Breast Cancer Clinical Trial
Official title:
Randomised Trial Testing Intensity Modulated and Partial Organ Radiotherapy After Breast Conservation Surgery for Early Breast Cancer
RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. Giving radiation
therapy after surgery may kill any tumor cells that remain after surgery. It is not yet known
whether intensity-modulated radiation therapy is more effective than standard radiation
therapy in treating patients with early-stage breast cancer.
PURPOSE: This randomized phase III trial is comparing radiation therapy regimens in treating
women with early-stage breast cancer who have undergone breast-conservation surgery.
OBJECTIVES:
- To test partial breast radiotherapy using intensity-modulated techniques following
complete local tumor excision in women with low-risk, early stage breast cancer.
OUTLINE: This is a multicenter study.
Patients are stratified according to center (not participating in sub-studies vs
participating in sub-studies). Patients are randomized to 1 of 3 treatment arms.
- Arm I (control): Patients undergo standard whole breast radiotherapy once daily on days
1-5 (15 fractions) for 3 weeks.
- Arm II: Patients undergo reduced whole breast radiotherapy (15 fractions) and standard
partial breast radiotherapy (15 fractions) once daily on days 1-5 for 3 weeks.
- Arm III: Patients undergo standard partial breast radiotherapy once daily on days 1-5
(15 fractions) for 3 weeks.
All patients complete a family history questionnaire at baseline. Patients also undergo blood
sample collection at baseline and paraffin-embedded tissue collection at follow-up for
molecular studies analyzing inter-patient variation by microarrays.
Patients in centers participating in sub-studies undergo quality of life and health economic
assessment at baseline, 6 months, and 1, 2, and 5 years. These patients also undergo
photographic assessment at baseline, 2 years, and 5 years.
After completion of study treatment, patients are followed for 10 years.
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