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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 29 April 2013
Main ID:  NCT01247233
Date of registration: 26/10/2010
Primary sponsor: UNICANCER
Public title: Standard or Hypofractionated Radiotherapy Versus Accelerated Partial Breast Irradiation (APBI)for Breast Cancer SHARE
Scientific title: Phase III Multicentric Trial Comparing Accelerated Partial Breast Irradiation (APBI) Versus Standard or Hypofractionated Whole Breast Irradiation in Low Risk of Local Recurrence of Breast Cancer
Date of first enrolment: October 2010
Target sample size: 2796
Recruitment status: Recruiting
URL:  http://clinicaltrials.gov/show/NCT01247233
Study type:  Interventional
Study design:  Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment  
Countries of recruitment
France
Contacts
Name:   Jerome LEMONNIER, PhD
Address: 
Telephone: +33 1 7193 6702
Email: j-lemonnier@unicancer.fr
Affiliation: 
Name:   Yazid Belkacemi, MD PhD
Address: 
Telephone:
Email:
Affiliation:  Henri Mondor Hospital AP-HP, Créteil, France
Name:   Céline Bourgier, MD
Address: 
Telephone:
Email:
Affiliation:  Institut de Cancérologie de Montpellier, Montpellier, France
Name:   Eric Lartigau, MD
Address: 
Telephone:
Email:
Affiliation:  Oscar Lambret Hospital, Lille, France
Key inclusion & exclusion criteria

Inclusion Criteria:

- Women aged = 50 years

- Menopausal status confirmed

- Pathology confirmation of invasive carcinoma (all types)

- Complete tumor removal and conservative surgery

- Pathologic tumor size of invasive carcinoma = 2cm (including the in situ component)
pT1

- All histopathologic grades

- Clear lateral margins for the invasive and in situ disease (> 2mm)

- pN0 or pN(i+)

- No metastasis

- Radiotherapy should be started more than 4 weeks and less than 12 weeks after last
surgery

- Surgical clips (4 to 5 clips in the tumor bed)

- No prior breast or mediastinal radiotherapy

- ECOG 0-1

- Information to the patient and signed informed consent

Exclusion Criteria:

- Multifocal invasive ductal carcinoma defined as the presence of at least two distinct
tumors that are separated by normal tissue or when the distance between the two
lesions does not permit conservative surgery

- Bilateral breast cancer

- No or less than 4 surgical clips in the tumor bed

- Nodal involvement : pN1 (including micrometastasis, mi+), pN2, pN3

- Metastatic disease

- internal mammary node involvement or supraclavicular lymph node involvement

- Indication of chemotherapy or trastuzumab

- Involved or close lateral margins for the invasive and /or in situ components (< 2mm)
AND impossibility to re-operate or impossible to perform another conservative surgery

- Patients with known BRCA1 or BRCA2 mutations

- Previous mammoplasty

- Previous homolateral breast and/or mediastinal irradiation

- Previous invasive cancer (except basocellular epithelioma or in situ carcinoma of the
cervix)

- No geographical, social or psychologic reasons that would prevent study follow



Age minimum: 50 Years
Age maximum: N/A
Gender: Female
Health Condition(s) or Problem(s) studied
Breast Cancer
Lumpectomy
Intervention(s)
Radiation: Accelerated partial breast irradiation
Radiation: Hypofractionated WBI
Radiation: Whole Breast Irradiation + Boost
Primary Outcome(s)
rate of local recurrence [Time Frame: 5 years]
Secondary Outcome(s)
Cosmetic: comparison of the cosmetic result (according to both the physician and the patient) [Time Frame: 10 years]
Disease-specific survival [Time Frame: 10 years]
Distant recurrence-free survival [Time Frame: 10 years]
Ipsilateral breast recurrence-free survival [Time Frame: 10 years]
Medico-economic study [Time Frame: 3 years]
Nodal regional recurrence-free survival [Time Frame: 10 years]
Overall survival [Time Frame: 10 years]
Quality of Life and Satisfaction [Time Frame: 10 years]
Toxicities: Measurement of the rate and type of toxicity (acute and late toxic effects) [Time Frame: 10 years]
Secondary ID(s)
2010-A00243-36
RTS02 / SHARE
RTS02-SHARE
UC-0140/1001
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
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