Radiation Therapy and Thymus Function in Young Women With Breast Cancer
Off-Target Effects of Breast Cancer Adjuvant Radiation Therapy on Thymus Function in Young Women
2 other identifiers
observational
125
1 country
1
Brief Summary
Breast cancer treatment sometimes includes radiation to the breast or chest wall. There is a small gland, called the thymus, located in the upper chest that may receive a small amount of the radiation aimed at the breast. The goal of this study is to collect blood samples from young women with breast cancer to study the effect of radiation therapy on the thymus gland.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Sep 2026
Typical duration for all trials
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
First Submitted
Initial submission to the registry
July 21, 2026
CompletedFirst Posted
Study publicly available on registry
July 24, 2026
CompletedStudy Start
First participant enrolled
September 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2029
Study Completion
Last participant's last visit for all outcomes
September 1, 2029
July 24, 2026
July 1, 2026
3 years
July 21, 2026
July 21, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (14)
Level of signal joint T cell Receptor Exclusion Circles (sjTREC) in peripheral blood T cells
As measured by quantitative PCR in participants receiving radiotherapy (RT)
baseline
Level of signal joint T cell Receptor Exclusion Circles (sjTREC) in peripheral blood T cells
As measured by quantitative PCR in participants receiving radiotherapy (RT)
at the end of RT, about 5 weeks
Level of signal joint T cell Receptor Exclusion Circles (sjTREC) in peripheral blood T cells
As measured by quantitative PCR in participants receiving radiotherapy (RT)
6 months post-RT
Level of signal joint T cell Receptor Exclusion Circles (sjTREC) in peripheral blood T cells
As measured by quantitative PCR in participants NOT receiving radiotherapy (RT)
within 3 months after breast cancer surgery
Level of signal joint T cell Receptor Exclusion Circles (sjTREC) in peripheral blood T cells
As measured by quantitative PCR in participants NOT receiving radiotherapy (RT)
approximately 8-11 months after breast cancer surgery
Level of CD4+ recent thymic emigrant (RTE) cells in participant blood samples
As measured by flow cytometry in blood from participants receiving radiotherapy (RT)
baseline
Level of CD4+ RTE cells in participant blood samples
As measured by flow cytometry in blood from participants receiving radiotherapy (RT)
at the end of RT, about 5 weeks
Level of CD4+ RTE cells in participant blood samples
As measured by flow cytometry in blood from participants receiving radiotherapy (RT)
6 months post RT
Level of CD4+ RTE cells in participant blood samples
As measured by flow cytometry in blood from participants NOT receiving radiotherapy (RT)
within 3 months of breast cancer surgery
Level of CD4+ RTE cells in participant blood samples
As measured by flow cytometry in blood from participants NOT receiving radiotherapy (RT)
approximately 8-11 months after breast cancer surgery
Effect of adjuvant radiotherapy treatment dose on levels of sjTREC-containing T cells
using a linear mixed-effect model in participants receiving RT
6 months post RT
Effect of adjuvant radiotherapy treatment fractionation on levels of sjTREC-containing T cells
using a linear mixed-effect model in participants receiving RT
6 months post RT
Effect of adjuvant radiotherapy treatment fractionation on levels of CD4+ RTE cells
using a linear mixed-effect model in participants receiving RT
6 months post RT
Effect of adjuvant radiotherapy treatment dose on levels of CD4+ RTE cells
using a linear mixed-effect model in participants receiving RT
6 months post RT
Study Arms (2)
Radiation Therapy
Up to 100 Breast cancer patients receiving radiation therapy
No Radiation Therapy
Up to 25 Breast cancer patients NOT receiving radiation therapy as control
Interventions
Blood will be drawn and processed for Peripheral Blood Mononuclear Cells (PBMCs). PBMC biomarkers will be used to assess thymopoiesis .
Eligibility Criteria
The study population includes women age 18-50 with breast cancer seen in the Duke Breast Oncology Program
You may qualify if:
- Women aged 18 to 50 undergoing mastectomy or breast-conserving surgery for breast cancer of any subtype at DUMC and associated satellite centers
- Histologic documentation of breast cancer based on pathology
- Systemic therapies including hormone therapy, targeted therapy, chemotherapy and immunotherapy as given for breast cancer treatment at the discretion of the treating medical oncologist are allowed and use of such therapies will be documented and included as a covariate
- Willing and able to provide written informed consent
You may not qualify if:
- Prior history of therapeutic high-dose irradiation of the thorax (e.g. for treatment of lung cancer, head/neck cancer, Hodgkin disease, etc., not just radiological imaging alone)
- History of thymectomy or treatment with immunosuppressive drugs within the past six months
- Individuals with rheumatoid arthritis or other autoimmune conditions
- Individuals with Down's syndrome
- Male patients
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Duke Universitylead
Study Sites (1)
Duke Cancer Center
Durham, North Carolina, 27710, United States
Biospecimen
Blood samples, PBMCs
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Susan McDuff, MD PhD
Duke University Health System (DUHS)
- PRINCIPAL INVESTIGATOR
Andrew Macintyre, PhD
Duke Human Vaccine Institute
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 21, 2026
First Posted
July 24, 2026
Study Start (Estimated)
September 1, 2026
Primary Completion (Estimated)
September 1, 2029
Study Completion (Estimated)
September 1, 2029
Last Updated
July 24, 2026
Record last verified: 2026-07