Trial of Concurrent Versus Sequential Tamoxifen With Radiotherapy in Breast Cancer Patients
CONSET
A Randomized Trial of Concurrent Versus Sequential Tamoxifen With Radiotherapy to Assess the Extent of Pulmonary Fibrosis and Disease Related Control and Survival in Breast Cancer Patients
1 other identifier
interventional
260
1 country
1
Brief Summary
Two hundred and sixty patients with breast cancer will be accrued into the study. After inclusion in the study, all the patients will be randomized into two arms. Arm 1 will receive Tamoxifen given concurrently with radiotherapy while in Arm 2 radiotherapy will be given followed by tamoxifen sequentially. The patients will be stratified for the following factors: a) BCS (Breast conservative surgery) versus MRM (modified radical mastectomy) and b) central lung distance (CLD) \> 2 cm. Patients in both arms will continue tamoxifen for a period of 5 years. The patients will be evaluated by high-resolution computed tomography (HRCT) (baseline and at 2 years), serum transforming growth factor (TGF) beta levels (baseline and at 6 months) and diethylenetriaminepentaacetic acid (DTPA) aerosol clearance half life (baseline and at 6 months).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Dec 2008
Longer than P75 for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2008
CompletedFirst Submitted
Initial submission to the registry
May 8, 2009
CompletedFirst Posted
Study publicly available on registry
May 11, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedAugust 30, 2011
August 1, 2011
3 years
May 8, 2009
August 27, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Development of Lung fibrosis
Three years
Secondary Outcomes (1)
Locoregional failure and distant failure
Three years
Study Arms (2)
Concurrent Tamoxifen and Radiotherapy
EXPERIMENTALARM 1 will receive Tamoxifen given concurrently with radiotherapy. Tamoxifen will continue for a period of 5 years.
Sequential radiotherapy and tamoxifen
ACTIVE COMPARATORARM-2 shall receive radiotherapy followed by tamoxifen sequentially. Again tamoxifen will continue for a period of 5 years.
Interventions
260 patients of breast cancer will be accrued into the study. After inclusion in the study, all the patients will be randomized into two arms. ARM 1 will receive Tamoxifen 20 Mg once daily given concurrently with radiotherapy while in ARM-2 radiotherapy followed by tamoxifen 20 mg once daily sequentially.
260 patients of breast cancer will be accrued into the study. After inclusion in the study, all the patients will be randomized into two arms. ARM 1 will receive Tamoxifen 20 Mg once daily given concurrently with radiotherapy while in ARM-2 radiotherapy followed by tamoxifen 20 mg once daily sequentially.
Eligibility Criteria
You may qualify if:
- Patients with large operable lesions (pT/cT \> 5 cm) or locally advanced breast cancers undergoing modified radical mastectomy or breast conservative surgery-(BCS) who need adjuvant post operative radiotherapy
- Patients post mastectomy requiring radiotherapy because of nodal positivity
- Completed planned chemotherapy schedule
- ER and/or PR positive patients
- Patients decided to be put on tamoxifen
- Patients reliable for follow up
You may not qualify if:
- Patients with BCT who have pT1 or pT2 breast lesions (N0,N1)
- Patients for palliative radiotherapy to the chest wall/breast/supraclavicular fossa
- Any patient requiring radiation to the axillary or internal mammary area
- Recurrent disease or metastatic disease
- Patients on concurrent chemotherapy and radiation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Tata Memorial Hospitallead
- Indian Council of Medical Researchcollaborator
Study Sites (1)
Tata Memorial Center
Pārel, Mumbai, 400012, India
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Anusheel Munshi, MD
Tata Memorial Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
May 8, 2009
First Posted
May 11, 2009
Study Start
December 1, 2008
Primary Completion
December 1, 2011
Study Completion
December 1, 2013
Last Updated
August 30, 2011
Record last verified: 2011-08