Comparing partial breast irradiation to no irradiation for early breast cancer in women
Official title: The DBCG RT Natural Trial: Partial Breast Versus no Irradiation for Women >=60 Years Operated With Breast Conservation for an Early Breast Cancer: a Clinically Controlled Randomized Phase III Trial
Run by Danish Breast Cancer Cooperative Group · NCT03646955 · Data updated 2026-11-12
This study is testing if women with early breast cancer can skip radiation treatment after surgery without increasing their chances of the cancer coming back.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 60 Years and up |
| Sex | Women only |
| Enrollment | 926 (estimated) |
| Sponsor | Danish Breast Cancer Cooperative Group Academic / other |
| Drugs / interventions | radiation |
| Locations | 17 sites (Santiago and 16 other locations) |
| Status | Recruiting |
| Started | September 5, 2018 |
| Main results expected | September 1, 2033 |
| Study ends | September 1, 2035 |
| Registry record updated | October 6, 2020 |
| Trial ID | NCT03646955 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are women aged 60 and older with early-stage, low-risk breast cancer characteristics.
✕Probably not a fit
Patients with multifocal or multicentric invasive carcinoma, grade 3 malignancy, or previous breast cancer may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial aims to identify low-risk breast cancer patients who can safely omit adjuvant partial breast irradiation (PBI) after breast-conserving surgery. The study will evaluate the effectiveness of avoiding radiation therapy in selected patients who are unlikely to benefit from it, thereby reducing the risk of side effects associated with radiation. By analyzing patient characteristics and outcomes, the trial seeks to establish criteria for determining which patients can forgo radiation without significantly increasing their risk of local cancer recurrence. The approach is based on previous findings that suggest low local recurrence rates in similar patient populations.
Why it matters
Potential benefit: If successful, this study could help reduce unnecessary radiation treatment for certain breast cancer patients, minimizing side effects and improving quality of life.
How similar studies have gone: Previous studies, such as the DBCG RT PBI trial and the UK IMPORT LOW trial, have shown promising results with similar approaches in low-risk breast cancer patients.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Female patient \>=60 years Primary tumour characteristics by conventional histopathology * unilateral and unifocal non-lobular histology grade 1-2 * maximum microscopic size \<=20mm * node negative determined by sentinel node or axillary lymph node dissection * estrogen receptor \>=10% positive * HER2 negative (by IHC and/or in situ hybridization) * resection margin \>=2 mm for invasive carcinoma and any ductal carcinoma in situ associated with the cancer Surgical type is breast conservation Performance status ECOG 0-2 No evidence of distant metastasis Exclusion Criteria: * multifocal or multicentric invasive carcinoma or ductal carcinoma in situ * evidence of clinical or pathological T4 breast cancer * grade 3 malignancy * previous breast cancer or DCIS irrespective of disease-free interval * previous radiation therapy to the breast or thorax, * previous neoplasm within 5 years except carcinoma in situ of the cervix, endometrium or coli, melanoma in situ. * comorbidity precluding the patient from radiation therapy (e.g. cardiovascular or pulmonary disease, scleroderma, systemic lupus erythematosus). * mental/psychiatric disorder which precludes the patient from understanding the randomization and the follow up. * documented hereditary breast cancer or with high genetic risk of breast cancer * life expectancy \<10 years
Where it's running
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Ponticia Universidad Catolica de Chile
Santiago, Chile Recruiting -
Aalborg University Hospital
Aalborg, Denmark Recruiting -
Aarhus University Hospital
Aarhus, Denmark Recruiting -
Rigshospitalet
Copenhagen, Denmark Recruiting -
Herlev Hospital
Herlev, Denmark Recruiting -
Naestved Hospital
Næstved, Denmark Recruiting
Show 11 more locations
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Odense University Hospital
Odense, Denmark Recruiting -
Vejle Hospital
Vejle, Denmark Recruiting -
Haukeland HUS
Bergen, Norway Recruiting -
Nordlandssykehuset
Bodø, Norway Recruiting -
Kristiansand Hospital
Kristiansand, Norway Recruiting -
Oslo University Hospital, Radiumhospitalet
Oslo, Norway Recruiting -
Stavanger Hospital
Stavanger, Norway Recruiting -
Tromsø University Hospital
Tromsø, Norway Recruiting -
Sahlgrenska University hospital
Gothenburg, Sweden Recruiting -
Skånes University Hospital
Lund, Sweden Recruiting -
Uppsala Akademiska Sjukhuset
Uppsala, Sweden Recruiting
Study contacts
- Principal investigator: Birgitte V Offersen, PhD — Danish Breast Cancer Group
- Study coordinator: Birgitte V Offersen, PhD
- Email: bvo@oncology.au.dk
- Phone: +45 28838012
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.