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Partial Breast Irradiation Using Non Invasive Approach for Early Stage Breast Cancer

This study is ongoing, but not recruiting participants.
The Miriam Hospital
Rhode Island Hospital
Information provided by (Responsible Party):
Jaroslaw Hepel, Brown University Identifier:
First received: July 21, 2011
Last updated: February 12, 2016
Last verified: February 2016
The purpose of this study is to evaluate the rate of early and intermediate toxicity related to the AccuBoost System for delivery of APBI in women with resected, early stage breast cancer.

Condition Intervention Phase
Breast Cancer
Radiation: Accelerated partial breast irradiation
Other: Extended Follow up
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment

Resource links provided by NLM:

Further study details as provided by Brown University:

Primary Outcome Measures:
  • Early and Intermediate Toxicity [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]
    Any toxicity related to the radiation treatment will be scored and graded using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v3.0 (Appendix 4). Acute side effects are any side effects occurring within 3 months of treatment. Intermediate side effects are any side effects occurring between 3 months and 2 years. This is reported in the outcome table.

Secondary Outcome Measures:
  • Cosmetic Outcome [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    Cosmetic results will be evaluated at each follow-up visit by the treating radiation oncologist using the Harvard criteria inclusive of discomfort during treatment(Pain), Fatigue and Acute skin reaction. This is reported in the outcome table.

Enrollment: 40
Study Start Date: August 2011
Estimated Study Completion Date: December 2018
Primary Completion Date: September 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Radiation
AccuBoost APBI- 34.0 Gy in 10fx
Radiation: Accelerated partial breast irradiation
Accuboost APBI 34.0 Gy in 10 fractions
Experimental: Extended Follow up
This arm extends follow up at the Rhode Island Hospital location to 5 years. Annual mammograms and additional documentation is required to be submitted only if completed.
Other: Extended Follow up
This arm extends follow up at the Rhode Island Hospital location to 5 years. Annual mammograms and additional documentation is required to be submitted only if completed.


Ages Eligible for Study:   50 Years and older   (Adult, Senior)
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. A confirmed histological diagnosis of invasive breast carcinoma or DCIS
  2. Age greater or equal to 50 years old
  3. Life expectancy > 6 months
  4. Treated by breast conserving surgery with axillary node dissection or sentinel lymph node biopsy
  5. Pathologic tumor size less than or equal to 2 cm
  6. Invasive ductal, mucinous, tubular or colloid histology
  7. Estrogen receptor positive for invasive carcinoma.
  8. Unifocal/unicentric disease
  9. Negative surgical margins greater than or equal to 2 mm
  10. Pathologic lymph node negative
  11. No evidence of lymphovascular invasion
  12. ECOG performance status of 0 or 1 (Appendix 1)
  13. Informed consent signed.

Exclusion Criteria:

  1. Known BRCA 1/2 Mutation; (BRCA 1 and 2 testing is not required)
  2. Autoimmune disorder
  3. Pregnancy
  4. Breast implants
  5. Psychiatric or addictive disorder that would preclude attending follow-up
  6. Neoadjuvant chemotherapy (adjuvant chemotherapy is permitted)
  7. Suspicious remaining microcalcification on post-surgery mammogram (unless biopsy proven benign)
  8. Lobular features on histology (pure or mixed) or sarcoma histology
  9. Node positive on axillary dissection or in the sentinel lymph node biopsy;
  10. Extensive in situ carcinoma (EIC)
  11. Multicentric or multifocal disease
  12. Paget's disease of the nipple
  13. Distant metastases
  14. Lumpectomy cavity not well visualized on AccuBoost imaging
  15. Lumpectomy cavity with 1cm margin (PTV) not adequately encompassed by any applicator (PTV > 6cm)
  16. Breast separation with compression > 7cm.
  17. Overlap of skin between orthogonal treatment axes.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01463007

United States, Florida
Center For Cancer Care and Research- Watson Clinic
Lakeland, Florida, United States, 33805
United States, Rhode Island
Lifespan Hospitals
Providence, Rhode Island, United States, 02903
Rhode Island Hospital
Providence, Rhode Island, United States, 02906
United States, Washington
Tacoma Radiation
Tacoma, Washington, United States, 98405-4250
Sponsors and Collaborators
Jaroslaw Hepel
The Miriam Hospital
Rhode Island Hospital
Principal Investigator: Jaroslaw Hepel, MD Brown University Oncology Research Group
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Jaroslaw Hepel, principal investigator, Brown University Identifier: NCT01463007     History of Changes
Other Study ID Numbers: BrUOG 251 
Study First Received: July 21, 2011
Results First Received: June 24, 2015
Last Updated: February 12, 2016
Health Authority: United States: Institutional Review Board

Keywords provided by Brown University:
invasive ductal cancer
tubular breast cancer
breast cancer
ER positive

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases processed this record on October 21, 2016