Treatment of T1N0 Invasive Breast Carcinoma by Local Excision Implant
The Treatment of T1N0 Invasive Breast Carcinoma by Local Excision and Interstitial Implant
1 other identifier
interventional
45
1 country
1
Brief Summary
The purpose of this study is to evaluate radiation therapy directed to a small region of the breast in women who were recently diagnosed with early stage invasive breast cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1 breast-cancer
Started Jun 1997
Longer than P75 for phase_1 breast-cancer
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
June 1, 1997
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2006
CompletedFirst Submitted
Initial submission to the registry
September 11, 2009
CompletedFirst Posted
Study publicly available on registry
September 15, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2013
CompletedApril 11, 2017
April 1, 2017
8.9 years
September 11, 2009
April 7, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To determine if interstitial implant brachytherapy to radical radiation doses is feasible following wide local excision of T1N0 breast carcinoma
3 years
Interventions
Via tubes placed at the time of wide local excision delivered over 5 days
Eligibility Criteria
You may qualify if:
- Low risk of multifocal disease within the breast whose tumor location is favorable for brachytherapy catheter placement
- Diagnosis of invasive breast carcinoma (biopsy or fine needle aspiration cytology) and be clinical stage T1N0 (primary tumor \< 2cm, clinically negative nodes)
- Location of primary tumor is not immediately adjacent to the nipple of chest wall
- No evidence of two or more separate tumors within the breast
- All histologic types and pathologic grades of primary tumor
- No extensive intraductal component (substantial intraductal carcinoma away from the primary tumor location)
- No lymphatic or vascular invasion
- Lymph node staging by sentinel node excision or axillary dissection confirms node negative status (If node positive, implant is used to deliver boost to tumor bed)
- Assessment of final surgical margins should be predominantly negative, but a single small region of focal positivity is allowable as it is for whole breast radiation
- years of age or older
You may not qualify if:
- Tumor is too close to the chest wall to allow placement of catheters
- Contraindications to radiation therapy are present, including a history of scleroderma, systemic lupus or other active connective tissue disease, pregnancy, or prior chest wall radiation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Related Publications (2)
Hattangadi JA, Powell SN, MacDonald SM, Mauceri T, Ancukiewicz M, Freer P, Lawenda B, Alm El-Din MA, Gadd MA, Smith BL, Taghian AG. Accelerated partial breast irradiation with low-dose-rate interstitial implant brachytherapy after wide local excision: 12-year outcomes from a prospective trial. Int J Radiat Oncol Biol Phys. 2012 Jul 1;83(3):791-800. doi: 10.1016/j.ijrobp.2011.09.003. Epub 2011 Nov 16.
PMID: 22099046RESULTLawenda BD, Taghian AG, Kachnic LA, Hamdi H, Smith BL, Gadd MA, Mauceri T, Powell SN. Dose-volume analysis of radiotherapy for T1N0 invasive breast cancer treated by local excision and partial breast irradiation by low-dose-rate interstitial implant. Int J Radiat Oncol Biol Phys. 2003 Jul 1;56(3):671-80. doi: 10.1016/s0360-3016(03)00071-3.
PMID: 12788172RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alphonse Taghian, MD, PhD
Massachusetts General Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chief Breast Radiation Oncology, MGH
Study Record Dates
First Submitted
September 11, 2009
First Posted
September 15, 2009
Study Start
June 1, 1997
Primary Completion
May 1, 2006
Study Completion
May 1, 2013
Last Updated
April 11, 2017
Record last verified: 2017-04