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SUPREMO, an MRC Phase III randomised trial to assess the role of adjuvant chest wall irradiation in 'intermediate risk' operable breast cancer following mastectomy
ISRCTN ISRCTN61145589
ClinicalTrials.gov identifier
Public title SUPREMO, an MRC Phase III randomised trial to assess the role of adjuvant chest wall irradiation in 'intermediate risk' operable breast cancer following mastectomy
Scientific title
Acronym SUPREMO
Serial number at source G0400170
Study hypothesis To determine the effect of ipsilateral chest wall irradiation following mastectomy and axillary clearance for women with operable breast cancer at 'intermediate risk' of loco-regional recurrence.
Lay summary http://www.cancerhelp.org.uk/trials/a-trial-looking-at-the-benefit-of-radiotherapy-after-mastectomy-for-breast-cancer
Ethics approval Fife and Forth Valley Research Ethics Committee on 04/10/2005. (ref:05/S0501/106)
Study design Randomised controlled trial
Countries of recruitment Australia, United Kingdom, Europe, International
Disease/condition/study domain Breast cancer
Participants - inclusion criteria 1. pT1, pN1, M0 or pT2, N0-1, M0 unilateral histologically confirmed invasive breast cancer
2. Unifocal invasive breast cancer
3. Fit for adjuvant therapy, adjuvant endocrine therapy and postoperative irradiation
4. Undergone simple mastectomy and an axillary staging procedure
Participants - exclusion criteria 1. Undergone neoadjuvant systemic therapy
2. Previous or concurrent malignancy
3. Male sex
4. Pregnancy
5. Bilateral breast cancer
6. Known BCRA1 and BCRA2 carriers
Anticipated start date 01/10/2005
Anticipated end date 28/11/2014
Status of trial Ongoing
Patient information material Patient information can be found at: http://www.supremo-trial.com/Summary%20Of%20Trial.html
Target number of participants 3700
Interventions Chest wall irradiation versus no chest wall irradiation
Primary outcome measure(s) Overall survival
Secondary outcome measure(s) Disease free survival
Metastasis free survival
Cause of death
Acute and late morbidity
Quality of Life
Cost effectiveness
Sources of funding Medical Research Council (UK) (G0400170)
Trial website http://www.supremo-trial.com
Publications 2006 Lancet publication in http://www.ncbi.nlm.nih.gov/pubmed/16714179
Contact name Prof  Ian  Kunkler
  Address Edinburgh Cancer Centre
Western General Hospital
Crewe Road
  City/town Edinburgh
  Zip/Postcode EH4 2XU
  Country United Kingdom
  Tel +44 (0)131 537 2214
  Fax +44 (0)131 537 2216
  Email i.kunkler@ed.ac.uk
Sponsor University of Edinburgh, Lothian Health Board and the Common Services Agency (UK)
  Address Dr Douglas Young MBA
Commercial Research Manager
Research and Development Office
NHS Lothian-University Hospitals Division
The Royal Infirmary of Edinburgh
51 Little France Crescent
Old Dalkeith Road
  City/town Edinburgh
  Zip/Postcode EH16 4SA
  Country United Kingdom
Date applied 23/06/2005
Last edited 02/08/2011
Date ISRCTN assigned 29/07/2005
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