NeoRad Breast Cancer Study

NCT ID: NCT04261244

Last Updated: 2025-05-07

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1826 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-01

Study Completion Date

2034-03-31

Brief Summary

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The NEORAD trial tests whether preoperative radiotherapy results in an improved DFS and less radiation induced late effect compared to postoperative radiotherapy in higher risk breast cancer after NACT.

Detailed Description

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The standard of care for high-risk breast cancer consists of neoadjuvant chemotherapy and surgery followed by postoperative whole breast/chest wall irradiation+/- an additional boost (= irradiation restricted to the tumour bed in the case of breast-conserving therapy). In case of lymph node involvement in most patients require additional radiation of the regional lymph nodes. Adjuvant radiotherapy significantly reduces ipsilateral breast cancer recurrences, breast cancer specific mortality, and overall mortality. The optimal time of radiotherapy in patients, who are candidates for neoadjuvant chemotherapy (NACT) has never been addressed in a randomised controlled trial.

The Study Chairman of the NEORAD trial is Prof. Dr. med. Christiane Matuschek. The deputies of the Study Chairman are Prof. Dr. med. Wilfried Budach and Prof. Dr. med. Tanja Fehm.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized, multicenter
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental Arm

preoperative radiotherapy in breast cancer after neoadjuvant chemotherapy

Group Type EXPERIMENTAL

preoperative radiotherapy

Intervention Type RADIATION

preoperative radiotherapy instead of postoperative radiotherapy in breast cancer after neoadjuvant chemotherapy

Standard treatment

standard treatment (postoperative radiotherapy) in breast cancer after neoadjuvant chemotherapy

Group Type ACTIVE_COMPARATOR

postoperative radiotherapy

Intervention Type RADIATION

postoperative radiotherapy in breast cancer after neoadjuvant chemotherapy

Interventions

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preoperative radiotherapy

preoperative radiotherapy instead of postoperative radiotherapy in breast cancer after neoadjuvant chemotherapy

Intervention Type RADIATION

postoperative radiotherapy

postoperative radiotherapy in breast cancer after neoadjuvant chemotherapy

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Histologically proven invasive, unilateral breast cancer
* Indication for radiotherapy
* Indication for neoadjuvant chemotherapy (+/- antibody treatment or other targeted therapies) in accordance with national and international guidelines
* Female
* Informed consent for the trial signed by the patient
* Hormone receptor and HER2 status: no restrictions
* All grades G1-G3
* Age ≥ 18 years at the time of informed consent
* Performance status ≤ 2
* No pre-existing conditions that prohibit therapy

Exclusion Criteria

* Neoadjuvant treatment solely with endocrine therapy
* Bilateral breast cancer
* Pregnancy or lactation
* Prior radiotherapy of the thorax
* Connective tissue disease, including rheumatoid arthritis and thromboangiitis obliterans
* Pre-existing symptomatic chronic lung disease (fibrosis, pneumoconiosis, adult-onset allergies, such as farmer's lung, severe lung emphysema, COPD °III)
* Cardiac comorbidities: symptomatic coronary heart disease, prior heart attack, heart failure NYHA ≥II or AHA ≥C, pacemaker, and/or implanted defibrillator
* Malignoma except basalioma or in-situ-carcinomas in complete response
* Distant metastasis
* Plexopathies of the arm of the treated side
* Stiffness of the shoulder of the arm of the side of the breast cancer of any origin (e.g. following a road accident)
* Lymph edema ≥°II of the arm at the side of the breast cancer
* Other medical conditions that prohibit the neoadjuvant radiotherapy (i.e. Expected non-compliance, etc.)
* Male patients
* Patients who have previously been assessed for chemotherapy response
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Bielefeld University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christiane M Prof., MD Prof.

Role: STUDY_CHAIR

Bielefeld University

Locations

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St. Marien-Krankenhaus Ahaus

Ahaus, , Germany

Site Status RECRUITING

Hochtaunus-Kliniken

Bad Homburg, , Germany

Site Status RECRUITING

Sana Klinikum Lichtenberg

Berlin, , Germany

Site Status RECRUITING

St. Agnes-Hospital

Bocholt, , Germany

Site Status RECRUITING

Städtisches Klinikum Dessau

Dessau, , Germany

Site Status RECRUITING

Universitätsfrauenklinik UK OWL, Klinikum Lippe

Detmold, , Germany

Site Status RECRUITING

Universitätsklinikum Düsseldorf

Düsseldorf, , Germany

Site Status RECRUITING

Niels-Stensen-Kliniken Franziskus-Hospital Harderberg

Georgsmarienhütte, , Germany

Site Status RECRUITING

Sana Klinikum Hameln-Pyrmont

Hamelin, , Germany

Site Status RECRUITING

Sana Klinikum Offenbach

Offenbach, , Germany

Site Status RECRUITING

medius Klinik Ostfildern-Ruit

Ostfildern, , Germany

Site Status RECRUITING

Leopoldina Krankenhaus Schweinfurt

Schweinfurt, , Germany

Site Status RECRUITING

Johanniter-Krankenhaus Stendal

Stendal, , Germany

Site Status RECRUITING

Rems-Murr-Klinikum Winnenden

Winnenden, , Germany

Site Status RECRUITING

Helios Universitätsklinikum Wuppertal

Wuppertal, , Germany

Site Status RECRUITING

Heinrich-Braun-Klinikum

Zwickau, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Christiane Matuschek, MD Prof.

Role: CONTACT

+495215812901

Deborah Wöstenfeld, M. A.

Role: CONTACT

+495215812972

Facility Contacts

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Alexandra Nienhaus

Role: primary

+4925619923208

Uta-Ruth Schindelin, Dr. med.

Role: primary

+496172142580

Maria Hufnagel, Dr. med.

Role: primary

+493055182450

Judith Gissing, Dr. med.

Role: primary

+492871202740

Hermann Voß, Dr. med.

Role: primary

+493405014310

Beyhan Ataseven, Prof. Dr. med.

Role: primary

+495231723141

Tanja Fehm, MD Prof.

Role: primary

+492118117501

Thorsten Heilmann, Dr. med.

Role: primary

+495415023120

Janine König

Role: primary

+495151971241

Peter Niehoff, Prof. Dr. med.

Role: primary

+496984053335

Matthias Geiger, Dr. med.

Role: primary

+49711448811650

Elke Wiegand, Dr. med.

Role: primary

+4997217202132

Sylvia Ruth, Dr. med.

Role: primary

+493931668020

Hans-Joachim Strittmatter, Prof. Dr. med.

Role: primary

+49719559139220

Marc D Piroth, Prof. Dr. med.

Role: primary

+492028962821

Alexander D Boicev, Dr. med.

Role: primary

+40375512802

Other Identifiers

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NeoRad Breast Cancer Study

Identifier Type: -

Identifier Source: org_study_id

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