Protocol summary

Study aim
Assessment of the possibility of shortening the duration of breast cancer radiation therapy without increasing the side effects
Design
This is a phase 2 randomized clinical trial. The patients are randomized into two groups of concomitant boost and sequential boost. 50 patients are needed in each group (confidence interval 95%, power of 90%). Randomization was done with permuted block method.
Settings and conduct
This study was done at radiation oncology ward , cancer institute, Imam Khomeini hospital complex, Tehran university of medical sciences
Participants/Inclusion and exclusion criteria
18-75 years olds women with pathology proven breast cancer who have undergone breast conserving surgery would be included in the study. Those withe previous radiation therapy, previous cancer, previous skin disease, positive margin on surgery, or multi focal disease are excluded from the study.
Intervention groups
Radiotherapy with concomitant boost technique
Main outcome variables
َAcute skin side effects and cosmetic outcome after 6 month and 1 year after radiation completion.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20220221054089N1
Registration date: 2022-06-22, 1401/04/01
Registration timing: retrospective

Last update: 2022-06-22, 1401/04/01
Update count: 0
Registration date
2022-06-22, 1401/04/01
Registrant information
Name
reyhane bayani
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 6658 1619
Email address
r.bayani@umsha.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2018-08-23, 1397/06/01
Expected recruitment end date
2019-12-27, 1398/10/06
Actual recruitment start date
2019-04-21, 1398/02/01
Actual recruitment end date
2020-02-29, 1398/12/10
Trial completion date
2021-02-28, 1399/12/10
Scientific title
Comparison of the early skin toxicity and cosmetic outcome of concomitant boost radiotherapy with sequential boost radiotherapy after breast cancer conserving surgery
Public title
Effect of boost technique on toxicity of breast cancer radiotherapy
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Women with pathologically proven breast cancer Age 18-75 Undergoing breast conserving surgery Early staged breast cancer (T1-3,N0-1)
Exclusion criteria:
Previous skin disease Previous breast radiation Previous cancer Positive margin on surgery Multifocal disease
Age
From 18 years old to 75 years old
Gender
Female
Phase
2
Groups that have been masked
No information
Sample size
Target sample size: 100
Actual sample size reached: 82
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization was done with permuted block method. In blocks with different sizes, patients were randomly assigned to two groups of concomitant boost and sequential boost by using random number tables.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Tehran University of Medical Sciences
Street address
Imam Khomeini Hospital Complex, Keshavarz Blvd, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
3314114197
Approval date
2019-04-21, 1398/02/01
Ethics committee reference number
IR.TUMS.IKHC.REC.1398.02

Health conditions studied

1

Description of health condition studied
Breast cancer
ICD-10 code
C50
ICD-10 code description
Malignant neoplasms of breast

Primary outcomes

1

Description
Acute skin toxicity of breast radiotherapy
Timepoint
Weekly during radiotherapy
Method of measurement
Physical exam and grading the skin side effects via Common Terminology Criteria for Adverse Events version 4

2

Description
Cosmetic outcome
Timepoint
6 and 12 months after radiotherapy
Method of measurement
Physical exam and scoring according to Harvard criteria

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Concomitant boost with 10 Gray in 5 fraction, one session every weekend.
Category
Treatment - Other

2

Description
Control group: Sequential radiation boost, 10 Gray in 5 fraction at the end of radiation program.
Category
Treatment - Other

Recruitment centers

1

Recruitment center
Name of recruitment center
Radiation Oncology ward, Imam Khomeini Hospital complex
Full name of responsible person
Reyhane Bayani
Street address
Imam Khomeini Hospital Complex, Keshavarz blvd, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
3314114197
Phone
+98 21 6658 1619
Email
bayani.reyhane@yahoo.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Akbar Fotohi
Street address
Imam Khomeini Hospital Complex, Keshavarz blvd, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
3314114197
Phone
+98 21 6658 1619
Email
bayani.reyhane@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Tehran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Reyhane Bayani
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Radiotherapy
Street address
Imam Khomeini Hospital Complex, Keshavarz blvd, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
3314114197
Phone
+98 21 6658 1619
Email
bayani.reyhane@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Reyhane Bayani
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Radiotherapy
Street address
Imam Khomeini Hospital Complex, Keshavarz blvd, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
3314114197
Phone
+98 21 6658 1619
Email
bayani.reyhane@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Reyhane Bayani
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Radiotherapy
Street address
Imam Khomeini Hospital Complex, Keshavarz blvd, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
3314114197
Phone
+98 21 6658 1619
Email
bayani.reyhane@yahoo.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
No - There is not a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
Title and more details about the data/document
The data of this study could be available upon reasonable request.
When the data will become available and for how long
After the publication of the study 2022
To whom data/document is available
All researchers
Under which criteria data/document could be used
For ever kind of analysis.
From where data/document is obtainable
Emailing to the responding author: bayani.reyhane@yahoo.com
What processes are involved for a request to access data/document
Emailing to the responding author, data could be available only after the university confirmation.
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