A Phase Ⅲ Randomized Clinical Trial of Postmastectomy Hypofractionation Radiotherapy in High-risk Breast Cancer
NCT ID: NCT00793962
Last Updated: 2018-10-11
Study Results
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Basic Information
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COMPLETED
PHASE3
810 participants
INTERVENTIONAL
2008-06-30
2018-09-30
Brief Summary
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Detailed Description
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During and after radiotherapy, the patients are followed and the efficacy and toxicities of radiotherapy are evaluated.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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hypofractionation radiotherapy
breast cancer women with mastectomy high-risk: T3-4 and/or 4 or more axillary nodes involvement postmastectomy hypofractionation radiotherapy of 43.5Gy/15f/3w to the chest wall and supraclavicular nodal region
hypofractionation radiotherapy
radiotherapy of 43.5Gy/15f/3w to the chest wall and supraclavicular nodal region
conventional fractionation radiotherapy
breast cancer women with mastectomy high-risk with T3-4 and/or 4 or more axillary nodes postmastectomy conventional fractionation radiotherapy of 50Gy/25f/5w to the chest wall and supraclavicular nodal region
conventional fractionation radiotherapy
50Gy/25/f/5w
Interventions
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hypofractionation radiotherapy
radiotherapy of 43.5Gy/15f/3w to the chest wall and supraclavicular nodal region
conventional fractionation radiotherapy
50Gy/25/f/5w
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Undergone total mastectomy and axillary dissection
* T3-4,or \>=4 positive axillary lymph nodes
* Fit for chemotherapy(if indicated),endocrine therapy(if indicated)and postoperative irradiation
* Written,informed consent
* cT3-4,or cN2, or pathological positive axillary lymph nodes during mastectomy for patients who had received neoadjuvant chemotherapy or hormone therapy
* no supraclavicular or internal mammary nodes metastases
* no distant metastases
* enrollment date no more than 8 months after surgery or no more than 2 months after chemotherapy for patients who didn't receive neoadjuvant systemic therapy.
* enrollment date no more than 2 months after surgery for patients who had received neoadjuvant systemic therapy and didn't need adjuvant chemotherapy.
Exclusion Criteria
* Previous or concurrent malignant other than non-melanomatous skin cancer
* Unable or unwilling to give informed consent
* bilateral breast cancer
* immediate or delayed ipsilateral breast cancer reconstruction
18 Years
75 Years
FEMALE
No
Sponsors
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Chinese Academy of Medical Sciences
OTHER
Responsible Party
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Shu lian Wang
M.D.
Principal Investigators
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shu-lian wang, M.D.
Role: PRINCIPAL_INVESTIGATOR
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Ye-xiong Li, M.D.
Role: STUDY_CHAIR
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Locations
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Cancer Hospital, Chinese Academy of Medical Sciences
Beijing, , China
Countries
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References
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Yang J, Qi SN, Fang H, Song YW, Jin J, Liu YP, Wang WH, Yang Y, Tang Y, Ren H, Chen B, Lu NN, Tang Y, Li N, Jing H, Wang SL, Li YX. Cost-effectiveness of postmastectomy hypofractionated radiation therapy vs conventional fractionated radiation therapy for high-risk breast cancer. Breast. 2021 Aug;58:72-79. doi: 10.1016/j.breast.2021.04.002. Epub 2021 Apr 19.
Wang SL, Fang H, Song YW, Wang WH, Hu C, Liu YP, Jin J, Liu XF, Yu ZH, Ren H, Li N, Lu NN, Tang Y, Tang Y, Qi SN, Sun GY, Peng R, Li S, Chen B, Yang Y, Li YX. Hypofractionated versus conventional fractionated postmastectomy radiotherapy for patients with high-risk breast cancer: a randomised, non-inferiority, open-label, phase 3 trial. Lancet Oncol. 2019 Mar;20(3):352-360. doi: 10.1016/S1470-2045(18)30813-1. Epub 2019 Jan 30.
Other Identifiers
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LC2008A06
Identifier Type: -
Identifier Source: org_study_id
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