Breast Cancer Clinical Trial
Official title:
A Multicentre Feasibility Study of Accelerated Partial Breast Irradiation Using Three-dimensional Conformal Radiation Therapy for Early Breast Cancer.
Hypothesis:
In selected women with node-negative invasive breast cancer treated with breast conserving
surgery, postoperative accelerated partial breast irradiation (APBI) limited to the region of
the tumour bed delivered by 3-dimensional conformal radiation therapy (3D CRT) is technically
feasible and reproducible with acceptable treatment toxicity, cosmetic outcome, and local
control rate in a multicentre trial.
This is a TROG multicentre feasibility study of APBI using 3D CRT in selected women with
node-negative breast cancer treated by breast conserving surgery with negative margins.
This is a one-arm feasibility study in which the primary endpoint is the feasibility rate for
APBI using 3D CRT. This is defined as the proportion of eligible patients treated without a
major protocol deviation. Secondary endpoints include radiation toxicity, cosmetic outcome,
quality of life, time to ipsilateral breast recurrence, disease-free survival, and overall
survival.
Primary objectives: To evaluate the technical feasibility and reproducibility of APBI limited
to the region of the tumour bed using 3D CRT following breast conserving surgery.
Secondary objectives:
- To assess the acute and long term toxicity of APBI using 3D CRT.
- To examine the cosmetic outcome of women with breast cancer treated by breast conserving
surgery and APBI using 3D CRT.
- To determine the time to ipsilateral breast recurrence, disease free survival and
overall survival of women with node-negative breast cancer completely resected by breast
conserving surgery followed by APBI using 3D CRT.
- To assess the quality of life of women with node-negative breast cancer treated by
breast conserving surgery and APBI using 3D CRT.
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