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Trial Title: Radiotherapy Dose Adaptation Based on Tumor Biology in Patients With cN2b-N3 Breast Cancer

NCT ID: NCT05896865

Condition: Breast Cancer Stage III

Conditions: Official terms:
Breast Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Radiation
Intervention name: Whole breast / chest wall & regional lymph node irradiation
Description: Whole breast / chest wall and corresponding regional lymph node irradiation with dose of 42.4 Gy in 16 fractions
Arm group label: Postoperative radiation therapy to breast / chest wall and regional lymph node area

Intervention type: Radiation
Intervention name: Internal mammary or supraclavicular lymph node boost
Description: Simultaneous boost to Internal mammary or supraclavicular lymph node area with dose of total 53.6 Gy or 56.0 Gy in 16 fractions, depending on the response after neoadjuvant chemotherapy
Arm group label: Postoperative radiation therapy to breast / chest wall and regional lymph node area

Summary: The purpose of the study is to evaluate treatment outcomes of breast cancer with internal mammary or supraclavicular lymph node metastasis according to total radiation dose of postoperative radiation therapy differentiated by tumor response to neoadjuvant chemotherapy. The main questions it aims to answer are: - 5-year disease-free survival - 5-year overall survival - 5-year locoregional recurrence - Adverse events after radiation therapy - Quality of life Participants will be assessed by multi-dimensional methods before and after radiotherapy: - Disease status evaluation including physical and radiological examination - Quality of life assessment with questionnaires (BREAST-Q) - Adverse event assessment according to CTCAE version 5.0

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Female with age 19 or older - Metastasis to internal mammary and/or supraclavicular lymph nodes, assessed by radiological exams and/or biopsy - Underwent neoadjuvant chemotherapy - Pathologic confirmation of invasive breast cancer treated with breast conserving surgery or mastectomy - Eastern Cooperative Oncology Group performance status 0-2 - Informed consent Exclusion Criteria: - Previous history of radiation therapy to the chest - Distant metastasis

Gender: Female

Minimum age: 19 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Samsung Medical Center

Address:
City: Seoul
Zip: 06351
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Haeyoung Kim, MD, PhD

Phone: 82-2-3410-2612
Email: haeyoung0131.kim@samsung.com

Start date: March 16, 2023

Completion date: March 16, 2030

Lead sponsor:
Agency: Samsung Medical Center
Agency class: Other

Source: Samsung Medical Center

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05896865

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