Role of Surgery for the Primary in Patients With Breast Cancer Stage IV.

NCT ID: NCT01906112

Last Updated: 2015-02-27

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

WITHDRAWN

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2019-08-31

Brief Summary

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The purpose of this study is to determine benefits of surgery for the primary in patients with breast cancer stage IV in randomized controlled study.

Detailed Description

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Conditions

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Carcinoma Breast Stage IV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Controlled

No surgery for primary breast tumor.

Group Type NO_INTERVENTION

No interventions assigned to this group

Study

Surgery for primary breast tumor.

Group Type EXPERIMENTAL

Surgery for primary breast tumor.

Intervention Type PROCEDURE

Complete resection of primary breast tumor(Lumpectomy or mastectomy)

Interventions

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Surgery for primary breast tumor.

Complete resection of primary breast tumor(Lumpectomy or mastectomy)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Healthy breast cancer stage IV patients with resectable primary breast tumor.
* Resectable breast cancer stage IV patients who well response of visceral metastasis to systemic therapy and fit for surgery.

Exclusion Criteria

* Breast cancer stage IV patients with local complication of primary breast tumor that require surgery for palliation such as uncontrolled bleeding,large and non-healing ulcer or intractable pain.
* Breast cancer stage IV patients with unresectable primary breast tumor or extensive chest wall disease.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Vichaiyut Hospital

OTHER

Sponsor Role collaborator

National Cancer Institute, Thailand

OTHER_GOV

Sponsor Role lead

Responsible Party

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AKANIST PIYAPANT, MD.,FRCST.

Surgical Oncologist.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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AKANIST PIYAPANT, MD.,FRCST.

Role: PRINCIPAL_INVESTIGATOR

Phyathai2 Hospital , Bangkok, Thailand

Locations

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Division Head & Neck and Breast, Department of Surgery. Faculty of Medicine Siriraj Hospital

Bangkok Noi, Bangkok, Thailand

Site Status

Department of Surgery, Faculty of Medicine Vajira Hospital.

Dusit, Bangkok, Thailand

Site Status

Phyathai 2 Hospital

PhyaThai, Bangkok, Thailand

Site Status

National Cancer Institute

Ratchathewi, Bangkok, Thailand

Site Status

Phramongkutklao Hospital

Ratchathewi, Bangkok, Thailand

Site Status

Chonburi Cancer Hospital

Muang Chonburi, Changwat Chon Buri, Thailand

Site Status

Khon Kaen University

Muang, Changwat Khon Kaen, Thailand

Site Status

Suratthani Cancer Hospital

Muang Suratthani, Changwat Surat Thani, Thailand

Site Status

Udon Thani Cancer Hospital

Muang Udon Thani, Changwat Udon Thani, Thailand

Site Status

Countries

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Thailand

References

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Khan SA, Stewart AK, Morrow M. Does aggressive local therapy improve survival in metastatic breast cancer? Surgery. 2002 Oct;132(4):620-6; discussion 626-7. doi: 10.1067/msy.2002.127544.

Reference Type BACKGROUND
PMID: 12407345 (View on PubMed)

Gnerlich J, Jeffe DB, Deshpande AD, Beers C, Zander C, Margenthaler JA. Surgical removal of the primary tumor increases overall survival in patients with metastatic breast cancer: analysis of the 1988-2003 SEER data. Ann Surg Oncol. 2007 Aug;14(8):2187-94. doi: 10.1245/s10434-007-9438-0. Epub 2007 May 24.

Reference Type BACKGROUND
PMID: 17522944 (View on PubMed)

Rapiti E, Verkooijen HM, Vlastos G, Fioretta G, Neyroud-Caspar I, Sappino AP, Chappuis PO, Bouchardy C. Complete excision of primary breast tumor improves survival of patients with metastatic breast cancer at diagnosis. J Clin Oncol. 2006 Jun 20;24(18):2743-9. doi: 10.1200/JCO.2005.04.2226. Epub 2006 May 15.

Reference Type BACKGROUND
PMID: 16702580 (View on PubMed)

Shien T, Kinoshita T, Shimizu C, Hojo T, Taira N, Doihara H, Akashi-Tanaka S. Primary tumor resection improves the survival of younger patients with metastatic breast cancer. Oncol Rep. 2009 Mar;21(3):827-32.

Reference Type BACKGROUND
PMID: 19212646 (View on PubMed)

Neuman HB, Morrogh M, Gonen M, Van Zee KJ, Morrow M, King TA. Stage IV breast cancer in the era of targeted therapy: does surgery of the primary tumor matter? Cancer. 2010 Mar 1;116(5):1226-33. doi: 10.1002/cncr.24873.

Reference Type BACKGROUND
PMID: 20101736 (View on PubMed)

Nguyen DH, Truong PT, Alexander C, Walter CV, Hayashi E, Christie J, Lesperance M. Can locoregional treatment of the primary tumor improve outcomes for women with stage IV breast cancer at diagnosis? Int J Radiat Oncol Biol Phys. 2012 Sep 1;84(1):39-45. doi: 10.1016/j.ijrobp.2011.11.046. Epub 2012 Feb 11.

Reference Type BACKGROUND
PMID: 22330986 (View on PubMed)

Other Identifiers

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17_2013RC_IN305

Identifier Type: -

Identifier Source: org_study_id