UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000040249
Receipt number R000045917
Scientific Title Prospective intervention study of radiation therapy omission after partial mastectomy in invasive breast cancer
Date of disclosure of the study information 2020/05/01
Last modified on 2022/05/16 15:40:17

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Prospective intervention study of radiation therapy omission after partial mastectomy in invasive breast cancer

Acronym

Prospective intervention study of radiation therapy omission after partial mastectomy in invasive breast cancer

Scientific Title

Prospective intervention study of radiation therapy omission after partial mastectomy in invasive breast cancer

Scientific Title:Acronym

Prospective intervention study of radiation therapy omission after partial mastectomy in invasive breast cancer

Region

Japan


Condition

Condition

Breast cancer

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate the possibility of de-escalation therapy omitting postoperative radiation therapy after conservative surgery in patients with primary invasive breast cancer who have no lymph node metastasis and lymph-vascular invasion and low risk of local recurrence

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence of invasive cancer in the preserved breast (limited to the first recurrence)

Key secondary outcomes

1. Incidence of cancer in the preserved breast
2. Incidence of true recurrence (TR) and new primary lesion (NP)
3. Recurrence-free survival rate
4. Overall survival rate
5. Search for risk factors for ipsilateral breast cancer
(Age, ER status, PgR status, HER2 status, tumor diameter, Nuclear grade)
6. Incidence of contralateral breast cancer
7. Incidence of distant metastases
8. Incidence of local recurrence rate
9. Incidence of symptomatic pneumonitis
10. Incidence rate of symptomatic cardiac dysfunction
11. Incidence and degree of skin disorders


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking

NO

Concealment

No need to know


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Omission of radiation therapy after breast-conserving surgery

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

1) Histologically diagnosed invasive breast cancer (irrespective of histological type).
2) TNM classification: pT1-T2pN0
3) Partial mastectomy is performed by vertical resection in which lateral stump can be diagnosed.
4) There is no residual cancer on the skin or pectoralis major muscle.
5) Partial mastectomy specimens are pathologically examined at intervals of 5 mm, and an experienced breast pathologist has concluded complete resection (the distance from the lateral stump to the cancer cells is longer than 5 mm).
6) Histologically no lymph-vascular invasion detected.
7) Age at registration is 20 years or older
8) Performance status (ECOG) is 0 or 1.
9) Main organ functions are maintained.
10) Patients have given their consent to participate in the study through the
documents.

Key exclusion criteria

1) Cases of additional resection during surgery(However, registration is possible if the specimen before additional resection can be diagnosed as complete resection)
2) Cases of excisional biopsy
3) Patients who have not undergone standard surgery on lymph nodes
4) BRCA mutation positive cases
5)When the doctor in charge determines that it is inappropriate

Target sample size

600


Research contact person

Name of lead principal investigator

1st name Takayuki
Middle name
Last name Ueno

Organization

Cancer Institute Hospital of Japanese Foundation for Cancer Research

Division name

Department of Breast Surgical Oncology, Breast Oncology Center

Zip code

1358550

Address

3-8-31, Ariake, Koto-ku, Tokyo

TEL

0335200111

Email

takayuki.ueno@jfcr.or.jp


Public contact

Name of contact person

1st name Takayuki
Middle name
Last name Ueno

Organization

Cancer Institute Hospital of Japanese Foundation for Cancer Research

Division name

Department of Breast Surgical Oncology, Breast Oncology Center

Zip code

1358550

Address

3-8-31, Ariake, Koto-ku, Tokyo

TEL

0335200111

Homepage URL


Email

takayuki.ueno@jfcr.or.jp


Sponsor or person

Institute

Department of Breast Surgical Oncology, Breast Oncology Center, Cancer Institute Hospital of Japanese Foundation for Cancer Research

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Medical Research Ethics Review Committee, Japanese Foundation for Cancer Research

Address

3-8-31, Ariake, Koto-ku, Tokyo

Tel

0335200111

Email

med.shinsa@jfcr.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

がん研究会有明病院 乳腺センター 乳腺外科(東京都)


Other administrative information

Date of disclosure of the study information

2020 Year 05 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2020 Year 04 Month 15 Day

Date of IRB

2020 Year 04 Month 15 Day

Anticipated trial start date

2020 Year 05 Month 01 Day

Last follow-up date

2026 Year 04 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 04 Month 27 Day

Last modified on

2022 Year 05 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045917


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name