Preoperative radiotherapy for early stage breast cancer
Official title: Phase I/II Clinical Trial on Single Fraction Ablative Preoperative Radiation Treatment for Early Stage Breast Cancer
Run by European Institute of Oncology · NCT04679454 · Data updated 2026-11-12
This study is testing if a single dose of targeted radiation before surgery can safely help patients with early-stage breast cancer by shrinking their tumors.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 79 (estimated) |
| Sponsor | European Institute of Oncology Academic / other |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 1 site (Milan) |
| Status | Recruiting |
| Started | July 31, 2021 |
| Main results expected | March 2026 |
| Study ends | March 2029 |
| Registry record updated | August 5, 2024 |
| Trial ID | NCT04679454 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with histologically proven unifocal adenocarcinoma of the breast, T1-T2 tumors up to 2.5 cm, and good general health.
✕Probably not a fit
Patients with tumors close to the skin or chest wall, pure non-invasive tumors, or those who have received prior radiation therapy or neoadjuvant chemotherapy 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 evaluate the feasibility, safety, and efficacy of a single fraction of preoperative ablative radiotherapy for patients with early-stage breast cancer. It consists of two main sections: a technical study focusing on the setup and dosimetric aspects of the CyberKnife system, and a clinical study that includes a phase I dose escalation to determine the maximum tolerated dose and a phase II study to assess the rate of pathological complete response. Patients will undergo surgical tumor removal 4-8 weeks after the radioablation treatment.
Why it matters
Potential benefit: If successful, this approach could improve treatment outcomes by enhancing the rate of complete pathological response in early-stage breast cancer patients.
How similar studies have gone: Other studies have explored preoperative radiotherapy, but this specific approach using a single fraction and the CyberKnife system is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Histologically proven unifocal adenocarcinoma * T1-T2 * Tumor size up to 2.5 cm * cN0 * Age ≥ 18 years old * Good general condition (ECOG 0-2) * Planned BCS * Written informed consent Exclusion Criteria: * Tumor close to skin or chest wall * Pure non-invasive tumor * Prior RT to the chest * Neoadjuvant chemotherapy * Collagenopathies * Coagulation or autoimmunitary disorders * Previous malignancies
Where it's running
-
IEO, European Institute of Oncology IRCCS
Milan, Italy Recruiting
Study contacts
- Principal investigator: Maria Cristina Leonardi — European Institute of Oncology
- Study coordinator: Maria Cristina Leonardi, MD
- Email: cristina.leonardi@ieo.it
- Phone: +39 02 57489037
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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.