Breast Cancer
Conditions
Keywords
pre-operative radiotherapy
Brief summary
The PROBI is a phase I/II trial assessing the feasibility of preoperative whole breast irradiation in female patients with low to intermediate risk breast cancer, who undergo breast conserving therapy, including a boost dose of irradiation. An additional goal of this study is to assess tumor response to radiotherapy, by imaging modalities (PET-CT and MRI) and pathology
Interventions
pre-operative whole breast irradiation of 21 fx of 2.2Gy and boost of 2.66Gy
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically proven invasive breast carcinoma * cT1-2N0 breast cancer * cM0 * female patients ≤ 50 years * planned breast conserving surgery * ability to undergo irradiation and surgery * signed written informed consent
Exclusion criteria
* prior surgery or radiotherapy for the protocol tumor (neoadjuvant chemotherapy or endocrine therapy is allowed) * planned oncoplastic reduction mammoplasty * cTis * extensive calcifications on mammagram (Birads 3,4 or 5) * cT3-4 and/or cN1-3 invasive carcinoma * distant metastasis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative surgical complications | within six weeks after surgery | postoperative complication will be scored by a specific list |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Radiological response | 6 weeks post-radiation | assessed by MRI |
| Pathological response | at surgery | surgery specimen |
| cosmetic outcome | 1,3 and 5 years post-treatment | cosmesis will be scored by physician by questionnaire and cosmesis will be cored by patient by questionnaire |
Other
| Measure | Time frame | Description |
|---|---|---|
| gene expression profiles | 6 weeks | at start a biopsy will be taken and compared to the surgical specimen at 6 weeks post treatment |
Countries
Netherlands