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Immune Effects in Patients Treated With Whole Breast Irradiation

Primary Purpose

Breast Cancer

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Blood Draw
Sponsored by
University of Virginia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer

Eligibility Criteria

45 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Willingness and ability to provide written informed consent and to comply with the study protocol as judges by the investigator.
  • Patient has new diagnosis of breast cancer and has elected BCS and WBI. These patients must be consented prior to the start of WBI.
  • For patients with invasive breast cancer sentinel node biopsy (SLNB) must be performed and confirm pathologic negative disease.
  • Tumor size must be less than or equal to 3 cm.
  • Patient is 45 years of age or older.
  • Women of childbearing potential must agree to use adequate contraception prior to study entry and through the WBI treatment. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.

Exclusion Criteria:

  • Male patients
  • Patients who are pregnant or nursing.
  • Patient has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the patient's participation for the duration of the study or is not in the best interest of the patient to participate, in the opinion of the treating investigator.
  • Breast cancer that involves the skin or the chest wall.
  • History of ipsilateral breast cancer treated with radiation therapy.
  • Multicentric breast cancer in the ipsilateral breast as diagnosed by clinical exam, mammogram, ultrasound, or MRI
  • Patients known to have a BRCA gene mutation. Genetic testing is not required.
  • Patient with clinically positive nodal disease.
  • Patient with proven nodal disease by either FNA, core biopsy or sentinel node biopsy.

Sites / Locations

  • University of VirginiaRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Blood Collection

Arm Description

Patients will be asked to have blood draws at specific time points during their whole breast irradiation.

Outcomes

Primary Outcome Measures

Lymphopenia
Incidence of lymphopenia
Cytokines
Change in patient's number of cytokines

Secondary Outcome Measures

Quality of Life
Changes in Patient-Reported Quality of Life using the EORTC QLQ-C30
Cosmetic Changes
Changes in physician reported cosmetic descriptions
Quality of Life
Changes in Patient-Reported Quality of Life using the EORTC QLQ-BR23.
Cosmetic Changes
Changes in patient reported cosmetic descriptions

Full Information

First Posted
March 13, 2018
Last Updated
June 21, 2018
Sponsor
University of Virginia
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1. Study Identification

Unique Protocol Identification Number
NCT03567044
Brief Title
Immune Effects in Patients Treated With Whole Breast Irradiation
Official Title
Outcomes and Immune Effects in Patients With Early Stage Breast Cancer Treated With Lumpectomy and Whole Breast Irradiation.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2018
Overall Recruitment Status
Unknown status
Study Start Date
October 1, 2018 (Anticipated)
Primary Completion Date
March 2020 (Anticipated)
Study Completion Date
March 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Virginia

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to obtain data to determine whether whole breast irradiation (WBI) differentially influences the frequency of components of innate and adaptive immunity and their relative functional activity, to assess the patient's quality of life (QOL) and to evaluate the cosmetic assessment of the breast on follow-up after WBI treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Blood Collection
Arm Type
Experimental
Arm Description
Patients will be asked to have blood draws at specific time points during their whole breast irradiation.
Intervention Type
Diagnostic Test
Intervention Name(s)
Blood Draw
Intervention Description
Eligible subjects will have blood draws at the following times: baseline, 1 week, 4 weeks, 8 weeks, 12 weeks, 24 weeks.
Primary Outcome Measure Information:
Title
Lymphopenia
Description
Incidence of lymphopenia
Time Frame
Up to 6 months after treatment
Title
Cytokines
Description
Change in patient's number of cytokines
Time Frame
Up to 6 months after treatment
Secondary Outcome Measure Information:
Title
Quality of Life
Description
Changes in Patient-Reported Quality of Life using the EORTC QLQ-C30
Time Frame
Up to 24 months after treatment
Title
Cosmetic Changes
Description
Changes in physician reported cosmetic descriptions
Time Frame
Up to 24 months after treatment
Title
Quality of Life
Description
Changes in Patient-Reported Quality of Life using the EORTC QLQ-BR23.
Time Frame
Up to 24 months after treatment
Title
Cosmetic Changes
Description
Changes in patient reported cosmetic descriptions
Time Frame
Up to 24 months after treatment

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willingness and ability to provide written informed consent and to comply with the study protocol as judges by the investigator. Patient has new diagnosis of breast cancer and has elected BCS and WBI. These patients must be consented prior to the start of WBI. For patients with invasive breast cancer sentinel node biopsy (SLNB) must be performed and confirm pathologic negative disease. Tumor size must be less than or equal to 3 cm. Patient is 45 years of age or older. Women of childbearing potential must agree to use adequate contraception prior to study entry and through the WBI treatment. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately. Exclusion Criteria: Male patients Patients who are pregnant or nursing. Patient has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the patient's participation for the duration of the study or is not in the best interest of the patient to participate, in the opinion of the treating investigator. Breast cancer that involves the skin or the chest wall. History of ipsilateral breast cancer treated with radiation therapy. Multicentric breast cancer in the ipsilateral breast as diagnosed by clinical exam, mammogram, ultrasound, or MRI Patients known to have a BRCA gene mutation. Genetic testing is not required. Patient with clinically positive nodal disease. Patient with proven nodal disease by either FNA, core biopsy or sentinel node biopsy.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Dena Snyder
Phone
434-243-6899
Email
ds6he@virginia.edu
Facility Information:
Facility Name
University of Virginia
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22908
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dena Snyder
First Name & Middle Initial & Last Name & Degree
Shayna Showalter, MD

12. IPD Sharing Statement

Plan to Share IPD
No

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Immune Effects in Patients Treated With Whole Breast Irradiation

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