Patient-Reported Outcome and Safety Between Preoperative and Postmastectomy Radiotherapy in DIEP Flap Reconstruction

NCT ID: NCT05512286

Last Updated: 2024-11-25

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

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-25

Study Completion Date

2027-10-01

Brief Summary

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This study is the first prospective randomized study assessing the patient-reported outcomes and safety outcomes between preoperative and postmastectomy radiotherapy in locally advanced breast cancer patients with immediate reconstruction of deep inferior epigastric perforator(DIEP) flap. Radiotherapy before mastectomy and autologous free-flap breast reconstruction can avoid adverse radiation effects on healthy donor tissues and delays to adjuvant radiotherapy. We aimed to explore the feasibility of preoperative radiotherapy followed by DIEP flap reconstruction in patients with breast cancer requiring mastectomy.

Detailed Description

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Conditions

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Breast Cancer

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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Preoperative radiotherapy

Radiotherapy followed by mastectomy and DIEP flap reconstruction

Group Type EXPERIMENTAL

Preoperative radiotherapy

Intervention Type RADIATION

Radiotherapy followed by mastectomy and DIEP flap reconstruction

Postmastectomy radiotherapy

Radiotherapy after mastectomy and DIEP flap reconstruction

Group Type ACTIVE_COMPARATOR

Postmastectomy radiotherapy

Intervention Type RADIATION

Radiotherapy after mastectomy and DIEP flap reconstruction

Interventions

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Preoperative radiotherapy

Radiotherapy followed by mastectomy and DIEP flap reconstruction

Intervention Type RADIATION

Postmastectomy radiotherapy

Radiotherapy after mastectomy and DIEP flap reconstruction

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Patients with histological proven invasive breast cancer;
* Clinical T0-3, T4b and N0-3a disease who require neoadjuvant chemotherapy;
* No distant metastasis;
* Adjuvant radiotherapy and who are suitable for DIEP flap reconstruction at the time of mastectomy.

Exclusion Criteria

* Patients enrolled in other clinical trial which may as influence the outcome;
* Patients received neoadjuvant therapy without radiotherapy indications;
* Disease progression during neoadjuvant chemotherapy;
* Patients of pregnancy or lactation;
* Previous history of diabetes;
* Previous history of heavy smoking.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Huashan Hospital

OTHER

Sponsor Role collaborator

Hunan Cancer Hospital

OTHER

Sponsor Role collaborator

Cancer Hospital of Guangxi Medical University

OTHER

Sponsor Role collaborator

Yunnan Cancer Hospital

OTHER

Sponsor Role collaborator

Zhejiang Cancer Hospital

OTHER

Sponsor Role collaborator

Henan Cancer Hospital

OTHER_GOV

Sponsor Role collaborator

Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Jiong Wu

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jiong Wu

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Locations

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Guangxi Provincial Cancer Hospital

Nanning, Guangxi, China

Site Status RECRUITING

Henan Provincial Cancer Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Hunan Provincial Cancer Hospital

Changsha, Hunan, China

Site Status RECRUITING

Huashan Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Yunnan Provincial Cancer Hospital

Kunming, Yunnan, China

Site Status RECRUITING

Zhejiang Provincial Cancer Hospital

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jiong Wu

Role: CONTACT

862164175590

Shuang Hao

Role: CONTACT

862164175590

Facility Contacts

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Huawei Yang

Role: primary

Xiaoming Liao

Role: backup

Xuhui Guo

Role: primary

Zhenzhen Liu

Role: backup

Zan Li

Role: primary

Dajiang Song

Role: backup

Qiang Zou

Role: primary

Yiting Jin

Role: backup

Dedian Chen

Role: primary

Sheng Huang

Role: backup

Yang Yu

Role: primary

Jiejie Hu

Role: backup

References

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Hao S, Hou J, Zhang L, Zhou C, Hou Y, Yu K, Hu Z, Liu G, Di G, Shao ZM, Yu X, Wu J. Protocol for a multicentre, prospective, open-label, randomised controlled trial to compare PROs and safety outcomes between preoperative and postmastectomy radiotherapy in locally advanced breast cancer patients with immediate reconstruction via a deep inferior epigastric perforator flap (CAPPELLA) in China. BMJ Open. 2025 Jan 20;15(1):e086980. doi: 10.1136/bmjopen-2024-086980.

Reference Type DERIVED
PMID: 39832996 (View on PubMed)

Other Identifiers

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CBCSG041

Identifier Type: -

Identifier Source: org_study_id

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