Clinical trial Recruiting at 17 sites Interventional Ages 60 and up Women only

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.

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Quick facts

Study typeInterventional
Ages60 Years and up
SexWomen only
Enrollment926 (estimated)
SponsorDanish Breast Cancer Cooperative Group
Academic / other
Drugs / interventionsradiation
Locations17 sites (Santiago and 16 other locations)
StatusRecruiting
StartedSeptember 5, 2018
Main results expectedSeptember 1, 2033
Study endsSeptember 1, 2035
Registry record updatedOctober 6, 2020
Trial IDNCT03646955 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

  • 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
  • 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

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.