Optimisation and individualisation of HeartSparing breast radiotherapy techniques (The HeartSpare Study): Stage II

ISRCTN ISRCTN62239447
DOI https://doi.org/10.1186/ISRCTN62239447
Protocol serial number 14269
Sponsor Royal Marsden NHS Foundation Trust (UK)
Funder National Institute for Health Research (NIHR) (UK) - Research for Patient Benefit Programme ref: PB-PG-1010-23003
Submission date
24/04/2013
Registration date
26/04/2013
Last edited
06/01/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

http://www.cancerresearchuk.org/cancer-help/trials/a-study-looking-different-techniques-protect-heart-from-radiation-during-radiotherapy-breast-cancer-the-heartspare-study

Contact information

Dr Frederick Bartlett
Scientific

Downs Road
Sutton
SM2 5PT
United Kingdom

Phone +44 20 7352 8171
Email frederick.bartlett@rmh.nhs.uk

Study information

Primary study designInterventional
Study designMulticentre non-randomised interventional trial; Design type: Treatment
Secondary study designNon randomised study
Study type Participant information sheet
Scientific titleOptimisation and individualisation of HeartSparing breast radiotherapy techniques (The HeartSpare Study): Stage II multicentre, non-randomised intervention trial
Study acronymThe HeartSpare Study (Stage II)
Study objectivesA multicentre non-randomised intervention trial investigating whether the roll-out of voluntary deep-inspiratory breath-hold (v_DIBH) in the context of a HTA-funded multicentre trial of breast radiotherapy fractionation (the FAST-Forward trial http://www.controlled-trials.com/ISRCTN19906132) confirms effective heart-sparing in women undergoing breast radiotherapy following excision of early breast cancer.
Ethics approval(s)NRES Committee London - Fulham, 18/02/2013, ref: 13/LO/0181
Health condition(s) or problem(s) studiedBreast cancer
InterventionRadiotherapy using v_DIBH: Patients will receive their radiotherapy using the v_DIBH technique

Study Entry : Registration only
Intervention typeOther
Primary outcome measure(s)

Percentage of patients in whom a reduction in mean LAD dose (Gy) is achieved with v_DIBH measured at end of study

Key secondary outcome measure(s)

1. Costs of techniques (equipment and time to scan/treat) measured at end of study
2. Difference in mean doses (Gy) to heart, ipsilateral lung and whole lungs, and maximum LAD dose measured at end of study
3. Interfraction reproducibility of patient position measured at end of study
4. Patient and radiographer satisfaction with positioning technique (questionnaire) measured at end of study.
5. Proportion of patients in whom prone position would have been optimal measured at end of study
6. Time spent in various activities / stages of treatment planning and delivery measured at end of study

Completion date02/05/2014

Eligibility

Participant type(s)Patient
Age groupAdult
SexAll
Target sample size at registration75
Key inclusion criteria1. Women or men with left-sided breast cancer
2. Recommendation for whole breast or chest wall RT within FAST-Forward trial
3. Patients with any heart tissue in a tangential RT field placed according to standard anatomical borders
3. Any breast volume
4. Eastern Cooperative Oncology Group (ECOG) performance status <=1
5. Patients able to tolerate breath-hold
Key exclusion criteria1. Right-sided breast cancer
2. Ineligible for whole breast or chest wall RT within FAST-Forward trial
3. Patients with micro- or macro-scopic disease on sentinel node biopsy who have not undergone completion axillary node clearance
4. Previous radiotherapy to any region above the diaphragm
Date of first enrolment03/06/2013
Date of final enrolment02/05/2014

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Downs Road
Sutton
SM2 5PT
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

06/01/2017: No publications found in PubMed, verifying study status with principal investigator.