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Study Summary
No. 2003-0420:.......Breast......Henry Kuerer......Surgical Oncology
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Study Summary Title
Study Summary
Number:
2003-0420
Study Title:MAMMOSITE RTS AS THE SOLE RADIATION THERAPY TECHNIQUE FOR DUCTAL CARCINOMA IN-SITU
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Physician New Patient Referral
Name:Henry KuererPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Surgical OncologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-745-5043
Contact us about clinical trials
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General Information
Disease Group:BreastSupported By:N/A
Phase of Study:Phase IIReturn
Visit:
At 3 months, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years.
Treatment
Agents:
MammoSite RTSHome Care:N/A
Treatment Loc:Independent Multicenter Arrangements
Estimated
Length of Stay
in Houston:
None required.
Description/
Intervention:
The goal of this clinical research study is to evaluate the safety and
performance of a new FDA approved device (MammoSite RTS) in delivering
radiation therapy to the breast after a lumpectomy procedure.
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Study Objectives / Outcomes
Study Purpose and Objectives:
This study has been designed to compile information on the efficacy of the MammoSite RTS providing sole radiation therapy for patients with pure Ductal Carcinoma in-Situ (DCIS). Specifically, data relevant to the evaluation of the efficacy and safety of the MammoSite RTS system in providing radiation therapy to patients with DCIS will be collected. The MammoSite is a radionuclide applicator designed to deliver internal radiation therapy (brachytherapy) in patients with breast tumors following breast tumor resection surgery (lumpectomy).

1. To demonstrate that radiation therapy delivered with MammoSite RTS alone in patients with DCIS is technically feasible and reproducible with acceptable complication rates in a multi-institutional trial.

2. To evaluate the short-term cosmetic results after MammoSite RTS as the sole radiation therapy technique following lumpectomy compared with the cosmetic results obtained after whole breast external beam radiation therapy.

3. To estimate the local tumor control rate in the breast after MammoSite RTS as the sole radiation therapy technique following lumpectomy.
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Study Status Information
Study Activation / Registration Date:08/19/2003
IRB Review and Approval Date:08/06/2003
Study Type:Therapeutic
Recruitment Status:Closed
Projected Accrual:125
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Be equal to or greater than 45 years of age.

2) Have unicentric DCIS with no microinvasive or invasive disease. MRI is strongly suggested but not required to insure the best imaging modality available to clarify whether the patient has true localized DCIS versus EIC or a contralateral abnormality not seen on mammogram.

3) Lesions should have a greatest dimension of 3 cm or less as determined by pre-surgery mammography or MRI.

4) Post-Surgery: Negative histological margins confirmed prior to beginning radiation therapy. Margins are positive if there is tumor at the inked margin.

5) Classified as low (NG1), intermediate (NG2) or high (NG3) nuclear grade DCIS, using the Philadelphia Consensus Conference Guidelines.

6) Clinically node negative by physical exam.

7) Signed informed consent.

8) Segmental mastectomy surgery required.

Exclusion Criteria:1) Distance from the balloon surface to the surface of the skin equal to or less than 5mm as determined by CT imaging.

2) Distant metstases.

3) Invasive or In-situ lobular carcinoma.

4) Nonepithelial breast malignancies such as sarcoma or lymphoma.

5) DCIS that is multicentric in the ipsilateral breast.

6) Pregnant or lactating.

7) Prior non-hormonal therapy for the present breast cancer, including radiation therapy and/or chemotherapy.

8) Collagen vascular diseases. Specifically systemic lupus erythematosus (SLE), systemic sclerosis (scleroderma), CREST Syndrome (calcinosis, Raynaud phenomenon, esophageal dysfunction, sclerodactyly, telangiectasia, and the presence of anticentromere antibodies) in limited systemic sclerosis, polymyositis, dermatomyositis with a CPK level above normal or with an active skin rash, inclusion-body myositis, or amyloidosis are excluded from the study.

9) Coexisting medical conditions with life expectancy equal to or less than 2 years.

10) Serious psychiatric disorder with active psychosis or known active drug addiction.

11) Previously treated contalateral breast carcinoma.

12) Synchronous bilateral breast carcinoma.

13) Other malignancy, except non-melanoma skin cancer, < 5 years prior to participation in the study; the disease free interval from any prior carcinoma must be continuous.

14) Patients with diffuse disease: a. >1 quadrant of DCIS or b. >5 cm in diameter on gross pathology measurement, or c. Unable to clear suspicious microcalcifications (calcifications seen on the preoperative stereotactic-placed wire bracketed mammogram that are not seen on the post lumpectomy mammogram within the bracketed wires).

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Links
Registration Number: NCT00586326
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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