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临床试验 NCT06902311 (H-ASSIST) 针对乳腺癌,早期乳腺癌,导管原位癌,导管原位癌 (DCIS)目前招募中。请查看临床试验雷达卡片视图和 AI 发现工具了解所有详情,或在此提出任何问题。 | ||
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卡片视图
Ultra Hypo-fractionated Adjuvant Whole Breast Radiation Therapy With Simultaneous Integrated Boost for Early-Stage Breast Cancer (H-ASSIST) II期 90
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临床试验NCT06902311 (H-ASSIST)旨在研究治疗,主要针对乳腺癌,早期乳腺癌,导管原位癌,导管原位癌 (DCIS)。这是一项II期 干预性研究试验,目前试验状态为招募中。试验始于2025年2月19日,计划招募90名患者。该研究由UNC Lineberger Comprehensive Cancer Center主导,预计于2028年2月1日完成。试验数据来源于ClinicalTrials.gov,最后更新时间为2026年3月30日。
简要概括
This study evaluates the rates of radiation-specific toxicity, quality of life, and oncologic outcomes for early-stage breast cancer and ductal carcinoma in situ treated with 5-fraction whole breast irradiation (WBI) with a simultaneous integrated tumor bed boost (SIB). SIB refers to the technique tumor bed boost given at the same time as standard radiation therapy.
The FAST-Forward trial previously showed that a 1-...
显示更多详细描述
Multiple recent studies demonstrate the noninferiority of a simultaneous integrated boost (SIB) approach. This study will include women aged 50 years and older who are recommended to receive whole breast irradiation with a standard dose boost and without regional nodal irradiation.
Radiation therapy will consist of 5 fractions delivered every other day (excluding weekends), with a total dose of 26 Gy to the whole br...
显示更多官方标题
Ultra Hypo-fractionated Adjuvant Whole Breast Radiation Therapy With Simultaneous Integrated Boost for Early-Stage Breast Cancer (H-ASSIST)
疾病
乳腺癌早期乳腺癌导管原位癌导管原位癌 (DCIS)其他研究标识符
- H-ASSIST
- LCCC2404
NCT编号
实际开始日期
2025-02-19
最近更新发布
2026-03-30
预计完成日期
2028-02
计划入组人数
90
研究类型
干预性研究
试验分期 (阶段)
II期
试验状态
招募中
关键词
whole breast irradiation
WBI
simultaneous integrated tumor bed boost (SIB)
SIB
Concurrent boost
adverse effects
toxicity
Radiation-specific toxicity
patient reported outcome
PRO-CTCAE
WBI
simultaneous integrated tumor bed boost (SIB)
SIB
Concurrent boost
adverse effects
toxicity
Radiation-specific toxicity
patient reported outcome
PRO-CTCAE
主要目的
治疗方法
分配方式
不适用
干预模型
单组试验
盲法
无(开放性试验)
试验组/干预措施
| 参与者组/试验组 | 干预措施/治疗方法 |
|---|---|
实验性WBI-SIB Five-fraction whole breast irradiation (WBI) with simultaneous integrated tumor bed boost (SIB). | Breast Radiotherapy The tumor bed boost when given at the same time (called a simultaneous integrated boost, SIB) with whole breast irradiation (WBI). |
主要终点
次要终点
| 结果指标 | 度量标准描述 | 时间框架 |
|---|---|---|
Rate of any moderate-marked adverse effects | The rate of moderate to marked adverse effects in the breast or chest wall at 1 year will be measured using a questionnaire called the Clinician Assessment of Radiation-Specific Toxicity by clinican. This will be compared against historical controls. The questionnaire includes 10 items: 4 Likert-type questions and 6 yes/no questions. Items are rated from 0 to 4, with higher scores indicating more adverse effects. A "yes" response indicates the occurrence of an adverse event. | 1 year |
| 结果指标 | 度量标准描述 | 时间框架 |
|---|---|---|
In-breast tumor recurrence | In-breast tumor recurrence at 2 years is defined according to the standard definition as the time from enrollment to any of the following events: invasive ipsilateral recurrence and/or ipsilateral DCIS recurrence.
Recurrence will be measured via medical record abstraction and clinical evaluation. | 2 years |
Quality of life at measured by European Organization for Research and Treatment of Cancer ( EORTC QLQ-C30) | Quality of life at 12 months will be measured as defined by European Organization for Research and Treatment of Cancer ( EORTC QLQ-C30). The EORTC QLQ-C30 is a cancer-specific instrument with 30 questions that incorporates 9 multi-item scales: 5 functional scales (physical, role, cognitive, emotional, and social); 9 symptom scales (fatigue, pain, nausea and vomiting, dyspnea, insomnia, appetite loss, constipation, diarrhea and financial difficulties); and a global health and quality-of-life scale. Most questions used 4 point scale (1 'Not at all' to 4 'Very much'); 2 questions used 7-point scale (1 'very poor' to 7 'Excellent'). The scores of these scales were averaged from the scores of the component items, transformed and analyzed on a 0 - 100 scale. A higher score=better level of functioning or greater degree of symptoms. | 12 months |
参与助手
资格标准
适龄参与研究
成人, 老年人
最低年龄要求
50 Years
适龄性别
女性
- Willing and able to provide written informed consent obtained to participate in the study and HIPAA authorization for release of personal health information.
- Women ≥ 50 years of age with confirmed de novo invasive carcinoma of breast or ductal carcinoma in situ.
- Subjects with completed breast-conserving surgery (BCS) with or without sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND).
- Subjects planned to receive either SOC whole breast 3D conformal radiation therapy (3D CRT) or SOC whole breast intensity modulated radiation therapy (IMRT) with standard dose tumor bed boost.
- Subjects with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial, per the discretion of the treating radiation oncologist.
- Enrollment in another clinical trial is allowed if there is no interference with interventions on this trial per discretion of the Principal Investigator.
- Receipt of concurrent breast reduction involving tissue rearrangement in the lumpectomy cavity (so that boost cannot be accurately targeted).
- Synchronous bilateral breast cancer requiring bilateral radiation therapy.
- Clinical or imaging evidence of distant metastases.
- Prior ipsilateral breast or thoracic radiation.
- Autoimmune conditions
- Collagen Vascular Disease (such as systemic lupus erythematosus, scleroderma, dermatomyositis, among others)
- Patients with pT4 tumors.
- Patients recommended to receive regional nodal irradiation with associated radiation risks
研究中心联系人
联系人: Jessica Buddenbaum, 919-966-4432, [email protected]
联系人: Cory Grreenwood, 919-445-4929, [email protected]
1 位于 1 个国家/地区的研究中心
North Carolina
University of North Carolina, Chapel Hill, North Carolina, 27599, United States
Jessica Buddenbaum, 联系人, 919-966-4432, [email protected]
Dana Casey, MD, 主要研究者
招募中