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A Randomised Controlled Trial: Investigation of Radiotherapy Dose Inhomogeneity and Cosmetic Outcome in Patients with Early Breast Cancer
ISRCTN ISRCTN21474421
ClinicalTrials.gov identifier
Public title A Randomised Controlled Trial: Investigation of Radiotherapy Dose Inhomogeneity and Cosmetic Outcome in Patients with Early Breast Cancer
Scientific title
Acronym Cambridge IMRT
Serial number at source N/A
Study hypothesis Does correction of dose homogeneity improve the cosmetic outcome following radiotherapy in patients with early breast cancer?
Ethics approval Approved by the Cambridge Reseach Ethics Committee on 04/02/03, reference number 03/017
Study design Interventional, phase III, randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Breast Cancer
Participants - inclusion criteria 1. Age 18 years and above
2. Operable unilateral breast cancer (T1-3, N0-1, M0 at presentation)
3. Histological confirmation of invasive carcinoma
4. Complete macroscopic excision of tumour by breast conserving surgery
5. No history of contralateral breast cancer
6. Demonstration of off-axis dose inhomogeneities outside -5% and +7% of the prescribed dose using conventional 2-dimensional radiotherapy treatment plan
7. Patients’ consents to be part of the trial and availability for follow-up
Participants - exclusion criteria 1. Patients with advance or metastatic breast cancer
2. Patients who have had a mastectomy
3. Patients with bilateral breast cancer
4. Concomitant invasive malignancy (apart from Cervical Intra-epithelial Neoplasia [CIN] III uterine cervix and basal carcinoma of the skin), if other previous malignancies, must be disease-free for five years
Anticipated start date 01/04/2003
Anticipated end date 31/03/2006
Status of trial Completed
Patient information material
Target number of participants 375
Interventions Patients are randomised to receive Intensity Modulated Radiation therapy (IMRT).
Control group will receive standard 2-dimensional radiation therapy.
Primary outcome measure(s) Breast shrinkage following radiotherapy
Secondary outcome measure(s) 1. Acute skin reactions
2. Clinical assessment of late cosmetic effect
3. Patient’s quality of life
Sources of funding Breast Cancer Campaign (London), grant reference number 2001:263 (UK)
Trial website
Publications 2009 baseline characteristics and dosimetry results in http://www.ncbi.nlm.nih.gov/pubmed/19375808
Contact name Dr  Charlotte  Coles
  Address Oncology Centre
Box 193
Addenbrooke's Hospital
Hills road
  City/town Cambridge
  Zip/Postcode CB2 2QQ
  Country United Kingdom
Sponsor Cambridge University Hospitals NHS Foundation Trust (UK)
  Address Trust Research and Development Department
Box 146
Addenbrookes Hospital
Hills road
  City/town Cambridge
  Zip/Postcode CB2 2QQ
  Country United Kingdom
Date applied 10/01/2006
Last edited 16/02/2010
Date ISRCTN assigned 17/02/2006
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