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Weekly Single Fraction Hypofractionated Adjuvant Radiotherapy for Early Stage Breast Cancer

Primary Purpose

Breast Cancer, Radiotherapy Side Effect

Status
Recruiting
Phase
Phase 2
Locations
Egypt
Study Type
Interventional
Intervention
Weekly hypofractionation for early breast cancer
Sponsored by
Mona Salem
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer focused on measuring Breast cancer, Radiotherapy, Hypofractionation

Eligibility Criteria

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

Inclusion Criteria:

  1. Histologically proven diagnosis of invasive breast adenocarcinoma.
  2. Prior radical surgery (Modified Radical Mastectomy or Breast Conservative Surgery).
  3. No macroscopic evidence of distant metastases at diagnosis.

Exclusion Criteria:

  1. Prior radiation to the thoracic region.
  2. Pregnancy.
  3. Patients with synchronous or prior malignancy.
  4. Positive surgical margins.

Sites / Locations

  • Kasr El AiniHRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Hypofractionation

Arm Description

Hypofractionated whole breast radiotherapy using a dose of 28.5 Gy over 5 fractions with once weekly fractions.

Outcomes

Primary Outcome Measures

Change in cosmetic breast appearance
according to HARVARD cosmesis scale: 1 Excellent, 2Good, 3 Fair and 4 Poor
Acute radiation toxicity assessment
according to the RTOG acute toxicity scale: 0 No visible change, 1 faint/dull erythema, 2tender/ bright +- dry desquamation, 3 patchy moist desquamation, 4 conflueunt moist desquamation, pitting edema, 0 is the best and 4 is the worse.
Patient quality of life assessment.
according to FACT-B
Patient satisfaction.
according to FACIT-TS-PS

Secondary Outcome Measures

Full Information

First Posted
June 7, 2019
Last Updated
October 7, 2020
Sponsor
Mona Salem
Collaborators
Kasr El Aini Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT04580784
Brief Title
Weekly Single Fraction Hypofractionated Adjuvant Radiotherapy for Early Stage Breast Cancer
Official Title
Weekly Single Fraction Hypofractionated Adjuvant Radiotherapy for Early Stage Breast Cancer: A Single Institution Feasibility Study
Study Type
Interventional

2. Study Status

Record Verification Date
October 2020
Overall Recruitment Status
Recruiting
Study Start Date
December 10, 2018 (Actual)
Primary Completion Date
November 2020 (Anticipated)
Study Completion Date
May 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Mona Salem
Collaborators
Kasr El Aini Hospital

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 current study is a prospective phase II study; Eligible patients will receive hypofractionated Irradiation at a total dose of 28.5Gy in 5 once-weekly fractions of 5.7Gy in 5 weeks to the Whole Breast or chest wall with or without peripheral lymphatic irradiation.
Detailed Description
Testing the feasibility of a hypofractionated adjuvant radiotherapy regimen after breast surgery on a-once-weekly basis for a total dose of 28.5Gy in 5 fractions over 5 weeks in Kasr EL Aini Hospital.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer, Radiotherapy Side Effect
Keywords
Breast cancer, Radiotherapy, Hypofractionation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Hypofractionation
Arm Type
Experimental
Arm Description
Hypofractionated whole breast radiotherapy using a dose of 28.5 Gy over 5 fractions with once weekly fractions.
Intervention Type
Radiation
Intervention Name(s)
Weekly hypofractionation for early breast cancer
Intervention Description
Testing the feasibility of a hypofractionated adjuvant radiotherapy regimen after breast surgery on a-once-weekly basis for a total dose of 28.5Gy in 5 fractions over 5 weeks
Primary Outcome Measure Information:
Title
Change in cosmetic breast appearance
Description
according to HARVARD cosmesis scale: 1 Excellent, 2Good, 3 Fair and 4 Poor
Time Frame
six months
Title
Acute radiation toxicity assessment
Description
according to the RTOG acute toxicity scale: 0 No visible change, 1 faint/dull erythema, 2tender/ bright +- dry desquamation, 3 patchy moist desquamation, 4 conflueunt moist desquamation, pitting edema, 0 is the best and 4 is the worse.
Time Frame
six months
Title
Patient quality of life assessment.
Description
according to FACT-B
Time Frame
six months
Title
Patient satisfaction.
Description
according to FACIT-TS-PS
Time Frame
six months

10. Eligibility

Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically proven diagnosis of invasive breast adenocarcinoma. Prior radical surgery (Modified Radical Mastectomy or Breast Conservative Surgery). No macroscopic evidence of distant metastases at diagnosis. Exclusion Criteria: Prior radiation to the thoracic region. Pregnancy. Patients with synchronous or prior malignancy. Positive surgical margins.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Mona M Salem, MSc
Phone
00201007731412
Email
mona.m.salem@kasralainy.edu.eg
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mona Salem, MSc
Organizational Affiliation
Kasr El AiniH
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kasr El AiniH
City
Cairo
Country
Egypt
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dean's office
Phone
002025729584
Email
Dean@kasralainy.edu.eg

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Weekly Single Fraction Hypofractionated Adjuvant Radiotherapy for Early Stage Breast Cancer

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