Study for Using Radiosurgery on Limited Metastases of Breast Cancer
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Purpose
The purpose of this study is to evaluate whether radiosurgery, along with standard chemotherapy, immunotherapy (the treatment of cancer by modulating the immune system and immune response), or hormonal therapy, affects the quality and length of life. The standard therapy is surgery, radiation therapy, or chemotherapy alone or in any combination. A second purpose of this study is to determine if the levels of a special type of protein (called cytokines) found in the blood are related to the quality of life while on this treatment.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer, Metastatic |
Procedure: Hypofractionated Stereotactic Body Radiation Therapy Radiation: Hypofractionated Stereotactic Body Radiation Therapy |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase II Study for Using Radiosurgery on Limited Metastases of Breast Cancer |
- Determine efficacy using overall survival and disease-free survival [ Time Frame: from date of radiation treatment until the date of first documented progression or the date of death, assessed up to 120 months ] [ Designated as safety issue: No ]
- Response (clinical, chemical [CA 27-29] and radiological), and quality of life correlation with pro-apoptotic, inflammatory, and anabolic cytokine profiles [ Time Frame: 30 months from initial registration on study ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 80 |
| Study Start Date: | December 2000 |
| Estimated Study Completion Date: | January 2015 |
| Estimated Primary Completion Date: | January 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Hypofractionated Stereotactic Body Radiation Therapy
Use of Hypofractionated Stereotactic Body Radiation Therapy for limited metastases with breast cancer primary.
|
Procedure: Hypofractionated Stereotactic Body Radiation Therapy
Hypofractionated Stereotactic Body Radiation Therapy
Radiation: Hypofractionated Stereotactic Body Radiation Therapy
Hypofractionated Stereotactic Body Radiation Therapy for treatment of limited metastases from breast cancer primary.
|
Detailed Description:
Before treatment begins, you will have a physical exam and blood tests. Physical evaluations and blood tests will be done each week while you are receiving treatment, and at follow-up visits. You will be seen for follow-up evaluations 4 weeks after treatment is completed, and every three months thereafter. You will be asked to fill out a Quality of Life questionnaire, which should take 5-10 minutes to complete. This will be done prior to treatment and at your follow-up visits. You will receive high dose radiation therapy directed at the site of metastasis. This treatment will be given once a day, 5 times a week (Monday through Friday) for one to four weeks depending on the location and size of the disease to be treated.
Eligibility| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age: no limit
- Karnofsky performance status (KPS) ≥ 70
- No more than 5 metastatic sites involving one or more different organs (liver, lung or bone).
- The size of the lesion must be such that it can be safely treated to sterilizing radiation doses according to the rules in the protocol.
- Previously treated lesions are not eligible unless the prescribed dose can be safely delivered.
- Concurrent therapy is allowed and recommended. The chemotherapy protocol type and schedule are at the discretion of the medical oncologist.
- Informed consent must be obtained.
- Pregnancy test must be negative for women of child bearing potential
Exclusion Criteria:
- Inability of patient to be followed longitudinally as specified by protocol.
- Technical inability to achieve required dose based on safe dose constraints required for radiosurgery.
- Women who are pregnant or nursing.
- Failure to meet requirements in Inclusion Criteria
- Contraindications to radiation.
Contacts and Locations| United States, New York | |
| Department of Radiation Oncology: University of Rochester | |
| Rochester, New York, United States, 14642 | |
| Principal Investigator: | Hong Zhang, MD | University of Rochester |
More Information
Additional Information:
No publications provided
| Responsible Party: | Hong Zhang, Assistant Professor Department of Radiation Oncology, University of Rochester |
| ClinicalTrials.gov Identifier: | NCT00167414 History of Changes |
| Other Study ID Numbers: | URCC 8700 |
| Study First Received: | September 9, 2005 |
| Last Updated: | October 15, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Rochester:
|
conformal radiotherapy |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasm Metastasis Neoplasms by Site Neoplasms |
Breast Diseases Skin Diseases Neoplastic Processes Pathologic Processes |
ClinicalTrials.gov processed this record on May 21, 2013