NIH-funded research R21 grant

Improving treatment decisions for older women with early-stage breast cancer

Official title: Patient-Centered Insights from the POWER Trial: Pre-Operative Window of Adjuvant Endocrine Therapy to Inform Radiation Therapy Decisions in Older Women with Early-Stage Breast Cancer

Funded at University of Virginia · NIH-10745737 · Data updated 2026-11-12

This study is looking at how a short treatment before surgery for early-stage breast cancer can help women aged 65 and older, along with their doctors, decide on the best follow-up radiation therapy options, so they can make choices that fit their personal health needs and preferences.

More Breast Cancer research and trials

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionUniversity of Virginia
NIH-funded
Lab location1 site (Charlottesville, United States)
Project startDecember 1, 2022
Project endNovember 30, 2025
Funding year2024
Award (this year)$175,328
NIH project number5R21CA277311-02
Project IDNIH-10745737 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates for this research are women aged 65 and older who have been diagnosed with early-stage, estrogen receptor-positive breast cancer.

Less likely to help

Patients with advanced breast cancer or those who are not eligible for surgery may not benefit from this research.

What this research studies

This research focuses on enhancing treatment options for women aged 65 and older diagnosed with early-stage breast cancer. It investigates the effects of a three-month course of pre-operative endocrine therapy (pre-ET) on patients' and physicians' preferences regarding adjuvant radiation therapy (RT) after breast conserving surgery. By evaluating how pre-ET influences treatment decisions, the study aims to provide personalized insights that consider patient preferences, life expectancy, and co-morbidities. The goal is to empower patients with information to make informed choices about their treatment options.

Why it matters

Potential benefit: If successful, this research could lead to more personalized and effective treatment plans for older women with early-stage breast cancer, potentially reducing unnecessary radiation therapy.

How similar studies have gone: Previous studies have shown that personalized treatment approaches can improve patient outcomes, suggesting that this innovative method may also be effective.

Where this research is happening

  • University of Virginia
    Charlottesville, United States
    Active

Researchers

  • Principal investigator: Showalter, Shayna Lefrak — University of Virginia
  • Study coordinator: Showalter, Shayna Lefrak

Related research

Other NIH-funded projects on the same topics.

  • Improving radiation therapy for early stage breast cancer

    This study is testing a new way to give radiation therapy during breast cancer surgery that uses advanced imaging to better target the treatment, and it's for women with early-stage breast cancer who want to see if this method works better than the usual approach.

    NIH research University of Virginia · Charlottesville, United States · NIH-10463616

  • Psilocybin-assisted Psychotherapy for Fear of Cancer Recurrence in Early-Stage Breast Cancer

    A study will test whether a one-time psilocybin-assisted psychotherapy session helps reduce fear of cancer returning in women with early-stage breast cancer.

    NIH research New York University School of Medicine · New York, United States · NIH-11344227

  • Human duct model that mimics early breast cancer growth

    This project builds an all‑human lab model of breast ducts to show how early breast cancers, especially estrogen receptor–positive tumors, grow and interact with nearby cells.

    NIH research Georgia Institute of Technology · Atlanta, United States · NIH-11313243

  • Heart disease risk tools for women treated for early-stage breast cancer

    This project will build and test tools to predict the chance of heart disease in women who have had early-stage breast cancer.

    NIH research Fred Hutchinson Cancer Center · Seattle, United States · NIH-11261182

  • Creating a tool to help older women decide on chemotherapy for early-stage breast cancer

    This study is creating a helpful tool for older women with early-stage breast cancer to make informed choices about chemotherapy, taking into account their health needs and side effects, so they can feel more confident in discussing their treatment options with their doctors.

    NIH research University of Tx Md Anderson Can Ctr · Houston, United States · NIH-10686368

  • Effects of radiation therapy on heart health in breast cancer patients

    This study is looking at how different types of radiation therapy for breast cancer might affect heart health, so we can find out which method is safer for your heart while you’re being treated.

    NIH research University of Pennsylvania · Philadelphia, United States · NIH-10613352

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.