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Trial Title: Preoperative Boost Associated With Neoadjuvant Chemotherapy in Luminal B Breast Cancer

NCT ID: NCT05673304

Condition: Breast Cancer
Radiotherapy

Conditions: Official terms:
Breast Neoplasms

Conditions: Keywords:
Luminal B Breast Cancer
Neoadjuvant radiation therapy
Neoadjuvant chemotherapy

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Radiation
Intervention name: SBRT anticipated boost
Description: 24 Gy in 3 fractions to the tumour
Arm group label: Interventional group

Summary: IBISCO TRIAL is a phase II trial aimed to demonstrate the improvement of pathological complete response (pCR) in Luminal B breast cancer (BC) patients treated with stereotactic radiation therapy (SBRT) as an anticipated boost associated with neoadjuvant chemotherapy (NAC). As a secondary objective, histochemical and molecular analysis of the tumour and the inflammatory microenvironment will be performed.

Detailed description: IBISCO TRIAL is a phase II trial aimed to demonstrate the improvement of pCR in Luminal B breast cancer (BC) patients treated with stereotactic radiation therapy (SBRT) as an anticipated boost associated with neoadjuvant chemotherapy (NAC). The primary endpoint will be evaluated on surgical specimen using the residual cancer burden (RCB) index. Thirty patients with clinical stage T1-2 Luminal B BC, suitable for conservative surgery and with a clinical indication for NAC, will be enrolled in two years. An observation cohort will also be created with patients fulfilling inclusion criteria who refuse enrollment in the interventional cohort and for patients where SBRT boost appears not feasible after enrollment for technical issues. As a secondary objective, histochemical and molecular analysis of the tumour and the inflammatory microenvironment will be performed. After the completion of neoadjuvant treatments, surgery and adjuvant therapies (endocrine therapy and whole breast irradiation) will be performed as for clinical practice

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Luminal B-like BC, cT1-2 - Indication for neoadjuvant chemotherapy Exclusion Criteria: - Pregnancy - Breast feeding - Patient not available for follow up

Gender: Female

Gender based: Yes

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: IRCCS Azienda Ospedaliero-Universitaria di Bologna

Address:
City: Bologna
Zip: 40138
Country: Italy

Status: Recruiting

Contact:
Last name: Alice Zamagni, MD

Investigator:
Last name: Alessio G Morganti, MD, PhD
Email: Principal Investigator

Start date: June 1, 2023

Completion date: December 31, 2026

Lead sponsor:
Agency: IRCCS Azienda Ospedaliero-Universitaria di Bologna
Agency class: Other

Source: IRCCS Azienda Ospedaliero-Universitaria di Bologna

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05673304

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