Assessing Combined SBRT in Breast Cancer Non-Responders to Neoadjuvant Chemotherapy
NCT06596018 · Status: RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 96
Last updated 2025-12-30
Summary
The goal of this clinical trial is to assess whether the addition of preoperative stereotactic body radiation therapy (SBRT) can improve pathological complete response (pCR) rates and safety in breast cancer patients who do not respond to initial neoadjuvant chemotherapy. The main questions it aims to answer are:
* Can the combination of SBRT with chemotherapy increase pCR rates in non-responders to initial neoadjuvant chemotherapy?
* Does the addition of SBRT to chemotherapy have acceptable safety and tolerability profiles?
Participants in this trial will be early or locally advanced breast cancer patients who have shown no response to two cycles of standard neoadjuvant chemotherapy. They will be randomly assigned to either continue with the standard chemotherapy (control group) or receive SBRT in addition to continuing the standard chemotherapy (intervention group). The primary outcome measures will be pCR rate and breast conservation rate. Secondary outcomes will include 3-year local progression-free survival, overall survival, surgical complications, and treatment toxicities.
Conditions
- Breast Adenocarcinoma
Interventions
- RADIATION
-
SBRT
Target the primary tumor region with a single dose of 8Gy using 6MV-X rays, administered once a day for three consecutive days.
- DRUG
-
Continue to follow the original chemotherapy regimen(anthracycline and/or taxane based regimens)
Sponsors & Collaborators
-
Second Affiliated Hospital, School of Medicine, Zhejiang University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-12-25
- Primary Completion
- 2027-09-20
- Completion
- 2028-09-20
Countries
- China
Study Locations
More Related Trials
-
Eliminating Breast Surgery for Breast Cancer Patients With Clinical Complete Response to Neoadjuvant Systemic Therapy
NCT06498154 ·Status: RECRUITING ·Phase: PHASE2
-
Testing the Addition of an Anti-cancer Drug, Berzosertib, to the Usual Treatment (Radiation Therapy) for Chemotherapy-Resistant Triple-Negative and Estrogen and/or Progesterone Receptor Positive, HER2 Negative Breast Cancer
NCT04052555 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Study of Preoperative Chemotherapy for Early Triple Negative or HER2-positive Operable Breast Cancer
NCT02934828 ·Status: UNKNOWN ·Phase: PHASE2
-
Effect of Neoadjuvant Chemoradiation on Pathologic Complete Response Rates in Locally Advanced Breast Cancer Patients
NCT06631066 ·Status: COMPLETED ·Phase: NA
-
Neoadjuvant Endocrine Therapy Versus Chemotherapy in Premenopausal Patients With ER+ & HER2- Breast Cancer
NCT02535221 ·Status: RECRUITING ·Phase: PHASE3
-
Pyrotinib Plus Neoadjuvant Chemotherapy in HR+/HER2-, HER4-High Breast Cancer
NCT04872985 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Neoadjuvant Dose-dense Chemotherapy for HR+/HER2- Breast Cancer Patients With High Proliferation Index
NCT05728268 ·Status: RECRUITING ·Phase: PHASE2
-
Neoadjuvant Chemo-endocrine Therapy Versus Chemotherapy Alone in ER-positive, HER2-negative Breast Cancer
NCT02980965 ·Status: COMPLETED ·Phase: PHASE3
-
Comparative Analysis of the Efficacies in Neoadjuvant Chemotherapy of Breast Cancer
NCT02613026 ·Status: COMPLETED ·Phase: PHASE3
-
Neoadjuvant Study of Pyrotinib in Patients With HER2 Positive Breast Cancer
NCT03756064 ·Status: UNKNOWN ·Phase: NA
-
Neoadjuvant Trastuzumab-rezetecan Plus Pertuzumab or Nab-Paclitaxel, Carboplatin, Trastuzumab, and Pyrotinib After Suboptimal Response to Neoadjuvant Dual HER2-Targeted Therapy Combined With Chemotherapy in HER2-Positive Early Breast Cancer
NCT07340398 ·Status: RECRUITING ·Phase: PHASE2
-
Neoadjuvant Study of Pyrotinib in HER-2 Positive Breast Cancer
NCT04126525 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Real World Patient-Reported Outcomes in Chinese Her2+ EBC Patients Receiving (Neo) Adjuvant Anti-Her2 Based Therapy
NCT06161922 ·Status: RECRUITING
-
Neoadjuvant Study of Nab-paclitaxel Plus Carboplatin in Breast Cancer
NCT01625429 ·Status: UNKNOWN ·Phase: PHASE2
-
Pyrotinib Combined With Trastuzumab and Chemotherapy Neoadjuvant Therapy for HER2-positive Breast Cancer
NCT06035679 ·Status: RECRUITING ·Phase: NA
-
Neoadjuvant Chemotherapy + PD-1 Inhibitor+Different Radiotherapy Fractionations for HR+/HER2- Breast Cancer
NCT06639672 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Neoadjuvant Study of Navelbine in Patients With HER2 Positive Breast Cancer
NCT04665986 ·Status: UNKNOWN ·Phase: PHASE3
-
Hypofractionated Radiation Therapy in Treating Participants With Breast Cancer Before Surgery
NCT03624478 ·Status: COMPLETED ·Phase: PHASE2
-
Comparing Sequential Neoadjuvant Treatment Including Chemotherapy and Accelerated Radiation Focused to the Tumor Bed vs Neoadjuvant Chemotherapy Alone
NCT02806258 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Neoadjuvant Study With Pyrotinib and Trastuzumab and Abraxane in Patients With HER2-enriched Breast Cancer
NCT05659056 ·Status: RECRUITING ·Phase: PHASE2
-
Standard Chemotherapy Compared With High-Dose Chemotherapy Plus Peripheral Stem Cell Transplant in Treating Women With Advanced or Inflammatory Breast Cancer
NCT00003680 ·Status: UNKNOWN ·Phase: PHASE3
-
Partial Irradiation and Sequential vs. Concurrent Chemo Early Breast Cancer
NCT01928589 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Four Cycles Taxane With Trastuzumab and Pertuzumab Neoadjuvant Therapy Among Low Risk HER2 Positive Patients
NCT06722599 ·Status: RECRUITING
-
Preoperative Immunotherapy Combined With Stereotactic Radiation Therapy Boost in the Treatment of HER2-negative Breast Cancer
NCT06472583 ·Status: RECRUITING ·Phase: PHASE2
-
Clinical Study of Pyrotinib in Neoadjuvant Therapy of HR-positive and HER2-positive Breast Cancer
NCT05430347 ·Status: UNKNOWN ·Phase: PHASE2