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SEquencing of Chemotherapy and Radiotherapy in Adjuvant Breast cancer
Source of recordUK Trials
ISRCTNISRCTN84214355
Date ISRCTN assigned01/07/2001
Local reference number(s)BR3015
Public titleSEquencing of Chemotherapy and Radiotherapy in Adjuvant Breast cancer
Scientific title
AcronymSECRAB
Disease/condition/study domainBreast cancer
Study hypothesisTo answer reliably two questions in the timing of delivery of chemotherapy and radiotherapy in the adjuvant treatment of early breast cancer:
1. Can local control be improved by synchronous delivery of adjuvant chemotherapy and radiotherapy thereby not delaying the administration of either modality?
2. Can synchronous chemotherapy and radiotherapy be given safely without significant enhancement of acute or late toxicity, without compromising on dose intensity of either modality and without adversely affecting quality of life or cosmesis?
Design/methodologyRandomised controlled trial
Research ethics reviewNo ethics approval information required at time of registration.
Countries of trialUnited Kingdom
Participants - inclusion criteria1. Histological diagnosis of invasive breast carcinoma (unilateral if participating in the Cosmesis Study)
2. Wide local excision or mastectomy with macroscopic complete excision of clinically early stage disease and no evidence of metastases
3. There is a clear indication for both adjuvant chemotherapy and radiotherapy, or the patient has been randomised to these treatments in another study
4. The intended schedules can be given synchronously and the patient is considered suitable to receive either treatment sequence
5. Medically fit enough to complete chemotherapy and radiotherapy, with adequate cardiac, renal, hepatic and bone marrow function
6. The patient has given written informed consent
7. No prior chemotherapy (other than hormone manipulation)
8. No prior malignancy (except skin basal/squamous cell or in situ carcinoma)
9. Not currently pregnant or lactating, no intention of pregnancy during treatment
10. No other medical or social contra-indication to entry and follow-up
Participants - exclusion criteriaN/A
Patient information material
Anticipated start date02/07/1998
Anticipated end date25/03/2004
Status of trialCompleted
Target number of participants2298
InterventionsTwo arms:
Arm 1 - Synchronous treatment (Chemotherapy - Radiotherapy - Chemotherapy)
Arm 2 - Sequential Treatment (Chemotherapy - Radiotherapy)
Primary outcome measure(s)Local tumour recurrence rates at five and ten years
Secondary outcome measure(s)1. Distant and overall recurrence rates
2. Survival at five, ten and 15 years
3. Acute toxicity causing significant treatment delay or dose reduction
4. Other late effects of treatment
Sources of fundingCancer Research UK (UK)
Sponsor nameUniversity Hospitals Birmingham NHS Foundation Trust (UK)
Sponsor detailsResearch & Development
Nuffield House
Queen Elizabeth Hospital
Edgbaston
Birmingham
United Kingdom
B15 2TH
Sponsor telephone+44 (0)121 697 8311
Sponsor fax+44 (0)121 697 8310
Contact nameDr Sarah Bowden
Contact detailsCRUK Clinical Trials Unit
Institute for Cancer Studies
The University of Birmingham
Edgbaston
Birmingham
United Kingdom
B15 2TT
Contact telephone+44 (0)121 414 4371
Contact fax+44 (0)121 414 3700
Contact emailBTT@bham.ac.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN84214355
Date last extracted from ISRCTN register17/04/2008
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