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Radiation Therapy
Shortened Radiotherapy for Post-Mastectomy Breast Cancer
Phase < 1
Recruiting
Led By Aftif Khan, MD
Research Sponsored by Memorial Sloan Kettering Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Female or male patients with invasive breast cancer who have had mastectomy and have a chest wall reconstruction in progress or completed
Age ≥ 30 years
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3 years
Awards & highlights
Study Summary
This trial will test whether giving radiation therapy over five days is safe and effective for people who have had a mastectomy.
Who is the study for?
This trial is for adults over 30 with certain stages of breast cancer (Stage IIa - IIIa) who've had a mastectomy and possibly chest wall reconstruction. They should be in good physical condition, not pregnant or breastfeeding, without distant metastasis or prior radiation to the breast/thorax area. People with uncontrolled conditions like infections or diabetes, connective tissue diseases, or an active second malignancy are excluded.Check my eligibility
What is being tested?
The study is testing if a shortened schedule of radiation therapy—5 consecutive days—is effective and safe for preventing cancer recurrence after mastectomy in breast cancer patients. It's evaluating whether this compressed treatment can match traditional longer schedules.See study design
What are the potential side effects?
While specific side effects aren't listed here, typical side effects from radiation therapy may include skin irritation at the treatment site, fatigue, mild swelling, and changes to the texture and color of the skin.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have had a mastectomy and am undergoing or have completed chest wall reconstruction.
Select...
I am 30 years old or older.
Select...
I am fully active or can carry out light work.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 3 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3 years
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Local recurrences
Regional recurrences
Secondary outcome measures
complications
Side effects data
From 2016 Phase 3 trial • 854 Patients • NCT0000338998%
Anemia
93%
Leukocytes decreased
90%
Lymphopenia
84%
Neutrophils decreased
78%
Neuropathy-sensory
75%
Alopecia
74%
Fatigue
67%
Nausea
60%
Hyperglycemia
52%
Constipation
46%
Hypoalbuminemia
40%
Myalgia
34%
Stomatitis
33%
Insomnia
32%
Vomiting
27%
Platelets decreased
26%
Alkaline phosphatase increased
26%
Aspartate aminotransferase increased
23%
Dyspnea
20%
Dyspepsia
19%
Dysphagia
19%
Headache
16%
Anorexia
16%
Arthralgia
15%
Neuropathy-motor
15%
Abdominal pain
14%
Infection w/o neutropenia
14%
Cough
14%
Fever
13%
Rash/desquamation
13%
Diarrhea w/o prior colostomy
12%
Bone pain
11%
Weight gain
11%
Taste disturbance
11%
Anxiety/agitation
10%
Sweating
10%
Radiation dermatitis
9%
Rigors/chills
9%
Dizziness/lightheadedness
9%
Injection site reaction
8%
Hypoglycemia
8%
Dysphagia-esophageal radiation
8%
Blood bilirubin increased
8%
Chest pain
8%
Pain-other
8%
Phlebitis
7%
Creatinine increased
7%
Edema
7%
Pruritus
6%
Hot flashes
6%
Infection w/ grade 3 or 4 neutropenia
6%
Weight loss
5%
Muscle weakness
5%
Depression
5%
Mouth dryness
4%
Transfusion: pRBCs
4%
Pneumonitis/pulmonary infiltrates
3%
Thrombosis/embolism
3%
Febrile neutropenia
3%
Irregular menses
3%
Nail changes
2%
Allergic rhinitis
1%
Allergic reaction
1%
Infection w/ unknown ANC
1%
Syncope
1%
Sinus tachycardia
1%
Dehydration
1%
Neuropathic pain
100%
80%
60%
40%
20%
0%
Study treatment Arm
Arm B (Stanford V)
Arm A (ABVD)
Trial Design
1Treatment groups
Experimental Treatment
Group I: Post-Mastectomy RadiotherapyExperimental Treatment1 Intervention
Treatment will consist of PMRT delivered using external beam RT techniques to a dose of 26 Gy in 5 fractions of 5.2 Gy delivered on consecutive weekdays with an optional chest wall boost of 5.2 Gy for 1-2 fractions or an alternate boost schedule of 2.5 Gy for 1-4 fractions at the discretion of the treating physician.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Radiotherapy
2017
Completed Phase 3
~2610
Find a Location
Who is running the clinical trial?
Memorial Sloan Kettering Cancer CenterLead Sponsor
1,935 Previous Clinical Trials
588,783 Total Patients Enrolled
203 Trials studying Breast Cancer
81,137 Patients Enrolled for Breast Cancer
Aftif Khan, MDPrincipal InvestigatorMemorial Sloan Kettering Cancer Center
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My breast cancer is at an early but not the earliest stage.I am willing and able to follow the study's requirements and understand its risks.I have had a mastectomy and am undergoing or have completed chest wall reconstruction.My breast cancer has not spread to specific advanced stages.I do not have an active cancer other than non-melanoma skin cancer, or it's at very low risk of coming back.I haven't had cancer treatments other than specific allowed ones in the last 2 weeks.My cancer has spread to distant parts of my body.I am 30 years old or older.I have had radiation therapy on the same or opposite side of my chest before.You have a serious infection, uncontrolled diabetes, or certain autoimmune diseases that could make the treatment unsafe for you, according to your doctor.I am fully active or can carry out light work.The edges of the tumor are clear when looked at under a microscope.
Research Study Groups:
This trial has the following groups:- Group 1: Post-Mastectomy Radiotherapy
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Is this trial presently enrolling new participants?
"After reviewing the information on clinicaltrials.gov, it appears that this medical trial is currently enrolling participants. This study was first advertised on November 24th 2020 and has had its details edited most recently in September 8th 2022."
Answered by AI
What is the current enrolment rate for this research endeavor?
"Affirmative. According to information shared on clinicaltrials.gov, this medical trial commenced on November 24th 2020 and is still live today; it seeks 72 participants from a single location."
Answered by AI
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