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N/A N=13 Treatment

Radiation Therapy in Treating Patients With Recurrent Breast Cancer

Breast Cancer

Enrolled (actual)
13
Serious AEs
0.0%
Results posted
Aug 2020
Primary outcome: Primary: Ipsilateral Breast Tumor Recurrence Rates — 0; 0 percentage of participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
intracavitary balloon brachytherapy (Radiation); intraoperative radiation therapy (Radiation)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Case Comprehensive Cancer Center
Primary completion
Jul 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Ipsilateral Breast Tumor Recurrence Rates
11; 0
PRIMARY
Ipsilateral Breast Tumor Recurrence Rates
11; 0
PRIMARY
Ipsilateral Breast Tumor Recurrence Rates
11; 0
PRIMARY
Ipsilateral Breast Tumor Recurrence Rates
11; 0
PRIMARY
Ipsilateral Breast Tumor Recurrence Rates
11; 0
PRIMARY
Ipsilateral Breast Tumor Recurrence Rates
11; 0
PRIMARY
Ipsilateral Breast Tumor Recurrence Rates
11; 0
PRIMARY
Ipsilateral Breast Tumor Recurrence Rates
11; 0
PRIMARY
Ipsilateral Breast Tumor Recurrence Rates
11; 0
PRIMARY
Tumor Bed Recurrence Rates
11; 0
PRIMARY
Tumor Bed Recurrence Rates
11; 0
PRIMARY
Tumor Bed Recurrence Rates
11; 0
PRIMARY
Tumor Bed Recurrence Rates
11; 0
PRIMARY
Tumor Bed Recurrence Rates
11; 0
PRIMARY
Tumor Bed Recurrence Rates
11; 0
PRIMARY
Tumor Bed Recurrence Rates
11; 0
PRIMARY
Tumor Bed Recurrence Rates
11; 0
PRIMARY
Cosmetic Outcome as Determined by an Established Scale
8; 0; 13; 0; 0; 10
PRIMARY
Percent of Participants Indicating Total Satisfaction or Not Totally Satisfied But Would Choose Same Treatment Again on Quality of Life (QOL) Survey
100
PRIMARY
Percent of Participants Indicating Total Satisfaction or Not Totally Satisfied But Would Choose Same Treatment Again on Quality of Life (QOL) Survey
100
PRIMARY
Percent of Participants Indicating Total Satisfaction or Not Totally Satisfied But Would Choose Same Treatment Again on Quality of Life (QOL) Survey
100
PRIMARY
Percent of Participants Indicating Total Satisfaction or Not Totally Satisfied But Would Choose Same Treatment Again on Quality of Life (QOL) Survey
100
PRIMARY
Percent of Participants Indicating Total Satisfaction or Not Totally Satisfied But Would Choose Same Treatment Again on Quality of Life (QOL) Survey
100
PRIMARY
Percent of Participants Indicating Total Satisfaction or Not Totally Satisfied But Would Choose Same Treatment Again on Quality of Life (QOL) Survey
100
PRIMARY
Percent of Participants Indicating Total Satisfaction or Not Totally Satisfied But Would Choose Same Treatment Again on Quality of Life (QOL) Survey
100
PRIMARY
Percent of Participants Indicating Total Satisfaction or Not Totally Satisfied But Would Choose Same Treatment Again on Quality of Life (QOL) Survey
100
PRIMARY
Percent of Participants Indicating Total Satisfaction or Not Totally Satisfied But Would Choose Same Treatment Again on Quality of Life (QOL) Survey
100
PRIMARY
Percent of Participants Experiencing Complications After Intervention
40; 0
PRIMARY
Percent of Participants Experiencing Complications After Intervention
40; 0
PRIMARY
Percent of Participants Experiencing Complications After Intervention
40; 0
PRIMARY
Percent of Participants Experiencing Complications After Intervention
40; 0
PRIMARY
Percent of Participants Experiencing Complications After Intervention
40; 0
PRIMARY
Percent of Participants Experiencing Complications After Intervention
40; 0
PRIMARY
Percent of Participants Experiencing Complications After Intervention
40; 0
PRIMARY
Percent of Participants Experiencing Complications After Intervention
40; 0
PRIMARY
Percent of Participants Experiencing Complications After Intervention
40; 0
SECONDARY
Percent of Participants With Delayed Wound Healing
10; 0
SECONDARY
Percent of Participants With Delayed Wound Healing
10; 0
SECONDARY
Percent of Participants With Delayed Wound Healing
10; 0
SECONDARY
Percent of Participants With Delayed Wound Healing
10; 0
SECONDARY
Percent of Participants With Delayed Wound Healing
10; 0
SECONDARY
Percent of Participants With Delayed Wound Healing
10; 0
SECONDARY
Percent of Participants With Delayed Wound Healing
10; 0
SECONDARY
Percent of Participants With Delayed Wound Healing
10; 0
SECONDARY
Percent of Participants With Delayed Wound Healing
10; 0

Summary

RATIONALE: Radiation therapy uses high-energy x-rays and other types of radiation to kill tumor cells. It is not yet known whether a single dose of radiation therapy is more effective than implant radiation therapy for 5 days in treating patients with recurrent breast cancer. PURPOSE: This phase II trial is studying implant radiation therapy to see how well it works compared with radiation therapy during surgery in treating patients with recurrent breast cancer.

Eligibility Criteria

Inclusion Criteria

  • Patients' recurrences must have histologically confirmed ductal carcinoma in-situ, invasive ductal, medullary, papillary, colloid (mucinous), or tubular histologies.
  • Lesion size ≤ 3 cm treated with a tylectomy and whole breast irradiation (with or without tumor bed boost)
  • Unifocal breast cancer recurrence
  • Negative resection margins with at least a 2 mm margin from invasive and in situ cancer or a negative re-excision
  • Hormonal therapy is allowed. If chemotherapy is planned, the radiation is delivered first and chemotherapy must begin no earlier than two weeks following completion of radiation.
  • Signed study-specific informed consent prior to study entry.

Exclusion Criteria

  • Patients with distant metastatic disease
  • Patients with invasive lobular carcinoma, extensive lobular carcinoma in-situ, extensive ductal carcinoma in-situ (spanning more than 3 cm), or nonepithelial breast malignancies such as lymphoma or sarcoma.
  • Patients with multicentric carcinoma (tumors in different quadrants of the breast or tumors separated by at least 4 cm). Palpable or radiographically suspicious contralateral axillary, ipsilateral or contralateral supraclavicular, infraclavicular, or internal mammary lymph nodes unless these are histologically or cytologically confirmed negative.
  • Extensive intraductal component (EIC) by the Harvard definition, i.e. 1) more than 25% of the invasive tumor is Ductal carcinoma in situ (DCIS) and DCIS present in adjacent breast tissue. Presence of an EIC increases the chance of local recurrence, and as such, one might not be a candidate for repeat breast conservation.
  • Patients with Paget's disease of the nipple.
  • Patients with skin involvement.
  • Patients with collagen vascular disorders, specifically systemic lupus erythematosis, scleroderma, or dermatomyositis.
  • Patients with psychiatric, neurologic, or addictive disorders that would preclude obtaining informed consent.
  • Other malignancy, except non-melanomatous skin cancer, < 5 years prior to participation in this study.
  • Patients who are pregnant or lactating due to potential fetal exposure to radiation and unknown effects of radiation on lactating females.
  • Patients with known BReast CAncer gene (BRCA)1/BRCA 2 mutations.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00945061). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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