Evaluation of Hypothyroidism Incidence After Breast Cancer Supraclavicular Irradiation
EPITHERM
A Prospective Multicentric Evaluation of the Rate of Incidence of Hypothyroidism After Supraclavicular Irradiation for Breast Cancer
2 other identifiers
interventional
500
1 country
3
Brief Summary
Prospective, multicentric, comparative, non randomised, in current care. Primary objective:
- To evaluate the incidence of hypothyroidism in breast cancer patients treated by radiotherapy including the supra-clavicular area over a period of 5 years (60 months). Secondary objectives :
- To calculate the dose of irradiation received by thyroid gland during the treatment.
- To compare the rate of incidence of hypothyroidism in women who received a supra-clavicular irradiation (group 1)and in those who did not (group 2).
- To estimate and compare the rate of incidence of chronic thyroid lesions in the 2 groups.
- To look for predictive factors of hypothyroidism de novo in group 1 women particularly regarding the dose-volume parameters.
- To propose recommendations for the thyroid follow-up after supra-clavicular irradiation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2013
Longer than P75 for not_applicable
3 active sites
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
February 1, 2013
CompletedFirst Submitted
Initial submission to the registry
August 25, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2015
CompletedFirst Posted
Study publicly available on registry
July 6, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2020
CompletedAugust 31, 2021
August 1, 2021
2.4 years
August 25, 2014
August 30, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Number of patients with treatment-related adverse effects on thyroid function as assessed by CTCAE v4.0
Outcome measures will be assessed every 6 months up to 5 years.
Study Arms (2)
with supraclavicular irradiation
ACTIVE COMPARATORPatients received supraclavicular irradiation according to local policies. Biological samples were obtained in order to evaluate hypothyroidism during the follow-up period
without supraclavicular irradiation
ACTIVE COMPARATORPatients did not receive supraclavicular irradiation according to local policies. Biological samples were obtained in order to evaluate hypothyroidism during the follow-up period
Interventions
T4, thyrotropic-stimulating hormone (TSH) and Thyroglobulin antibody were systematically measured
Irradiation of the homolateral supraclavicular area delivering 46 Gy in 23 fractions
Eligibility Criteria
You may qualify if:
- Women older than 18
- Non metastatic breast cancer, histologically proved, whatever T and N stages and receptors status.
- Breast cancer treated by surgery (either initial treatment then biotherapies and/or neoadjuvant chemotherapy, either secondarily after biotherapies and/or neoadjuvant chemotherapy, either without chemotherapy and/or biotherapies)
- Breast cancer requiring an adjuvant radiotherapy
- Treatment by radiotherapy made in participating centers
- Information of patient and signature of the informed consent.
You may not qualify if:
- History of thyroid surgery
- Bilateral breast cancer
- History of cervical and/or supra-clavicular radiotherapy
- Lack of social security insurance
- Subjects deprived of free behavior or under administrative control
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Institut Jean Godinot
Reims, 51100, France
Centre Paul Strauss
Strasbourg, 67000, France
Institut de Cancerologie de Lorraine
Vandœuvre-lès-Nancy, 54519, France
Study Officials
- STUDY DIRECTOR
Yacine MERROUCHE, MD
Institut Jean-Godinot
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
August 25, 2014
First Posted
July 6, 2016
Study Start
February 1, 2013
Primary Completion
July 1, 2015
Study Completion
July 1, 2020
Last Updated
August 31, 2021
Record last verified: 2021-08