Accelerated Partial Breast Radiotherapy With Either Mammosite or Intensity Modulated Radiotherapy

NCT ID: NCT01185145

Last Updated: 2013-07-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

291 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-02-29

Study Completion Date

2024-08-31

Brief Summary

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Accelerated Partial Breast Irradiation by Mammosite and intensity modulated radiotherapy is safe and effective in patients with early stage breast cancer resected by lumpectomy.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Mammosite

Accelerated Partial Breast Irradiation using Mammosite RTS

Group Type EXPERIMENTAL

Breast Brachytherapy with Mammosite RTS

Intervention Type RADIATION

Treatment will be performed using high dose rate brachytherapy, starting between 2-5 days of implant, 34 Gy at 1 cm in 3.4 Gy fractions BID for 5 treatment days with typical boost dose od 10 Gy given in 2 fractions at least 6 hours apart.

IMRT

Accelerated partial breast irradiation using IMRT planning technique of external beam radiotherapy

Group Type EXPERIMENTAL

Intensity Modulated Radiotherapy

Intervention Type RADIATION

Accelerated Partial Breast Irradiation using intensity modulated radiotherapy, a novel planning and delivery technique for external beam radiation

Interventions

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Breast Brachytherapy with Mammosite RTS

Treatment will be performed using high dose rate brachytherapy, starting between 2-5 days of implant, 34 Gy at 1 cm in 3.4 Gy fractions BID for 5 treatment days with typical boost dose od 10 Gy given in 2 fractions at least 6 hours apart.

Intervention Type RADIATION

Intensity Modulated Radiotherapy

Accelerated Partial Breast Irradiation using intensity modulated radiotherapy, a novel planning and delivery technique for external beam radiation

Intervention Type RADIATION

Other Intervention Names

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Mammosite Breast Brachytherapy Accelerated Partial Breast Irradiation APBI IMRT APBI EBRT Accelerated Partial Breast Irradiation

Eligibility Criteria

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Inclusion Criteria

* Be a Tis, T1, N0, M0 AJC Classification
* Have negative surgical margins (\> or = 2 mm) after final surgery
* Should have adequate skin spacing between balloon surface and surface the skin (\> 7 mm)\*
* Patients with infiltrating lobular histologies should have breast MRI scanning as part of the initial staging to verify localized T1, or Tis disease
* Multifocal findings (define as 2 or more breast quadrants) on MRI scanning should be further evaluated by ultrasound and, if necessary biopsy, to exclude multiquadrant disease.

Exclusion Criteria

* Be pregnant or breast-feeding
* Have collagen-vascular disease
* Inadequate surgical margins (\< 2 mm)
* Patients with malignant/suspicious calcifications
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Charles Leonard, MD

UNKNOWN

Sponsor Role collaborator

Rocky Mountain Cancer Centers

OTHER

Sponsor Role lead

Responsible Party

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Rocky Mountain Cancer Centers

Principal Investigators

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Dennis Carter, MD

Role: PRINCIPAL_INVESTIGATOR

Rocky Mountain Cancer Centers

Locations

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Rocky Mountain Cancer Centers - Aurora

Aurora, Colorado, United States

Site Status

Rocky Mountain Cancer Centers - Boulder

Boulder, Colorado, United States

Site Status

Rocky Mountain Cancer Centers - Midtown

Denver, Colorado, United States

Site Status

Rocky Mountain Cancer Centers - Littleton

Littleton, Colorado, United States

Site Status

Rocky Mountain Cancer Centers - Sky Ridge

Lone Tree, Colorado, United States

Site Status

Rocky Mountain Cancer Centers - Thornton

Thornton, Colorado, United States

Site Status

Countries

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United States

References

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Leonard CE, Tallhamer M, Johnson T, Hunter K, Howell K, Kercher J, Widener J, Kaske T, Paul D, Sedlacek S, Carter DL. Clinical experience with image-guided radiotherapy in an accelerated partial breast intensity-modulated radiotherapy protocol. Int J Radiat Oncol Biol Phys. 2010 Feb 1;76(2):528-34. doi: 10.1016/j.ijrobp.2009.02.001. Epub 2009 May 19.

Reference Type BACKGROUND
PMID: 19467799 (View on PubMed)

Rusthoven KE, Carter DL, Howell K, Kercher JM, Henkenberns P, Hunter KL, Leonard CE. Accelerated partial-breast intensity-modulated radiotherapy results in improved dose distribution when compared with three-dimensional treatment-planning techniques. Int J Radiat Oncol Biol Phys. 2008 Jan 1;70(1):296-302. doi: 10.1016/j.ijrobp.2007.08.047.

Reference Type BACKGROUND
PMID: 18086392 (View on PubMed)

Lei RY, Leonard CE, Howell KT, Henkenberns PL, Johnson TK, Hobart TL, Fryman SP, Kercher JM, Widner JL, Kaske T, Carter DL. Four-year clinical update from a prospective trial of accelerated partial breast intensity-modulated radiotherapy (APBIMRT). Breast Cancer Res Treat. 2013 Jul;140(1):119-33. doi: 10.1007/s10549-013-2623-x. Epub 2013 Jul 4.

Reference Type RESULT
PMID: 23824363 (View on PubMed)

Leonard CE, Johnson T, Tallhamer M, Howell K, Kercher J, Kaske T, Barke L, Sedlacek S, Hobart T, Carter DL. Accelerated partial breast intensity-modulated radiotherapy in women who have prior breast augmentation. Clin Breast Cancer. 2011 Jun;11(3):184-90. doi: 10.1016/j.clbc.2011.03.016. Epub 2011 May 4.

Reference Type RESULT
PMID: 21665139 (View on PubMed)

Reeder R, Carter DL, Howell K, Henkenberns P, Tallhamer M, Johnson T, Kercher J, Widner J, Kaske T, Paul D, Sedlacek S, Leonard CE. Predictors for clinical outcomes after accelerated partial breast intensity-modulated radiotherapy. Int J Radiat Oncol Biol Phys. 2009 May 1;74(1):92-7. doi: 10.1016/j.ijrobp.2008.06.1917. Epub 2008 Sep 9.

Reference Type RESULT
PMID: 18786783 (View on PubMed)

Leonard C, Carter D, Kercher J, Howell K, Henkenberns P, Tallhamer M, Cornish P, Hunter K, Kondrat J. Prospective trial of accelerated partial breast intensity-modulated radiotherapy. Int J Radiat Oncol Biol Phys. 2007 Apr 1;67(5):1291-8. doi: 10.1016/j.ijrobp.2006.11.016. Epub 2007 Jan 17.

Reference Type RESULT
PMID: 17234359 (View on PubMed)

Leonard CE, Wang Y, Asmar L, Lei RY, Howell KT, Henkenberns PL, Johnson TK, Hobart TL, Tole SP, Kercher JM, Widner JL, Barke L, Kaske T, Carter DL. A prospective Phase III trial evaluating patient self-reported pain and cosmesis in accelerated partial breast irradiation utilizing 3-D versus intensity-modulated radiotherapy. Cancer Med. 2021 Oct;10(20):7089-7100. doi: 10.1002/cam4.4242. Epub 2021 Sep 1.

Reference Type DERIVED
PMID: 34469056 (View on PubMed)

Other Identifiers

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WIRB #20040075

Identifier Type: -

Identifier Source: org_study_id

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