Trial Outcomes & Findings for Study of Stereotactic Radiotherapy for Breast Cancer (NCT NCT03043794)

NCT ID: NCT03043794

Last Updated: 2024-09-19

Results Overview

Number of participants with Residual Cancer Burden (RCB) designation 0 (also known as pathologic complete response (pCR)), and RCB I designation (combined endpoint of either of those designations) 4-6 weeks after pre-operative SBRT to intact breast tumors.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

4 participants

Primary outcome timeframe

4-6 weeks

Results posted on

2024-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
SBRT to the Breast Then Surgery
Stereotactic Body Radiation Therapy of 21Gy to the breast followed by standard of care surgery
Overall Study
STARTED
4
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
SBRT to the Breast Then Surgery
Stereotactic Body Radiation Therapy of 21Gy to the breast followed by standard of care surgery
Overall Study
Lost to Follow-up
1

Baseline Characteristics

Study of Stereotactic Radiotherapy for Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stereotactic Body Radiation Therapy to the Breast Then Surgery
n=4 Participants
Stereotactic Body Radiation Therapy (SBRT) of 21 Gy to the breast, followed by standard of care surgery.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=99 Participants
Age, Categorical
>=65 years
2 Participants
n=99 Participants
Age, Continuous
68.25 Years
n=99 Participants
Sex: Female, Male
Female
4 Participants
n=99 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
Race/Ethnicity, Customized
White, not Hispanic
4 Participants
n=99 Participants
Region of Enrollment
United States
4 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 4-6 weeks

Number of participants with Residual Cancer Burden (RCB) designation 0 (also known as pathologic complete response (pCR)), and RCB I designation (combined endpoint of either of those designations) 4-6 weeks after pre-operative SBRT to intact breast tumors.

Outcome measures

Outcome measures
Measure
SBRT to the Breast Then Surgery
n=4 Participants
Stereotactic Body Radiation Therapy of 21Gy followed by standard of care surgery
Treatment Response Measured by Residual Cancer Burden (RCB)
RCB designation 0
1 Participants
Treatment Response Measured by Residual Cancer Burden (RCB)
RCB designation 1
3 Participants

SECONDARY outcome

Timeframe: RT delivery up to 90 days after completion of surgery, up to 4 months

The number of participants with severe acute toxicity, defined as any CTCAE v4 grade 3 or higher toxicity noted from RT delivery up to 90 days after completion of surgery, up to 4 months.

Outcome measures

Outcome measures
Measure
SBRT to the Breast Then Surgery
n=4 Participants
Stereotactic Body Radiation Therapy of 21Gy followed by standard of care surgery
Number of Participants With Treatment-related Toxicity
0 Participants

SECONDARY outcome

Timeframe: 90 days

Number of patients who report poor cosmetic outcomes from patient perspective at 90 days after pre-operative SBRT to intact breast tumors using the Radiation therapy oncology group (RTOG) cosmesis scale and digital images. RTOG Cosmesis Scale: 1 (excellent), 2 (good), 3 (fair), and 4 (poor)

Outcome measures

Outcome measures
Measure
SBRT to the Breast Then Surgery
n=4 Participants
Stereotactic Body Radiation Therapy of 21Gy followed by standard of care surgery
Cosmetic Outcome (Patients)
0 Participants

SECONDARY outcome

Timeframe: 1 year

To measure local recurrence in participants

Outcome measures

Outcome measures
Measure
SBRT to the Breast Then Surgery
n=4 Participants
Stereotactic Body Radiation Therapy of 21Gy followed by standard of care surgery
Local Recurrence
0 Participants

SECONDARY outcome

Timeframe: Pre and Post surgery (Up to 3 years)

Population: Patients with data collected are reported.

To assess patient reported satisfaction and quality of life with treatment using the Breast Cancer Treatment Outcomes Scale (BCTOS). The BCTOS is a questionnaire that evaluates the aesthetic and functional outcomes of breast conserving surgery (BCS). Patients rate each item on the questionnaire using a four-point Likert scale, with 1 indicating no difference and 4 indicating a large difference between the treated and untreated breast. Score range 22-88. Higher scores indicate higher difference.

Outcome measures

Outcome measures
Measure
SBRT to the Breast Then Surgery
n=4 Participants
Stereotactic Body Radiation Therapy of 21Gy followed by standard of care surgery
Breast Cancer Treatment Outcomes Scale (BCTOS)
Participant 1, Pre-treamtment
22 score on a scale
Breast Cancer Treatment Outcomes Scale (BCTOS)
Participant 1, Post surgery
31 score on a scale
Breast Cancer Treatment Outcomes Scale (BCTOS)
Participant 2, Pre-treatment
22 score on a scale
Breast Cancer Treatment Outcomes Scale (BCTOS)
Participant 2, Post surgery
23 score on a scale
Breast Cancer Treatment Outcomes Scale (BCTOS)
Participant 3, Pre-treatment
22 score on a scale
Breast Cancer Treatment Outcomes Scale (BCTOS)
Participant 4, Pre-treatment
22 score on a scale

SECONDARY outcome

Timeframe: 90 days

Number of providers who report poor cosmetic outcomes from provider perspective at 90 days after pre-operative SBRT to intact breast tumors using the RTOG (Radiation therapy oncology group) cosmesis scale and digital images. RTOG Cosmesis Scale: 1 (excellent), 2 (good), 3 (fair), and 4 (poor)

Outcome measures

Outcome measures
Measure
SBRT to the Breast Then Surgery
n=4 Participants
Stereotactic Body Radiation Therapy of 21Gy followed by standard of care surgery
Cosmetic Outcome (Provider)
0 Participants

Adverse Events

SBRT to the Breast Then Surgery

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
SBRT to the Breast Then Surgery
n=4 participants at risk
Stereotactic Body Radiation of 21 gy followed by standard of care surgery Stereotactic Body Radiation SBRT: Stereotactic Body Radiation to the breast to 21 Gy
General disorders
Fatigue
25.0%
1/4 • Number of events 1 • Up to 4 months
Musculoskeletal and connective tissue disorders
Shoulder Pain
25.0%
1/4 • Number of events 1 • Up to 4 months
Skin and subcutaneous tissue disorders
Skin Rash
25.0%
1/4 • Number of events 1 • Up to 4 months
Skin and subcutaneous tissue disorders
Skin Induration
25.0%
1/4 • Number of events 1 • Up to 4 months

Additional Information

Dana Baker Kaplin, MPH

Johns Hopkins University, Department of Radiation Oncology

Phone: 410-614-3950

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place