Modulated Accelerated RAdiotherapy in Early Breast Cancer

NCT ID: NCT03461224

Last Updated: 2018-03-12

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

COMPLETED

Total Enrollment

447 participants

Study Classification

OBSERVATIONAL

Study Start Date

2001-01-10

Study Completion Date

2017-12-31

Brief Summary

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This trial was a retrospective study on postoperative accelerated hypofractionated IMRT (MARA-1) in patients with early stage breast carcinoma, to compare late toxicity after this treatment and standard fractionated RT delivered with 3D-CRT.

Detailed Description

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The aim of this study was to evaluate the clinical results in terms of late skin and subcutaneous toxicity of accelerated hypofractionated forward-planned IMRT in patients with early stage BC. Results were compared with a historical control group (CG) of patients treated with 3D-conformal postoperative RT delivered with conventional fractionation.

Conditions

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Breast Cancer Radiation Toxicity

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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MARA-1: accelerated hypofractionated RT

A forward planned IMRT technique was used and the prescribed dose to the breast was 40 Gy in 16 fx with a concomitant boost of 4 Gy.

accelerated hypofractionated RT

Intervention Type RADIATION

CG: conventional fractionated RT

In the CG, the whole breast received 50.4 Gy in 28 fractions (fx) delivered with 3D-RT, followed by a sequential boost on the tumour bed of 10 Gy in 4 fx delivered with electrons

conventional fractionated RT

Intervention Type RADIATION

Interventions

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accelerated hypofractionated RT

Intervention Type RADIATION

conventional fractionated RT

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* confirmed histologic evidence of pTis-pT3 breast cancer
* breast conservative surgery
* post menopausal status
* clear surgical margin

Exclusion Criteria

* pT4
* positive or close resection margins
* 3 or more metastatic axillary nodes
* nodal irradiation
* M1
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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IRCCS Azienda Ospedaliero-Universitaria di Bologna

OTHER

Sponsor Role lead

Responsible Party

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Alessio Giuseppe Morganti

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alessio G. Morganti, MD

Role: PRINCIPAL_INVESTIGATOR

Radiation Oncology Center, Department of Experimental, Diagnostic and Speciality Medicine-DIMES, Unversity of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy

References

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Digesu C, Deodato F, Macchia G, Cilla S, Pieri M, Zamagni A, Farioli A, Buwenge M, Ferrandina G, Morganti AG. Hypofractionated radiotherapy after conservative surgery may increase low-intermediate grade late fibrosis in breast cancer patients. Breast Cancer (Dove Med Press). 2018 Oct 3;10:143-151. doi: 10.2147/BCTT.S167914. eCollection 2018.

Reference Type DERIVED
PMID: 30323658 (View on PubMed)

Other Identifiers

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MARA-1

Identifier Type: -

Identifier Source: org_study_id

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