Pre-Surgery Radiation Boost for Breast Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a new approach to treating breast cancer that hasn't spread. Researchers aim to determine if a radiation boost—extra focused radiation—before surgery can target the tumor more precisely and spare healthy tissue, potentially improving cosmetic results and tumor control. This trial is for individuals with biopsy-confirmed breast cancer, no signs of cancer in nearby lymph nodes, and no existing metastatic disease. Participants must be able to safely undergo radiation and surgery.
As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could enhance future breast cancer treatments.
Do I need to stop taking my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor to get a clear answer.
What prior data suggests that this radiation boost is safe for breast cancer patients?
Research has shown that using extra radiation before breast surgery has been safe in past studies. Results indicate that serious wound problems are rare and similar to those with regular treatment methods. This suggests that additional radiation does not significantly increase serious side effects compared to standard care. Overall, the treatment is considered safe for patients, with manageable side effects.12345
Why are researchers excited about this trial?
Researchers are excited about this pre-surgery radiation boost for breast cancer because it offers a new timing strategy for using radiation. Unlike standard radiation treatments that typically occur after surgery, this approach delivers a concentrated dose of radiation before surgery. This could potentially shrink tumors more effectively before they are surgically removed, which might lead to better outcomes for patients. Additionally, this method could reduce the need for more extensive surgery, potentially sparing more healthy tissue and improving recovery times.
What evidence suggests that this radiation boost is effective for breast cancer?
This trial will evaluate the effects of a radiation boost before surgery for breast cancer. Studies have shown that this approach might help target the breast tumor more precisely. It could shrink the tumor and limit the exposure of healthy tissue to radiation. Research indicates that patients receiving this pre-surgery radiation boost have low cancer recurrence rates and experience manageable side effects. Additionally, a shorter course of radiation has proven to be as effective and safe as the standard course for early-stage breast cancer. These findings suggest that a radiation boost before surgery could improve tumor control and cosmetic results without increasing risks.26789
Who Is on the Research Team?
Bruce G Haffty
Principal Investigator
Rutgers Cancer Institute of New Jersey
Are You a Good Fit for This Trial?
This trial is for individuals with non-metastatic breast cancer, who are in good physical condition (ECOG 0-1), and have no signs of cancer spread. Pregnant women must test negative for pregnancy. Participants should be willing to follow the study protocol and haven't had prior chest radiation or chemotherapy.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Radiation Therapy Boost
Participants undergo radiation therapy boost over 4 fractions prior to surgery
Surgery
Participants undergo standard of care surgery 1-3 weeks from the last day of boost
Whole Breast Irradiation (WBI)
Participants continue standard of care WBI 3 to 5 weeks after surgery
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Radiation Boost
Trial Overview
The trial studies the safety of a 'boost' dose of radiation given before surgery to target tumors more precisely, potentially improving cosmetic outcomes and tumor control. It includes quality-of-life assessments and MRI scans as part of evaluating this approach.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Prior to surgery, patients undergo radiation therapy boost over 4 fractions. Patients then undergo standard of care surgery 1-3 weeks from the last day of boost. 3 to 5 weeks after surgery, patients continue standard of care WBI in the absence of disease progression or unacceptable toxicity.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Rutgers, The State University of New Jersey
Lead Sponsor
National Cancer Institute (NCI)
Collaborator
Citations
Preoperative Radiation Boost Results in Low Rates of Re ...
A radiation tumor bed boost is delivered after BCS and WBRT by convention and due to limited historic data demonstrating significant toxicities ...
2.
cancer.gov
cancer.gov/news-events/cancer-currents-blog/2022/early-breast-cancer-shorter-radiation-therapyShorter Radiation Course for Some with Early Breast Cancer
A condensed course of radiation was as effective and safe as the standard course for women with higher-risk early-stage breast cancer who ...
Breast-Conserving Surgery with or without Irradiation in ...
Overall survival at 10 years was almost identical in the two groups, at 80.8% (95% CI, 77.2 to 84.3) with no radiotherapy and 80.7% (95% CI, ...
Radiation Therapy Boost Before Surgery for the Treatment ...
This phase II trial investigates the safety of delivering a part (boost) of radiation treatment before breast surgery in treating patients with breast ...
First Results of the Primary Outcome of a Phase 2 ...
This prospective phase 2 study assessed the feasibility of delivering the RT boost before surgery. We hypothesize wound complication rates to be comparable ...
NCT04871516 | Radiation Therapy Boost Before Surgery ...
This phase II trial investigates the safety of delivering a part (boost) of radiation treatment before breast surgery in treating patients with breast ...
Study Explores Pre-Operative Radiation Boost for Breast ...
The primary outcome of the study was to demonstrate that the incidence of grade 3 or more wound complications is not inferior to the current ...
Radiation Therapy Boost before Surgery for the Treatment ...
This phase II trial investigates the safety of delivering a part (boost) of radiation treatment before breast surgery in treating patients with breast cancer
First Results of the Primary Outcome of a Phase 2 ...
The use of a preoperative RT boost followed by whole breast RT as administered here resulted in an acceptable primary outcome with a similar ...
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