Prospective Randomized Study of Accelerated Radiation Therapy (PRART)
Sponsor: Weill Medical College of Cornell University
ClinicalTrials ID:NCT04175210
This study involves women post-segmental mastectomy with Stage 0, T1-T2, N0 breast cancer. Participants are randomized to receive either 15 fractions of whole breast radiotherapy with a tumor bed boost (Arm 1) or 10 fractions (Arm 2). Eligibility requires negative margins and clinically or pathologically node-negative status. The trial compares standard and accelerated radiation schedules.
Patient Parameters
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Program Overview
Patients with Stage 0 ductal carcinoma in situ (Tis (DCIS), Stage T1-T2, lymph node negative(N0) breast cancers will be randomized to receive whole breast radiotherapy with a concomitant boost to the tumor bed over 15 fractions (Arm 1, standard) versus 10 fractions (Arm 2, experimental).
Eligibility Criteria
Inclusion Criteria
- Women status post segmental mastectomy
- If unilateral, pT1-2 breast cancer excised with negative margins
- If bilateral, pT1-2 breast cancer excised with negative margins AND/OR pTis excised with negative margins.
- Clinically N0 or pN0 or sentinel node negative
- Ductal carcinoma in situ DCIS with negative margins (no DCIS on inked margins).
Exclusion Criteria
- Previous radiation therapy to the ipsilateral breast.
- 90 days from last surgery, unless s/p adjuvant chemotherapy
- 60 days from last chemotherapy
- Male breast cancer
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