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Outpatient Clinic for Late Outcome for Breast Carcinoma in MAASTRO Clinic.

23. maj 2016 opdateret af: Maastricht Radiation Oncology

Outpatient Clinic to Evaluate Late Outcome in Patients Curatively Treated for Breast Carcinoma in MAASTRO Clinic.

In order to evaluate the late outcome in patients curatively treated for breast cancer, a special outpatient clinic will be developed.

There are two main purposes of the outpatient clinic. The first purpose is evaluating the results of the radiation treatment by mapping A) late toxicity and B) tumour control and survival.

The second purpose is that this outpatient clinic for late outcome will also function as a pilot for a new CAT (Computer Assisted Theragnostics, abbreviated CAT project) in which multiple late outcome variables will be recorded. In this pilot we want to investigate whether physical presence of the patient on the outpatient clinic, allowing physical examination, has any added value to the questionnaires filled in by the patient at home.

The ultimate aim of this new CAT project is to use these multicentric data to develop models for predicting both oncological outcome and late side effects. Insight in the beneficial and adverse effects of a certain treatment using these predictive models, will be required choose the optimal treatment for the individual patient using a shared decision making process.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

387

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Holland
    • Limburg
      • Maastricht, Limburg, Holland, 6200 XW
        • Maastro Clinic

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Kvinde

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Participants are all patients who have been treated for breast cancer with curative intent in MAASTRO clinic in 2002-2003. They will be retrieved from the appointment -IT system. For all these patients will be checked whether they are alive using the MBA (municipal base administration).

Beskrivelse

Inclusion Criteria:

  • All patients treated for breast cancer with curative intent in MAASTRO clinic in 2002-2003 who are still alive.
  • Consent to invitation letter and willing to participate.

Exclusion Criteria:

  • Treatment without curative intent.
  • No consent to invitation letter

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Outpatient clinic
All patients treated for breast cancer with curative intent in MAASTRO clinic in 2002-2003 who are still alive, who respond to our invitation letter and are willing to participate to visit the outpatient clinic. These patients will be sent a questionnaire with both basic and more detailed questions on their disease-status and on quality of life related outcome. In addition they will be asked to come to MAASTRO clinic for a more detailed evaluation of late side effects of the treatment. Patients are seen by a physician or a physician assistant at the outpatient clinic.
Andet: Outpatient clinic
The participants are seen at the outpatient clinic by a physician or a physician assistant. To analyse fibrosis clinical examination of the breast will be performed. To analyse shoulder function anteversion / retroversion, abduction / adduction and internal / external rotation will be measured. To analyse edema the arm circumference will be measured 15 cm above and below the medial epicondyle (both sides). Also, a photograph of the breast will be made for cosmetic analysis using standardized procedures. Finally a blood sample or saliva will be obtained, if the patient has given written informed consent to participate in the Biobank.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The primary endpoint is the incidence and severity of locoregional late toxicity at 10 years after radiotherapy.
Tidsramme: One assessment approximately 10 years after radiotherapy
As primary endpoint, for each patients the STAT score will be determined, summarizing locoregional late toxicity, e.g. fibrosis, cosmetic outcome, shoulder dysfunction, lymphedema arm, pain [Barnett et al, 2012].
One assessment approximately 10 years after radiotherapy

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The secondary endpoint is 10 year survival rate and the incidence and severity of other than locoregional late toxicity.
Tidsramme: One assessment approximately 10 years after radiotherapy
The secondary endpoint is 10 year survival rate, and late toxicity, other than locoregional late toxicity, e.g. fatigue, neuropathy, menopausal symptoms, cardiac and pulmonary symptoms, and secondary tumors. Survival will be divided in overall survival, locoregional recurrence free survival and distant metastases free survival. For each patient other toxicity at 10 year will be scored according to CTC-AE 4.
One assessment approximately 10 years after radiotherapy

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
In addition, we will record potential risk factors for the several outcome parameters
Tidsramme: one consultation by physician (assistant) ten years after radiotherapy

The following the potential risk factors are recorded:

  1. Patient related risk factors:

    • Age at time of diagnosis
    • Genetic and protein profile blood samples (optional with informed consent of participant)
    • Smoking

  2. Treatment related factors:

    • Type of surgery
    • Excision volume
    • Post-operative complications
    • Resection margins Free
    • Scar visibility
    • Axillary surgery
    • Radiotherapy
    • Fractionation scheme
    • Target volumes
    • Dose-volume parameters
    • Actually delivered dose
    • Chemotherapy
    • Hormonal treatment
    • Immunotherapy

  3. Tumor related factors

    • Localization
    • Stage
    • Differentiation grade
    • Hormonal receptors
    • HER-2
    • Genetic profile
one consultation by physician (assistant) ten years after radiotherapy

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Maastricht Radiation Oncology

Efterforskere

  • Ledende efterforsker: Liesbeth J Boersma, M.D., Ph.D., Maastro Clinic, The Netherlands

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. marts 2013

Primær færdiggørelse (Faktiske)

1. januar 2015

Studieafslutning (Faktiske)

1. januar 2015

Datoer for studieregistrering

Først indsendt

2. september 2013

Først indsendt, der opfyldte QC-kriterier

31. oktober 2013

Først opslået (Skøn)

7. november 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

24. maj 2016

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

23. maj 2016

Sidst verificeret

1. maj 2016

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 12-25-15/08

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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