Study Stopped
Loss of Funding
Prognostic Indicators for Radiation-induced Breast Fibrosis
Identifying Prognostic Indicators for the Development of Radiation-induced Breast Fibrosis
1 other identifier
observational
4
1 country
1
Brief Summary
To study the inflammatory response during and after radiotherapy, especially by measuring the concentration of an enzyme called autotaxin and its product LPA in the blood plasma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Jan 2024
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 25, 2021
CompletedFirst Posted
Study publicly available on registry
September 1, 2021
CompletedStudy Start
First participant enrolled
January 24, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 5, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
May 5, 2025
CompletedJune 27, 2025
June 1, 2025
1.3 years
August 25, 2021
June 24, 2025
Conditions
Outcome Measures
Primary Outcomes (4)
Measurement of the ATX-LPA (ATX) inflammatory response to standard RT for breast cancer as a prognostic marker for RT-induced fibrosis.
Measurement of longitudinal changes in plasma ATX in the irradiated breast.
Samples will be collected four times during RT treatment (3-4 weeks) and once every 3 months for an year.
Measurement of the ATX-LPA-inflammatory (LPA) response to standard RT for breast cancer as a prognostic marker for RT-induced fibrosis.
Measurement of longitudinal changes in plasma LPA in the irradiated breast.
Samples will be collected four times during RT treatment (3-4 weeks) and once every 3 months for an year.
Measurement of the ATX-LPA-inflammatory (cytokines) response to standard RT for breast cancer as a prognostic marker for RT-induced fibrosis.
Measurement of longitudinal changes in plasma cytokines in the irradiated breast.
Samples will be collected four times during RT treatment (3-4 weeks) and once every 3 months for an year.
Measurement of the ATX-LPA-inflammatory (chemokines) response to standard RT for breast cancer as a prognostic marker for RT-induced fibrosis.
Measurement of longitudinal changes in plasma chemokines in the irradiated breast.
Samples will be collected four times during RT treatment (3-4 weeks) and once every 3 months for an year.
Secondary Outcomes (3)
Structural changes in the irradiated breast and the non-irradiated breast
3, 6, 12, 24 and 48 months after RT
Acute Radiotherapy Toxicity
Throughout the duration of the study, a total of 4 years .
Relationship with Cytomegalovirus infection
Seropositivity for CMV will be checked only at baseline.
Study Arms (1)
Women undergoing radiation treatment after lumpectomy for breast cancer.
There is no specific study intervention being used. Samples will be collected from participants undergoing standard of care radiotherapy at pre-specified timepoints.
Interventions
4000-4250 cGy in 15-16 daily fractions
Eligibility Criteria
We will study a low risk group of 27 post-menopausal patients with luminal A breast cancer after they have received breast conserving surgery (lumpectomy). Women who have smoked or received chemotherapy will be excluded to minimize variables.
You may qualify if:
- Female participants capable of giving informed consent, or if appropriate, participants having an acceptable individual capable of giving consent on the participant's behalf
- Age 40 and above.
- Treatment with breast conserving surgery.
- Intended adjuvant whole breast radiotherapy dose to a dose of 40-42.5 Gy in 15-16 fractions.
- Luminal A subtype as determined by clinipathologic factors (ER/PR positive, Her-2 negative, low Ki-67 or low OncotypeDx recurrence score
You may not qualify if:
- Women who have smoked within the last 5 years
- Patients requiring adjuvant chemotherapy.
- Requirement for regional nodal radiotherapy.
- Requirement for tumour bed boost.
- Breast implants
- Patients to be treated with partial breast irradiation.
- Uncontrolled intercurrent illness or active infection.
- Patients who have previously received chemotherapy.
- Patients who have previously received chemotherapy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Zsolt Gabos, MD
AHS-CCI
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 25, 2021
First Posted
September 1, 2021
Study Start
January 24, 2024
Primary Completion
May 5, 2025
Study Completion
May 5, 2025
Last Updated
June 27, 2025
Record last verified: 2025-06