Titre |
Une étude de phase I-II évaluant la radiothérapie préopératoire en une seule fraction pour les femmes atteintes d’un cancer du sein de stade précoce |
Protocole ID |
SPORT DS |
ClinicalTrials.gov ID |
|
Type(s) de cancer |
Sein |
Phase |
Phase I-II |
Médicament |
aucun |
Institution |
CIUSSS DE L'EST-DE-L'ILE-DE-MONTREAL
PAV. MAISONNEUVE/PAV. MARCEL-LAMOUREUX
5415 boul. de l'Assomption, Montréal, QC, H1T2M4
|
Ville |
Montréal |
Investigateur(trice) principal(e) |
Dr Michael Yassa
|
Coordonnateur(trice) |
Véronique Tran
514-252-3400 poste 3227
|
Statut |
Actif en recrutement |
Critètes d'éligibilité |
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Female aged 65 years or older
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World Health Organization (WHO) performance status 0-2
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Invasive ductal carcinoma proven by biopsy done ≤ 12 weeks from treatment start
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Unifocal disease on preoperative staging ultrasound done ≤ 12 weeks from treatment start
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Tumors less than 2cm clinically on physical exam, as well as on breast ultrasound
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No clinical evidence of nodal disease (i.e. cN0), on physical examination done ≤ 12 weeks from treatment start, as well as on breast ultrasound
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Estrogen receptor status (ER) positive on biopsy
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Her2 negative on biopsy
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Grade 1 or 2 on biopsy
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Planned surgery is a partial mastectomy with sentinel lymph node biopsy
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Localisation markers placed before treatment
|
Critètes d'exclusion |
-
Age less than 65 years
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A known deleterious mutation in BRCA 1 and/or BRCA 2
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Clinical tumor size > 2.0 cm in greatest diameter on staging ultrasound
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Tumor histology limited to lobular carcinoma only
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Clinically positive axillary nodes (cN+)
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Lymphovascular invasion on biopsy
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Pure ductal or lobular carcinoma in situ on biopsy
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Extensive intraductal component on biopsy
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Neoadjuvant hormonal manipulation or chemotherapy
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Prior history of cancer (Patients with prior or concurrent basal cell or squamous cell skin cancers are eligible for the trial)
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More than one primary tumor in different quadrants of the same breast
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Diffuse microcalcifications on mammography
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Paget’s disease of the nipple
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Previous irradiation to the ipsilateral breast
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Presence of an ipsilateral breast implant or pacemaker
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Serious non-malignant disease (e.g. cardiovascular, pulmonary, systemic lupus erythematosus (SLE), scleroderma) which would preclude definitive radiation treatment
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Estrogen receptor status (ER) not known
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Currently pregnant or lactating
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Psychiatric or addictive disorders which would preclude obtaining informed consent or adherence to protocol
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Geographic inaccessibility for follow-up
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Lack of preoperative staging with breast and axillary ultrasound
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Inability to adequately plan the patient for the experimental technique
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