UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000047080
Receipt number R000053655
Scientific Title Ultra-hypofractionated Breast Radiotherapy After Breast-Conserving Surgery for Early-Stage Breast Cancer
Date of disclosure of the study information 2022/03/07
Last modified on 2024/09/04 19:03:36

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Basic information

Public title

Ultra-hypofractionated Breast Radiotherapy After Breast-Conserving Surgery for Early-Stage Breast Cancer

Acronym

UPBEAT study

Scientific Title

Ultra-hypofractionated Breast Radiotherapy After Breast-Conserving Surgery for Early-Stage Breast Cancer

Scientific Title:Acronym

UPBEAT study

Region

Japan


Condition

Condition

Breast Cancer

Classification by specialty

Breast surgery Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety of ultra-hypofractionated whole breast adjuvant radiotherapy for breast cancer after breast conservation surgery(26 Gy in 5 fractions)

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence rate of late adverse events within 3 years

Key secondary outcomes

Overall survival, Progression-free survival, Ipsilateral breast tumour recurrence free survival, Ipsilateral breast tumour recurrence free rates, Incidence rate of acute adverse events within 3 months, Incidence rate of late adverse events within 5 years.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

Ultra-hypofractionated whole breast adjuvant radiotherapy is given over 5 days (26 Gy in 5 fractions)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

1. No distant metastasis confirmed via all exam before surgery
2. After breast-conserving surgery
3. Pathological findings fulfill all of the following conditions:
i. invasive carcinoma or ductal carcinoma in situ
ii. pathological stage review is indicated in pTis-3pN0-1
iii. no tumor exposure to excision margin
4. Within 70 days from surgery in case without adjuvant chemotherapy, and within 42 days from the latest chemotherapy in case with adjuvant chemotherapy
5. Asian woman with enough fluency in Japanese
6. >=40 years of age
7. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
8. No prior radiation therapy against the thoracic
9. Written informed consent

Key exclusion criteria

1. Prior malignancies; except another malignancy and disease-free for > 5 years, or completely resected or successfully treated in situ carcinoma.
2. Infection with systemic therapy indicated
3. Body temperature of 38 or more degrees Celsius
4. Women during pregnancy, possible pregnancy or breast-feeding
5. Psychosis
6. Uncontrollable diabetes mellitus or administration of insulin
7. Interstitial pneumonia, pulmonary fibrosis, or severe emphysema.
8. Systemic steroids medication.
9. Immunosuppressant for active collagen disease.
10. History of severe heart disease, heart failure, myocardial infarction within 6 months or attack of angina pectoris within 6 months.
11. The patient inappropriate for entry into this study.

Target sample size

98


Research contact person

Name of lead principal investigator

1st name Masaki
Middle name
Last name Kokubo

Organization

Kobe City Medical Center General Hospital

Division name

Department of Radiation Oncology

Zip code

650-0047

Address

2-1-1 Minatojima Minamimachi, Chuo-ku, Kobe

TEL

078-302-4321

Email

mkokubo@kcho.jp


Public contact

Name of contact person

1st name Takamasa
Middle name
Last name Mitsuyoshi

Organization

Kobe City Medical Center General Hospital

Division name

Department of Radiation Oncology

Zip code

650-0047

Address

2-1-1 Minatojima Minamimachi, Chuo-ku, Kobe

TEL

078-302-4321

Homepage URL


Email

mitsu.t@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Kobe City Medical Center General Hospital

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kobe City Medical Center General Hospital

Address

2-1-1 Minatojima Minamimachi, Chuo-ku, Kobe

Tel

078-302-4321

Email

rinken@kcho.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

神戸市立医療センター中央市民病院 (兵庫県)
京都大学医学部附属病院 (京都府)
滋賀県立総合病院 (滋賀県)
京都市立病院 (京都府)
京都桂病院 (京都府)
京都岡本記念病院 (京都府)
音羽病院 (京都府)
市立長浜病院 (滋賀県)
大阪赤十字病院 (大阪府)
県立尼崎総合医療センター (兵庫県)
日赤和歌山医療センター (和歌山県)
福井赤十字病院 (福井県)
静岡市立静岡病院 (静岡県)


Other administrative information

Date of disclosure of the study information

2022 Year 03 Month 07 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

105

Results

Interim analysis:
Between May and December 2022,28 patients from 7 institutes were enrolled.
Acute adverse events within 3 months: dermatitis of Grade 2 occurred in 1 patient
Ultra-HF-WBI is considered to be within the acceptable limits for Japanese women in terms of acute toxicities.

Results date posted

2024 Year 09 Month 04 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2022 Year 02 Month 01 Day

Date of IRB

2022 Year 03 Month 02 Day

Anticipated trial start date

2022 Year 03 Month 04 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Clinical trial notes
Mitsuyoshi T, Ono Y, Ashida R, Yamashita M, Tanabe H, Takebe S, Tokiwa M, Suzuki E, Imagumbai T, Yoshimura M, Yamauchi C, Mizowaki T, Kokubo M. Multi-institutional phase II study of ultra-hypofractionated whole-breast irradiation after breast-conserving surgery for breast cancer in Japan: Kyoto Radiation Oncology Study Group (UPBEAT study). Jpn J Clin Oncol. 2023 Jan 28;53(2):174-178. doi: 10.1093/jjco/hyac174. PMID: 36420578; PMCID: PMC9885732.


Management information

Registered date

2022 Year 03 Month 04 Day

Last modified on

2024 Year 09 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053655