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Phase 2 Study Evaluating the Feasibility and the Reproducibility of Concentrated Radiotherapy and Focalized Electrontherapy During Surgery for the Treatment of Older Patients With Breast Cancer


Phase 2
65 Years
N/A
Not Enrolling
Female
Breast Cancer

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Trial Information

Phase 2 Study Evaluating the Feasibility and the Reproducibility of Concentrated Radiotherapy and Focalized Electrontherapy During Surgery for the Treatment of Older Patients With Breast Cancer


OBJECTIVES:

Primary

- Study the feasibility and reproducibility of intraoperative radiotherapy as the only
treatment after lumpectomy in older women with stage I breast cancer.

Secondary

- Study the impact of this regimen on maintaining self-care.

- Study the quality of life (QLQ-C30) and satisfaction with care.

- Study regimen tolerance and cosmetic results.

- Evaluate the economic impact of this treatment.

- Study relapse-free and disease-specific survival.

OUTLINE: Patients undergo conservative breast surgery and axillary node dissection (sentinel
node or classic resection). At this point, patients must have either negative axillary lymph
nodes after removal of ≥ 6 lymph nodes, negative sentinel nodes, or have had a limited
lumpectomy with negative margins ≥ 2 mm. Patients undergo intraoperative radiotherapy during
surgery, before closing and reconstruction of the breast.

Patients may begin hormonal therapy after completing study therapy.

After completion of study therapy, patients are followed every 3 months for 1 year, every 4
months for 1 year, and then every 6 months for 3 years.

Inclusion Criteria


DISEASE CHARACTERISTICS:

Inclusion criteria:

- Histologically confirmed stage I breast cancer

- Size ≤ 20 mm (by ultrasound), N0, any quadrant

- Hormone receptor status not specified

Exclusion criteria:

- Distant metastases

- Inflammatory breast cancer

- Lobular in situ disease

- Invasive cancer or ductal carcinoma in situ

- Nonepithelial disease or sarcoma

- Multicentric disease

- Lymphatic embolism

- Margins of safety unknown or positive (in situ or invasive)

- Preoperative mammography showing diffuse microcalcification

PATIENT CHARACTERISTICS:

- Female

- Menopausal

- Karnofsky 70-100%

- No other prior cancer except basal cell skin cancer, uterine epithelioma in situ, or
other cancer in complete remission for the past 5 years

- No geographic, social, or psychiatric reasons that would impede participation in
study treatment

PRIOR CONCURRENT THERAPY:

- See Disease Characteristics

- No prior neoadjuvant therapy

- No concurrent participation in another study

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Feasibility

Safety Issue:

No

Principal Investigator

Jean-Bernard Dubois, MD

Investigator Role:

Study Chair

Investigator Affiliation:

Centre Val d'Aurelle - Paul Lamarque

Authority:

United States: Federal Government

Study ID:

CDR0000574074

NCT ID:

NCT00556777

Start Date:

January 2004

Completion Date:

Related Keywords:

  • Breast Cancer
  • stage I breast cancer
  • Breast Neoplasms

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