Intensity Modulated Radiotherapy for Breast Cancer (IMRT)
2017년 8월 8일 업데이트: Washington University School of Medicine
Intensity Modulated Radiation Therapy for Breast Cancer: A Phase I Feasibility Study
This study delivers radiation therapy to any residual breast tissue and the chest wall plus lymph node areas around the breast.
These lymph node areas are under the arm, around the collar bone, and under the sternum (breastbone).
연구 개요
상세 설명
IMRT treatment uses a computer-controlled x-ray (CT) to deliver radiation beams at several different angles and strengths to deliver precise doses to the regions at risk for recurrence of breast cancer while reducing or sparing the dose to critical structures (heart, lungs) and nearby normal tissue.
연구 유형
중재적
등록 (실제)
100
단계
- 1단계
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
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Missouri
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Saint Louis, Missouri, 미국, 63110
- Washington University School of Medicine
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 이상 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
여성
설명
Inclusion Criteria:
- Female gender
- Age ≥ 18 years
- Invasive primary female breast cancer
- Pathologically proven regional nodal metastasis
- Status post mastectomy or partial mastectomy with an assessment of axillary nodes via sentinel lymph node biopsy and/or axillary lymph node dissection.
- Signed study specific consent form
Exclusion Criteria:
- Distant metastasis
- Currently Pregnant
- Psychiatric or addictive disorders that preclude informed consent
- Time from initial diagnosis to the start of radiation therapy > one year
- Estimated life expectancy judged to be < one year
- Prior radiation to the ipsilateral breast or chest wall
- Primary breast cancer is lymphoma or sarcoma
- Patients being treated with concurrent chemotherapy.
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: IMRT
The prescribed dose for all patients will be 5040 cGy in 28 fractions.
Patients will receive external beam treatment once a day, five days a week for approximately five and a half weeks.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Evaluate the feasibility of adjuvant comprehensive radiation therapy via IMRT with daily set-up position verified using 3D verification
기간: Within 1 year of protocol registration
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The study will be deemed infeasible if greater than 10% of enrolled patients have at least one of the following outcomes:
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Within 1 year of protocol registration
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Evaluate the rate and severity of both acute and late cutaneous toxicity
기간: 6-8 months following completion of treatment and 12-14 months following completion of treatment
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6-8 months following completion of treatment and 12-14 months following completion of treatment
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Evaluate the rate and severity of late subcutaneous fibrosis
기간: 6-8 months following completion of treatment and 12-14 months following completion of treatment
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6-8 months following completion of treatment and 12-14 months following completion of treatment
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Evaluate the rate of radiation pneumonitis
기간: 6-8 weeks following completion of treatment, 3-4 months following completion of treatment, 6-8 months following completion of treatment, and 12-14 months following completion of treatment
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6-8 weeks following completion of treatment, 3-4 months following completion of treatment, 6-8 months following completion of treatment, and 12-14 months following completion of treatment
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Evaluate ipsilateral upper quadrant function
기간: Pretreatment and 3-4 months following completion of treatment
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For patients who receive physical therapy, objective measures of the rotator cuff, bursa, and joint space will be evaluated by diagnostic ultrasound if medically indicated.
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Pretreatment and 3-4 months following completion of treatment
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Evaluate patient quality of life
기간: Pretreatment, 6-8 months following completion of treatment, and 12-14 months following completion of treatment
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Pretreatment, 6-8 months following completion of treatment, and 12-14 months following completion of treatment
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Evaluate local-regional control rates
기간: 12-14 months following completion of radiation therapy
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12-14 months following completion of radiation therapy
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Evaluate patient set-up reproducibility in breast cancer patients treated with IMRT using daily 3D position verification
기간: 12-14 months following completion of treatment
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12-14 months following completion of treatment
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 수석 연구원: Imran Zoberi, MD, Washington University School of Medicine
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
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- Krueger EA, Fraass BA, McShan DL, Marsh R, Pierce LJ. Potential gains for irradiation of chest wall and regional nodes with intensity modulated radiotherapy. Int J Radiat Oncol Biol Phys. 2003 Jul 15;56(4):1023-37. doi: 10.1016/s0360-3016(03)00183-4.
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연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (실제)
2008년 1월 4일
기본 완료 (실제)
2016년 8월 8일
연구 완료 (실제)
2016년 8월 8일
연구 등록 날짜
최초 제출
2008년 1월 4일
QC 기준을 충족하는 최초 제출
2008년 1월 14일
처음 게시됨 (추정)
2008년 1월 15일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2017년 8월 10일
QC 기준을 충족하는 마지막 업데이트 제출
2017년 8월 8일
마지막으로 확인됨
2017년 8월 1일
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
유방암에 대한 임상 시험
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Georgetown UniversityNational Cancer Institute (NCI); American Cancer Society, Inc.; Susan G. Komen Breast Cancer...완전한
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University of UtahNational Cancer Institute (NCI)모병피로 | 좌식 생활 | 전이성 전립선암 | IV기 전립선암 AJCC(American Joint Committee on Cancer) v8 | IVA기 전립선암 AJCC(American Joint Committee on Cancer) v8 | IVB기 전립선암 AJCC(American Joint Committee on Cancer) v8미국
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Jonsson Comprehensive Cancer Center아직 모집하지 않음전립선암 | IVB기 전립선암 American Joint Committee on Cancer(AJCC) v8미국
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Rashmi Verma, MDNational Cancer Institute (NCI)모병거세저항성 전립선암 | 전이성 전립선 선암종 | IVB기 전립선암 American Joint Committee on Cancer(AJCC) v8미국
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Jonsson Comprehensive Cancer Center빼는전립선 선암종 | 2기 전립선암 AJCC v8 | IIC기 전립선암 AJCC v8 | IIA기 전립선암 AJCC v8 | IIB기 전립선암 AJCC v8 | 1기 전립선암 American Joint Committee on Cancer(AJCC) v8미국
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Jonsson Comprehensive Cancer CenterMiraDX모집하지 않고 적극적으로전립선 선암종 | 2기 전립선암 AJCC v8 | IIC기 전립선암 AJCC v8 | IIA기 전립선암 AJCC v8 | IIB기 전립선암 AJCC v8 | 1기 전립선암 American Joint Committee on Cancer(AJCC) v8미국
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Jonsson Comprehensive Cancer Center종료됨거세저항성 전립선암 | 전이성 전립선암 | IVA기 전립선암 AJCC v8 | IVB기 전립선암 AJCC v8 | IV기 전립선암 American Joint Committee on Cancer(AJCC) v8미국
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Assiut University아직 모집하지 않음South Egypt Cancer Institute(SECI)에서 소아 악성종양 환자에 대한 KDIGO 기준을 사용하여 AKI의 누적 발병률을 확인하기 위해
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Jonsson Comprehensive Cancer CenterNational Cancer Institute (NCI)모집하지 않고 적극적으로III기 전립선 선암종 AJCC v7 | II기 전립선 선암종 AJCC v7 | 1기 전립선 선암종 American Joint Committee on Cancer(AJCC) v7미국
IMRT에 대한 임상 시험
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Cancer Institute and Hospital, Chinese Academy...알려지지 않은
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Radiation Therapy Oncology GroupNational Cancer Institute (NCI); NRG Oncology완전한
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Sun Yat-sen University모집하지 않고 적극적으로
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Jiangsu Cancer Institute & Hospital아직 모집하지 않음
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Royal Marsden NHS Foundation Trust완전한
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Alberta Health services완전한
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St. Jude Children's Research HospitalMayo Clinic종료됨