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Radiation Therapy After Surgery in Treating Women With Early Stage Breast Cancer



Radiation Therapy After Surgery in Treating Women With Early Stage Breast Cancer

For Condition: stage 2 breast cancer,stage 3A breast cancer,stage 1 breast cancer
Status: No longer recruiting
Sponsor(s): START Trial Management Group ,
Synopsis: RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known which regimen of radiation therapy is more effective following surgery for breast cancer. PURPOSE: Randomized phase III trial to compare the effectiveness of two regimens of radiation therapy following surgery in treating women who have early stage breast cancer.
Details: OBJECTIVES: I. Determine the benefits of radiotherapy schedules using fraction sizes larger than 2.0 Gy in terms of normal tissue responses, local-regional tumor control, quality of life, and economic consequences in women prescribed postoperative radiotherapy for early stage breast cancer. PROTOCOL OUTLINE: This is a randomized, multicenter study. Patients are stratified according to center, type of surgery (mastectomy vs local excision), and breast boost (yes vs no). Patients are randomized to 1 of 2 treatment arms. Arm I: Patients receive radiotherapy 5 times a week for 5 weeks for a total dose of 50 Gy. Arm II: Patients receive radiotherapy 5 times a week for 3 weeks for a total dose of 40 Gy. A breast boost is recommended in both arms for patients with microscopic evidence of invasive or in situ cancer at, or within 1 mm of, a resection margin. These patients receive radiotherapy for 5 fractions in 1 week for a total boost dose of 10 Gy. Quality of life is assessed at baseline and then at 6, 12, 24, and 60 months. Patients are followed annually for up to 20 years. PROJECTED ACCRUAL: A total of 1840 patients (920 per arm) will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- Histologically confirmed invasive unilateral breast cancer - T1-3, N0-1, M0 at presentation Complete macroscopic excision of tumor by breast conserving surgery or mastectomy No immediate breast reconstruction No requirement for axillary radiotherapy after greater than a Level 1 axillary dissection or after greater than 10 lymph nodes have been removed Not enrolled on SECRAB or OSCAR trials Hormone receptor status: Not specified --Prior/Concurrent Therapy-- Prior neoadjuvant, or primary medical, therapy is allowed provided subsequent surgery confirms complete macroscopic excision of residual primary tumor Biologic therapy: Not specified Chemotherapy: - At least 2 weeks since prior cytotoxic agents - No concurrent chemotherapy Endocrine therapy: Not specified Radiotherapy: See Disease Characteristics Surgery: See Disease Characteristics --Patient Characteristics-- Age: 18 and over Sex: Female Menopausal status: Not specified Performance status: Not specified Life expectancy: Not specified Hematopoietic: Not specified Hepatic: Not specified Renal: Not specified
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
JohnYarnold,  Study Chair,  START Trial Management Group

Derriford Hospital
Plymouth,  England,  PL6 8DH
United Kingdom
 

Ipswich Hospital NHS Trust
Ipswich,  England,  IP4 5PD
United Kingdom
 

South Tees Hospitals NHS Trust
Middlesbrough, Cleveland,  England,  TS4 3BW
United Kingdom
 

Saint Mary's Hospital
Portsmouth Hants,  ,  PO3 6AD
United Kingdom
 

Weston Park Hospital
Sheffield,  England,  S1O 2SJ
United Kingdom
 

Mount Vernon Hospital
Northwood,  England,  HA6 2RN
United Kingdom
 

Oldchurch Hospital
Romford,  England,  RM7 OBE
United Kingdom
 

Royal Preston Hospital
Preston,  ,  PR2 9HT
United Kingdom
 

Torbay Hospital
Torquay Devon,  England,  TQ2 7AA
United Kingdom
 

Royal Devon and Exeter Hospital
Exeter,  England,  EX2 5DW
United Kingdom
 

Clatterbridge Centre for Oncology NHS Trust
Merseyside,  England,  L63 4JY
United Kingdom
 

Guy's and St. Thomas' Hospitals Trust
London,  England,  SE1 9RT
United Kingdom
 

Royal Sussex County Hospital
Brighton,  England,  BN2 5BE
United Kingdom
 

Addenbrooke's NHS Trust
Cambridge,  England,  CB2 2QQ
United Kingdom
 

Nottingham City Hospital NHS Trust
Nottingham,  England,  NG5 1PB
United Kingdom
 

Royal Marsden Hospital
Sutton,  England,  SM2 5PT
United Kingdom
 

Velindre Hospital
Cardiff,  Wales,  CF4 7XL
United Kingdom
 

Christie Hospital N.H.S. Trust
Manchester,  England,  M20 4BX
United Kingdom
 

Cheltenham General Hospital
Cheltenham,  England,  GL53 7AN
United Kingdom
 

New Cross Hospital
Wolverhampton,  England,  WV10 0QP
United Kingdom
 

King Edward VII Hospital
Midhurst,  England,  GU29 OBL
United Kingdom
 

Maidstone Hospital
Maidstone,  England,  ME16 9QQ
United Kingdom
 

Cumberland Infirmary
Carlisle,  ,  CA2 7HY
United Kingdom
 

North Staffs Royal Infirmary
Stoke on Trent,  England,  ST4 7LN
United Kingdom
 

Royal Surrey County Hospital
Guildford,  England,  GU2 5XX
United Kingdom
 

Norfolk & Norwich Hospital
Norwich,  England,  NR1 3SR
United Kingdom
 

Ninewells Hospital and Medical School
Dundee,  Scotland,  DD1 9SY
United Kingdom
 

University Hospitals of Leicester
Leicester,  England,  LE1 5WW
United Kingdom
 

Royal Berkshire Hospital
Reading,  England,  RG1 5AN
United Kingdom
 

Belfast City Hospital Trust Incorporating Belvoir Park Hospital
Belfast,  Northern Ireland,  BT8 8JR
United Kingdom
 

Southend NHS Trust Hospital
Westcliff-On-Sea,  England, 
United Kingdom
 

Royal Shrewsbury Hospital
Shrewsbury,  England, 
United Kingdom
 


Additional Information:
Study ID Numbers:
  CDR0000067661;  EU-99015,STMG-STARTB
Study Start Date: January 1999
Record last reviewed: May 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00005587

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