Non-surgical treatment for breast cancer after chemotherapy
Official title: Non-inferiority Study in Patients With Complete Pathological Response After Neoadjuvant Chemotherapy and Negative VABB Biopsy Undergoing RT Alone, Omitting Surgical Treatment
Run by European Institute of Oncology · NCT06281210 · Data updated 2026-11-12
This study tests if using radiotherapy alone is a safe and effective option for breast cancer patients who have responded well to chemotherapy, instead of undergoing surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 77 (estimated) |
| Sponsor | European Institute of Oncology Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 2 sites (Candiolo, Turin and 1 other locations) |
| Status | Recruiting |
| Started | December 11, 2023 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2028 |
| Registry record updated | February 28, 2024 |
| Trial ID | NCT06281210 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults over 18 with infiltrating breast carcinoma, specifically triple negative or HER2-positive, who have undergone at least 12 weeks of neoadjuvant chemotherapy.
✕Probably not a fit
Patients with bilateral or multicentric tumors, or those with a history of 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 study evaluates the safety and efficacy of using radiotherapy alone for patients with breast cancer who have achieved a complete pathological response after neoadjuvant chemotherapy. It involves histological confirmation of this response through vacuum-assisted biopsy or excision guided by ultrasound. The primary goal is to demonstrate that this non-surgical approach is not inferior to traditional surgical methods. By focusing on patients with specific types of breast cancer, the study aims to explore innovative treatment options that could potentially reduce the need for surgery.
Why it matters
Potential benefit: If successful, this approach could provide a less invasive treatment option for breast cancer patients, potentially improving their quality of life.
How similar studies have gone: While this approach is innovative, similar studies exploring non-surgical options for breast cancer have shown promise, indicating potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * age\> 18 years * infiltrating breast carcinoma, non-special histotype, triple negative or HER2 +, T1-T2 N0 * single lesion * neo-adjuvant chemotherapy treatment for at least 12 weeks according to clinical practice * conservative surgery proposal * M0 * tumour bed identified by breast markers placed in pre NACT by radiologist Exclusion Criteria: * Bilateral or multicentric tumour * Presence of microcalcifications visualised on mammography * Presence of associated DCIS * Positive history of previous breast cancer * Positive history of medical or psychiatric conditions preventing adherence to the protocol * High risk patient
Where it's running
-
European Institute of Oncology
Milan, Italy Recruiting -
Istituto di Candiolo IRCCS
Candiolo, Turin, Italy Not yet recruiting
Study contacts
- Principal investigator: Elisabetta Rossi, MD — European Institute of Oncology
- Study coordinator: Elisabetta Rossi, MD
- Email: ElisabettaMariaCristina.Rossi@ieo.it
- Phone: +39-0294372191
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Using advanced mammography techniques to assess breast cancer treatment response
This study is testing two new mammography techniques to see if they can better predict how well chemotherapy is working for people with locally advanced breast cancer.
-
Understanding how tumor shrinkage predicts cancer response in early breast cancer patients
This study tests if measuring how much breast tumors shrink during chemotherapy can help predict how well the treatment will work for women with early-stage breast cancer.
-
Evaluating PC14586 for advanced solid tumors with a specific mutation
This study is testing a new oral medication called PC14586 to see if it can help people with advanced solid tumors that have a specific mutation in the TP53 gene.
-
Can we skip radiation after lumpectomy for low-risk HER2-positive breast cancer?
This study tests whether patients who had breast-conserving surgery and low-risk HER2-positive breast cancer can safely skip radiation therapy while receiving HER2-targeted treatment.
-
Can older adults with breast cancer tolerate a dense CMF chemo schedule
This study tests whether giving a condensed CMF chemotherapy regimen is feasible for people 70 and older with breast cancer.
-
Entinostat with Pyrotinib and Endocrine Therapy in HER2-positive, HR-positive Advanced Breast Cancer after Trastuzumab Failure
This study tests whether adding entinostat to pyrotinib and hormone therapy is safe and helps patients with advanced HR+/HER2+ breast cancer who progressed after trastuzumab.
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.