Precision Medicine in Action: Phase II Trial of Response Adaptive Ablative Pre-operative SPBI (RAPS) and Non-operative Sentinel Lymph Node Biopsy in Patients With Early-stage ER+ Breast Cancer: RAPS Trial
NCT06444269 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 53
Last updated 2025-11-05
Summary
1\. Efficacy of PULSAR preoperative radiation 2. Evaluate potential of microbubble CEUS as an alternative to operative SLNBx 3. Evaluate potential of OA to evaluate treatment response of pre-operative radiation on the tumor
Conditions
Interventions
- RADIATION
-
Radiomics on MRI
Through extracting and analyzing a large number of features from medical imaging, radiomics has shown promising results in treatment outcome prediction for many diseases including breast cancer (45-50). UTSW physics group has developed several new radiomic approaches and radiomic features, such as a multi-objective radiomics model(51) and a new radiomic "Shell" feature(52). As an exploratory end point for this trial, the investigators will explore the application radiomics using pre-treatment MRI, treatment parameters and clinical characteristics as input to predict pathological response of radiation therapy (XRT) based on pathology report of surgical tissues and local recurrence.
- DRUG
-
microbubble CEUS Contrast Enhanced Ultrasound (CEUS)
Microbubble Contrast non-FDA approved for route of administration
Sponsors & Collaborators
-
University of Texas Southwestern Medical Center
lead OTHER
Principal Investigators
-
Asal Rahimi, MD · UT Southwestern Medical Center
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-10-11
- Primary Completion
- 2027-07-01
- Completion
- 2028-07-01
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Radiation Therapy in Treating Post-Menopausal Women With Early Stage Breast Cancer Undergoing Surgery
NCT01754519 ·Status: TERMINATED ·Phase: PHASE2
-
Radiofrequency Identification Technology in Locating Non-palpable Breast Lesions in Patients Undergoing Surgery
NCT03202472 ·Status: COMPLETED ·Phase: NA
-
Lymph Node Radiation Therapy in Patients With Stage I, Stage II, or Stage III Breast Cancer That Has Been Surgically Removed
NCT00002851 ·Status: UNKNOWN ·Phase: PHASE3
-
Randomized Study of Elective Regional Lymph Node Irradiation in N1 Breast Cancer
NCT03269981 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Radiation Therapy in Treating Patients With Stage 0-II Breast Cancer
NCT01245712 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Local and Regional Radiotherapy for Nipple Sparing Mastectomy With Implant
NCT05213962 ·Status: ENROLLING_BY_INVITATION
-
Shortening Adjuvant Photon and Proton Irradiation (SAPPHIRe-II): A 4 Cohort, Randomized, Phase II Multi-center Trial Evaluating Shorter Schedules of Adjuvant Regional Nodal Irradiation Among Women and Men With Node-positive and High-risk Node-negative Invasive Breast Cancer
NCT07076485 ·Status: RECRUITING ·Phase: PHASE2
-
Spot tm Tattooing of Biopsied Axillary Lymph Nodes With Ultrasound Guided in Breast Cancer Patients Prior to Surgery
NCT02617264 ·Status: UNKNOWN ·Phase: NA
-
Breast Cancer BRAs Study (Breast Cancer Biomechanics of Radiotherapy And Surgery)
NCT07135960 ·Status: RECRUITING
-
Proton Therapy for Early Stage Breast Cancer
NCT00614172 ·Status: COMPLETED ·Phase: NA
-
Partial Breast Radiation Therapy in Treating Women Undergoing Breast Conservation Therapy for Early-Stage Breast Cancer
NCT00599989 ·Status: COMPLETED ·Phase: NA
-
Radiation Therapy in Treating Women With Locally Recurrent Breast Cancer Previously Treated With Repeat Breast-Preserving Surgery
NCT01082211 ·Status: COMPLETED ·Phase: PHASE2
-
Pain Control for Breast Cancer Patients Receiving Injection of Radioactive Tracer
NCT04822597 ·Status: COMPLETED ·Phase: PHASE3
-
Reverse Axillary Mapping in Breast Radiation Treatment Planning
NCT04292860 ·Status: WITHDRAWN
-
Radiation Therapy Before Surgery in Treating Patients With Hormone Receptor Positive, HER2 Negative Breast Cancer
NCT03359954 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Partial Breast Radiation Therapy in Treating Women Undergoing Breast-Conserving Therapy for Early Stage Breast Cancer
NCT00527293 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Intraoperative Electron Beam Radiotherapy Boost in Treating Patients With Stage I-II Breast Cancer Undergoing Surgery With Reconstruction
NCT02927912 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Radiation Therapy (WBI Versus PBI) in Treating Women Who Have Undergone Surgery For Ductal Carcinoma In Situ or Stage I or Stage II Breast Cancer
NCT00103181 ·Status: COMPLETED ·Phase: NA
-
Electrosurgical Bipolar Systems Versus Conventional Electrocautery After SLNBx
NCT06426810 ·Status: RECRUITING ·Phase: NA
-
Sentinel and/or Axillary Lymph Node Biopsy With or Without Axillary Reverse Mapping in Reducing Incidence and Severity of Arm Lymphedema in Stage 0-2 Patients.
NCT01276054 ·Status: TERMINATED ·Phase: PHASE2
-
Radiation Therapy Planning Techniques in Reducing Damage to Normal Tissue in Women Undergoing Breast-Conserving Surgery for Ductal Carcinoma of the Breast
NCT00602628 ·Status: COMPLETED ·Phase: NA
-
Peri-Operative Immune Checkpoint Inhibition and Cryoablation in Women With Triple-negative Breast Cancer
NCT03546686 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Pre- Versus Postoperative Accelerated Partial Breast Irradiation
NCT02913729 ·Status: TERMINATED ·Phase: NA
-
RaSOLVE: 125I Radioactive Seed Marking Effects on Pathological Complete Response Rate and Prognosis Post-Neoadjuvant Therapy in Early/Advanced Breast Cancer
NCT07269691 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Feasibility Study of Accelerated Preoperative Radiotherapy for Early Breast Cancer
NCT02858934 ·Status: COMPLETED ·Phase: NA