Randomised trial testing Intensity Modulated radiotherapy and Partial Organ RadioTherapy following breast conservation surgery for early breast cancer

ISRCTN ISRCTN12852634
DOI https://doi.org/10.1186/ISRCTN12852634
ClinicalTrials.gov number NCT00814567
Secondary identifying numbers CCR2690
Submission date
11/07/2006
Registration date
28/07/2006
Last edited
20/12/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

http://www.cancerresearchuk.org/about-cancer/find-a-clinical-trial/a-trial-comparing-different-ways-of-giving-radiotherapy-for-low-risk-early-stage-breast-cancer

Contact information

Dr Charlotte Coles
Scientific

University of Cambridge
Oncology Centre, Box 193
Addenbrooke’s Hospital
Hills Road
Cambridge
CB2 2QQ
United Kingdom

Study information

Study designProspective randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleRandomised trial testing Intensity Modulated radiotherapy and Partial Organ RadioTherapy following breast conservation surgery for early breast cancer
Study acronymIMPORT LOW
Study hypothesisTo test partial breast radiotherapy delivered using intensity modulated techniques following complete local tumour excision of low risk early stage breast cancer.

A related study IMPORT HIGH is registered with ISRCTN47437448.
Ethics approval(s)Oxford Research Ethics Committee B, 12/10/2006, ref: 06/Q1605/128
ConditionBreast cancer
InterventionThis is a randomised controlled trial for patients at low risk of local recurrence (less than 1% annual risk local recurrence after radiotherapy).

Control group: current standard radiotherapy to the whole breast
Test arm one: reduced radiotherapy to the whole breast with standard radiotherapy to the partial breast
Test arm two: standard radiotherapy to the partial breast only
Intervention typeOther
Primary outcome measureLocal tumour control in the ipsilateral breast
Secondary outcome measures1. Location of tumour relapse
2. Contralateral primary tumours
3. Regional and distant metastases
4. Late adverse effects in normal tissues
5. Quality of life (QL)
6. Economic evaluation
Overall study start date01/03/2007
Overall study end date01/10/2020

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants1,935
Total final enrolment2018
Participant inclusion criteriaCurrent inclusion criteria as of 26/02/2019:
1. Age greater than or equal to 50 years
2. Primary breast conservation surgery +/- adjuvant systemic therapy
3. Pathological tumour size  3.0 cm pT1-2 (< 3.1 cm, maximum microscopic diameter of invasive component)
4. Invasive adenocarcinoma (excluding invasive carcinoma of classical lobular type)
5. Unifocal disease
6. Grade I, II or III
7. Lymphovascular invasion present or absent
8. Axillary lymph nodes negative or 1 to 3 nodes positive (pN0 or pN+(1-3))
9. Minimum microscopic margin of non-cancerous tissue  2 mm (excluding deep margin if this is at deep fascia)
10. No blood-borne metastases

Previous inclusion criteria:
1. Age greater than or equal to 50 years
2. Primary breast conservation surgery +/- adjuvant systemic therapy
3. Pathological tumour size less than or equal to 2.0 cm pT1a-c (maximum microscopic diameter of invasive component)
4. Invasive adenocarcinoma (excluding invasive carcinoma of classical lobular type)
5. Unifocal disease (Grade I or II)
6. Minimum microscopic margin of non-cancerous tissue greater than or equal to 2 mm (excluding deep margin if this is at deep fascia)
7. No lympho-vascular invasion
8. Axillary lymph nodes negative, PN0 (sentinel node biopsy & isolated tumour cells less than 0.2 mm allowed)
9. No blood borne metastases
Participant exclusion criteriaCurrent exclusion criteria as of 26/02/2019:
1. Previous malignancy (other than non-melanomatous skin cancer)
2. Mastectomy
3. Invasive carcinoma of classical lobular type
4. Primary endocrine therapy or chemotherapy (neo-adjuvant endocrine therapy is permissible as long as the tumour is <3.0 cm and all other inclusion criteria are met. Primary endocrine therapy as a replacement for surgery is not permissible)
5. Concurrent chemo-radiotherapy

Previous exclusion criteria:
1. Previous malignancy (other than non-melanomatous skin cancer)
2. Mastectomy
3. Invasive carcinoma of classical lobular type
4. Primary endocrine therapy or chemotherapy (neo-adjuvant endocrine therapy is permissible as long as the tumour is less than 2.0 cm and all other inclusion criteria are met. Primary endocrine therapy as a replacement for surgery is not permissible)
5. Concurrent chemo-radiotherapy
Recruitment start date01/03/2007
Recruitment end date05/10/2010

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Institute of Cancer Research
Sutton
SM2 5PT
United Kingdom

Sponsor information

Institute of Cancer Research (UK)
Charity

123 Old Brompton Road
London
SW7 3RP
United Kingdom

Website http://www.icr.ac.uk
ROR logo "ROR" https://ror.org/043jzw605

Funders

Funder type

Charity

Cancer Research UK (UK)
Private sector organisation / Other non-profit organizations
Alternative name(s)
CR_UK, Cancer Research UK - London, CRUK
Location
United Kingdom
Department of Health (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 09/09/2017 Yes No
Results article results 01/02/2019 20/12/2019 Yes No

Editorial Notes

20/12/2019: Publication reference added.
14/11/2019: The following changes have been made:
1. The recruitment end date has been changed from 01/10/2019 to 05/10/2010.
2. The final enrolment number has been added.
26/02/2019: The following changes were made to the trial record:
1. The overall trial end date was changed from 01/10/2019 to 01/10/2020.
2. Contact details, inclusion and exclusion criteria updated.
09/08/2017: Internal review.
03/08/2017: Publication reference added.