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Spots Global Cancer Trial Database for Breast-Conserving Therapy Compared With Mastectomy Followed By Radiation Therapy in Treating Women With Locally Advanced Breast Cancer Previously Treated With Chemotherapy

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Trial Identification

Brief Title: Breast-Conserving Therapy Compared With Mastectomy Followed By Radiation Therapy in Treating Women With Locally Advanced Breast Cancer Previously Treated With Chemotherapy

Official Title: Conservative Local Treatment Versus Mastectomy After Induction Chemotherapy In Locally Advanced Breast Cancer: A Randomized Phase III Study

Study ID: NCT00028704

Conditions

Breast Cancer

Study Description

Brief Summary: RATIONALE: Breast-conserving treatments such as radiation therapy or limited surgery are less invasive than mastectomy and may improve the quality of life. It is not yet known if breast-conserving treatments are as effective as mastectomy followed by radiation therapy in treating locally advanced breast cancer. PURPOSE: Randomized phase III trial to compare the effectiveness of breast-conserving therapy with mastectomy followed by radiation therapy in treating women who have locally advanced breast cancer that has been previously treated with chemotherapy.

Detailed Description: OBJECTIVES: * Compare the overall survival and time to loco-regional failure in women with locally advanced breast cancer treated with breast-conserving local therapy vs mastectomy followed by radiotherapy after they have received prior induction chemotherapy. * Compare the quality of life of patients treated with these regimens. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center, initial stage (T0, T1, T2, T3, or Tx vs T4), response to prior induction chemotherapy (complete response (CR) vs other), and menopausal status (premenopausal vs postmenopausal). Patients are randomized to 1 of 2 treatment arms. * Arm I: Patients undergo mastectomy followed by radiotherapy. * Arm II: Patients receive breast-conserving treatment comprising 1 of 3 of the following therapeutic options: * Regimen A: Patients receive radiotherapy alone. * Regimen B: Patients with a partial response (PR) to prior induction chemotherapy undergo limited surgery followed by radiotherapy. Patients with a CR to prior induction chemotherapy undergo radiotherapy alone. * Regimen C: Patients with a partial response (PR) or CR to prior induction chemotherapy undergo radiotherapy alone. Patients with a CR to radiotherapy receive no further treatment. Patients with a PR to radiotherapy undergo limited surgery. Quality of life is assessed at baseline, at the end of therapy, every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter. Patients are followed within 1 month, every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter. PROJECTED ACCRUAL: A total of 1,300 patients (650 per treatment arm) will be accrued for this study within 5 years.

Eligibility

Minimum Age:

Eligible Ages: CHILD, ADULT, OLDER_ADULT

Sex: FEMALE

Healthy Volunteers: No

Locations

Centre Hospitalier Etterbeek Ixelles, Brussels, , Belgium

U.Z. Gasthuisberg, Leuven, , Belgium

Instituto de Radiomedicina, Santiago, , Chile

Rambam Medical Center, Haifa, , Israel

Akademisch Medisch Centrum, Amsterdam, , Netherlands

Arnhems Radiotherapeutisch Instituut, Arnhem, , Netherlands

Leiden University Medical Center, Leiden, , Netherlands

Dr. Bernard Verbeeten Instituut, Tilburg, , Netherlands

Medical University of Gdansk, Gdansk, , Poland

Karol Marcinkowski University, Poznan, , Poland

Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, , Poland

Hospitais da Universidade de Coimbra (HUC), Coimbra, , Portugal

Charing Cross Hospital, London, England, United Kingdom

Contact Details

Name: Jacek Jassem, MD, PhD

Affiliation: Medical University of Gdansk

Role: STUDY_CHAIR

Name: G. van Tienhoven, MD, PhD

Affiliation: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Role: STUDY_CHAIR

Name: Marzena Welnicka-Jaskiewicz, MD

Affiliation: Medical University of Gdansk

Role: STUDY_CHAIR

Name: Rodrigo Arriagada, MD

Affiliation: Instituto de Radiomedicina

Role: STUDY_CHAIR

Name: Marie Emson, BSc

Affiliation: International Collaborative Cancer Group

Role: STUDY_CHAIR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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