Assessing Impact of Loco-regional Treatment on Survival in Metastatic Breast Cancer at Presentation

This study is ongoing, but not recruiting participants.
Information provided by (Responsible Party):
Dr Rajendra A. Badwe, Tata Memorial Centre Identifier:
First received: September 12, 2005
Last updated: March 7, 2015
Last verified: March 2015

Traditionally metastatic breast cancer patients are not offered loco-regional treatment except in cases of fungation or bleeding. However, scientific evidence for such omission of loco-regional treatment in metastatic breast cancer patients is lacking. On one hand, studies have shown that removal of primary tumor at times leads to complete disappearance of metastases and improvement in survival in renal cell carcinoma patients. However, such studies have never been performed in other solid tumors. On the other hand, there is a strong body of evidence in experimental settings that show that removal of primary tumor allows growth of metastasis. There is lack of similar data in humans in clinical settings. Offering loco-regional treatment in metastatic breast cancer patients in a setting of randomized controlled trial will help in improving survival of such patients and understanding the natural history of breast cancer.

Condition Intervention Phase
Cancer of the Breast
Procedure: Surgery for breast cancer
Other: No Loco-regional treatment
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Randomized Trial To Assess The Impact Of Loco-Regional Treatment On Survival Of Patients With Metastatic Breast Cancer At First Presentation

Resource links provided by NLM:

Further study details as provided by Tata Memorial Hospital:

Primary Outcome Measures:
  • Overall survival [ Time Frame: 3 years ] [ Designated as safety issue: No ]
    Overall survival (OS) : Time interval between randomization and death

  • Progression free survival [ Time Frame: 3 years ] [ Designated as safety issue: No ]
    PFS: Time interval between randomization and first date of progression of disease

Secondary Outcome Measures:
  • Changes in VEGF, bFGF, Angiostatin and Endostatin [ Time Frame: 5 years ] [ Designated as safety issue: No ]
    The secondary endpoints include the assess of loco-regional treatment on levels

Enrollment: 350
Study Start Date: February 2005
Estimated Study Completion Date: December 2017
Estimated Primary Completion Date: June 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Loco Regional Treatment Arm (LRT)
Surgery for breast cancer. (MRM/BCT)
Procedure: Surgery for breast cancer
This group will receive standard loco-regional treatment i.e. surgery (modified radical mastectomy (MRM)/ Simple SMAC/BCT) +/- radiotherapy
Active Comparator: No Loco-regional Treatment Arm
No surgery for Breast cancer
Other: No Loco-regional treatment
This group will not receive any loco-regional treatment

  Show Detailed Description


Ages Eligible for Study:   21 Years to 65 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Metastatic breast cancer at first presentation with an expected survival of at least one year

Exclusion Criteria:

  1. Patients who are not fit to receive anthracycline based chemotherapy.
  2. More than two visceral organ involvement.
  3. Multiple liver metastases with deranged liver function tests (SGOT/SGPT more than four times the upper normal limit).
  4. Locally static or progressive disease or systemically progressive disease as shown by repeat staging investigations guided by worsening symptoms.
  5. Ulceration/ fungation/ bleeding after completion of chemotherapy, which mandates surgery.
  6. Expected survival of less than six months after completion of chemotherapy.
  7. Unfit for anaesthesia due to metastatic disease.
  Contacts and Locations
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Please refer to this study by its identifier: NCT00193778

Tata Memorial Hospital
Mumbai, Maharashtra, India, 400 012
Sponsors and Collaborators
Tata Memorial Hospital
Principal Investigator: Rajendra A Badwe, MS (Surgery) Tata Memorial Hospital, Ernest Borges Road, Parel, Mumbai 400 012
  More Information


Responsible Party: Dr Rajendra A. Badwe, Director, Tata Memorial Centre Identifier: NCT00193778     History of Changes
Other Study ID Numbers: TMH/153/2004
Study First Received: September 12, 2005
Last Updated: March 7, 2015
Health Authority: India: Department of Atomic Energy

Keywords provided by Tata Memorial Hospital:
Metastatic breast cancer
Locoregional treatment

Additional relevant MeSH terms:
Breast Neoplasms
Breast Diseases
Neoplasms by Site
Skin Diseases processed this record on October 09, 2015