HIPOMAMMLINF: Ten Fraction Adjuvant Hypofractionated Radiotherapy in Node Positive Breast Cancer
Study Details
Study Description
Brief Summary
Post-operative loco-regional (LR) hypofractionated radiotherapy (Hypo-RT) is an attractive approach in locally advanced breast cancer (LABC).
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The present is a single arm phase II study assessing toxicity levels after 34 Gy/10 fxs/2 wks to the whole breast/chest wall and to the draining lymph nodes; an optional single fraction 8 Gy boost was administered with electrons to the tumor bed in patients who had undergone conservative surgery. Both acute (CTCAE v4.0) and late (LENT/SOMA) toxicity were collected. All pts but those who underwent mastectomy without reconstruction or with temporary expander were also asked to rate their cosmetic outcome according to the Harvard. Toxicity was assessed weekly during RT and then at each follow-up examination (1, 3, 6 months and then yearly).
Study Design
Outcome Measures
Primary Outcome Measures
- acute toxicity assessment [60 months]
rate of acute toxicity according to CTCAE v4.0 scale
Secondary Outcome Measures
- to evaluate late toxicity [60 months]
rate of late to according to soma lent scale
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients affected by invasive breast cancer who underwent conservative breast surgery or mastectomy and axillary dissection, followed by post operative radiotherapy at the level of the breast/chest wall, and of the supraclavicular, third axillary level +/- internal mammary chain nodes.
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pT1-3 disease pN1-2, cT1-3 disease if neoadjuvant chemotherapy , cN + cytologically and/or histologically assessed;
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ECOG Performance status ≤2;
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histologically negative surgical margins
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no distant metastases
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no prior chest radiotherapy
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life expectancy ≥ 5 years
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no prior cancer
Exclusion Criteria:
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Non-epithelial breast cancer (sarcoma, lymphoma etc.)
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Metastases at the level of the internal chain mammary and / or supra-clavicular lymph nodes histologically assessed
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pT4 neoplasms or inflammatory breast carcinoma
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Distant metastasis
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Concomitant chemotherapy
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history of prior controlateral breast tumor
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Regina Elena National Cancer Institute | Rome | Italy | 00144 |
Sponsors and Collaborators
- Regina Elena Cancer Institute
- Giuseppe Sanguineti
- Silvia Takanen
- Serena Nucciarelli
- Francesco Rulli
- Maria Papale
- Valeria Landoni
- Mauro Caterino
- Diana Giannarelli
- Ilaria Farina
- Paola Franzoso
Investigators
- Principal Investigator: Paola Pinnaro, IFO
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RS618/14(1611)