IIIB Breast Cancer | Triple-negative Breast Cancer | Stage IA Breast Cancer | Stage IB Breast Cancer | Stage IIIC Breast Cancer | Estrogen Receptor-negative Breast Cancer | Progesterone Receptor-negative Breast Cancer | HER2-negative...United States
-
Rutgers, The State University of New JerseyNational Cancer Institute (NCI); Rutgers Cancer Institute of New JerseyActive, not recruitingStage IIIA Breast Cancer | Stage IIIB Breast Cancer | Triple-negative Breast Cancer | Stage IIA Breast Cancer | Stage IIB Breast Cancer | Stage IIIC Breast Cancer | Estrogen Receptor-negative Breast Cancer | Progesterone Receptor-negative Breast Cancer | HER2-negative Breast CancerUnited States
-
University of Southern CaliforniaNational Cancer Institute (NCI)TerminatedMale Breast Cancer | Stage IV Breast Cancer | Stage II Breast Cancer | Stage IIIA Breast Cancer | Stage IIIB Breast Cancer | Stage IA Breast Cancer | Stage IB Breast Cancer | Stage IIIC Breast Cancer | Recurrent Breast CancerUnited States
-
University of WashingtonTerminatedBreast Cancer | Breast Cancer Stage I | Breast Cancer Stage II | Breast Cancer Stage III | Breast Cancer Stage IIB | Breast Cancer Stage IIA | Breast Cancer Stage IIIA | Breast Cancer Stage IIIB | Breast Cancer Stage IIIcUnited States
-
CelgeneCompletedBreast Cancer | Metastatic Breast Cancer | Stage IV Breast Cancer | Triple-negative Breast Cancer | Recurrent Breast Cancer | Breast Tumor | Cancer of the Breast | Triple-negative Metastatic Breast Cancer | Estrogen Receptor- Negative Breast Cancer | HER2- Negative Breast Cancer | Progesterone Receptor- Negative...United States, United Kingdom, Italy, Germany, Spain, Canada, Portugal, Australia, Austria, Greece, Brazil, France
-
University of Southern CaliforniaNational Cancer Institute (NCI)TerminatedHER2-positive Breast Cancer | Stage IV Breast Cancer | Stage II Breast Cancer | Stage IIIA Breast Cancer | Stage IIIB Breast Cancer | Stage IA Breast Cancer | Stage IB Breast Cancer | Stage IIIC Breast Cancer | Recurrent Breast CancerUnited States
-
University of WashingtonNational Cancer Institute (NCI)CompletedHER2-positive Breast Cancer | Stage II Breast Cancer | Stage IIIA Breast Cancer | Stage IA Breast Cancer | Stage IB Breast Cancer | Estrogen Receptor-negative Breast Cancer | Estrogen Receptor-positive Breast Cancer | Progesterone Receptor-negative Breast Cancer | Progesterone Receptor-positive Breast...United States
-
University of WashingtonNational Cancer Institute (NCI)CompletedHER2-positive Breast Cancer | Male Breast Cancer | Stage IV Breast Cancer | Stage II Breast Cancer | Stage IIIA Breast Cancer | Stage IIIB Breast Cancer | Stage IIIC Breast Cancer | Recurrent Breast CancerUnited States
-
Sidney Kimmel Cancer Center at Thomas Jefferson...Susan G. Komen Breast Cancer FoundationCompletedStage II Breast Cancer | Stage IIIA Breast Cancer | Stage IIIB Breast Cancer | Triple-negative Breast Cancer | Stage IIIC Breast Cancer | Estrogen Receptor-negative Breast Cancer | Progesterone Receptor-negative Breast Cancer | HER2-negative Breast CancerUnited States
-
University of Southern CaliforniaNational Cancer Institute (NCI)WithdrawnStage IV Breast Cancer | Stage II Breast Cancer | Stage IIIA Breast Cancer | Stage IIIB Breast Cancer | Triple-negative Breast Cancer | Stage IA Breast Cancer | Stage IB Breast Cancer | Stage IIIC Breast Cancer | Recurrent Breast Cancer
Clinical Trials on Ultra-fractionated radiation therapy
-
University of Texas Southwestern Medical CenterElekta LimitedRecruitingCervical Cancer | Metastasis | Stage IV Cervical Cancer FIGO 2018 | Adenosquamous Carcinoma of CervixUnited States
-
University of Michigan Rogel Cancer CenterRecruiting
-
Oncology Institute of VojvodinaRecruitingBreast Cancer FemaleSerbia
-
Fudan UniversityRecruitingBreast Cancer | Bone MetastasesChina
-
Sir Mortimer B. Davis - Jewish General HospitalRecruitingPatients With Symptomatic or Bulky Tumors (More Than 8 cm) or With Tumors Resistant to RadiationCanada
-
Albert Einstein College of MedicineRecruiting
-
Mayo ClinicRecruitingRadiation Therapy Complication | Tumor Neck | Tumor AbdomenUnited States
-
AZ-VUBUnknownNon Small Cell Lung CarcinomaBelgium
-
Medical College of WisconsinRecruiting
-
Shanghai Chest HospitalUnknown