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A Randomised Controlled Trial: Investigation of Radiotherapy Dose Inhomogeneity and Cosmetic Outcome in Patients with Early Breast Cancer
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN21474421
Date ISRCTN assigned17/02/2006
Local reference number(s)N/A
Public titleA Randomised Controlled Trial: Investigation of Radiotherapy Dose Inhomogeneity and Cosmetic Outcome in Patients with Early Breast Cancer
Scientific title
AcronymCambridge IMRT
Disease/condition/study domainBreast Cancer
Study hypothesisDoes correction of dose homogeneity improve the cosmetic outcome following radiotherapy in patients with early breast cancer?
Design/methodologyInterventional, phase III, randomised controlled trial
Research ethics reviewApproved by the Cambridge Reseach Ethics Committee on 04/02/03, reference number 03/017
Countries of trialUnited Kingdom
Participants - inclusion criteria1. 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 criteria1. 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
Patient information material
Anticipated start date01/04/2003
Anticipated end date31/03/2006
Status of trialCompleted
Target number of participants375
InterventionsPatients 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 fundingBreast Cancer Campaign (London),
grant reference number 2001:263
Sponsor nameCambridge University Hospitals NHS Foundation Trust (UK)
Sponsor detailsTrust Research and Development Department
Box 146
Addenbrookes Hospital
Hills road
Cambridge
United Kingdom
CB2 2QQ
Contact nameDr Charlotte Coles
Contact detailsOncology Centre
Box 193
Addenbrookes Hospital
Hills road
Cambridge
United Kingdom
CB2 2QQ
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN21474421
Date last extracted from ISRCTN register17/04/2008
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