UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000047769
Receipt number R000054413
Scientific Title A multicenter study of patient questionnaires regarding the Selection of Surgical Technique for Breast Recurrence after Breast Conserving Surgery
Date of disclosure of the study information 2022/05/16
Last modified on 2025/01/08 09:53:43

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Basic information

Public title

A multicenter study of patient questionnaires regarding the Selection of Surgical Technique for Breast Recurrence after Breast Conserving Surgery

Acronym

A multicenter study of patient questionnaires regarding the Selection of Surgical Technique for Breast Recurrence after Breast Conserving Surgery

Scientific Title

A multicenter study of patient questionnaires regarding the Selection of Surgical Technique for Breast Recurrence after Breast Conserving Surgery

Scientific Title:Acronym

A multicenter study of patient questionnaires regarding the Selection of Surgical Technique for Breast Recurrence after Breast Conserving Surgery

Region

Japan


Condition

Condition

breast cancer

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

We will conduct a questionnaire survey on surgical selection for breast cancer patients who had ipsilateral breast tumor recurrence after breast-conserving surgery and underwent radical surgery for ipsilateral breast tumor recurrence.

Basic objectives2

Others

Basic objectives -Others

A questionnaire survey will be conducted to determine patient's intentions regarding the choice of surgery for ipsilateral breast tumor recurrence.

Trial characteristics_1

Others

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Patient Intentions Regarding the Impact of Surgical Selection on Local Recurrence Rate and Survival for Ipsilateral Breast Tumor Recurrence

Key secondary outcomes

Correlation between Patient Intentions and Background Factors on the Impact of Surgical Selection on Local Recurrence Rate and Survival for Ipsilateral Breast Tumor Recurrence


Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with breast cancer who developed ipsilateral breast tumor recurrence after breast-conserving surgery ,and underwent radical surgery for ipsilateral breast tumor recurrence between January 1, 2012 and December 31, 2023

Key exclusion criteria

*Patients who had distant recurrence at the time of ipsilateral breast tumor recurrence
*Patients of bilateral breast cancer
*Patients diagnosed with hereditary breast cancer-ovarian cancer syndrome
*Other cases that the physician in charge deemed inappropriate

Target sample size

250


Research contact person

Name of lead principal investigator

1st name Yukiko
Middle name
Last name Seto

Organization

Osaka International Cancer Institute

Division name

Breast and Endocrine surgery

Zip code

541-8567

Address

3-1-69,Otemae,Chuo-ku,Osaka-shi,Osaka

TEL

06-6945-1181

Email

Yukiko.seto@oici.jp


Public contact

Name of contact person

1st name Makoto
Middle name
Last name Ishitobi

Organization

Mie University Hospital

Division name

Breast Surgery

Zip code

514-8507

Address

2-174,Edobashi,Tsu-shi Mie

TEL

059-232-1111

Homepage URL


Email

m-ishitobi@clin.medic.mie-u.ac.jp


Sponsor or person

Institute

Osaka International Cancer Institute

Institute

Department

Personal name



Funding Source

Organization

Osaka International Cancer Institute

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka International Cancer Institute

Address

3-1-69,Otemae,Chuo-ku,Osaka-shi,Osaka

Tel

06-6945-1181

Email

rinri01@opho.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

秋田大学医学部付属病院(秋田県)、岡山大学病院(岡山県)、近畿大学病院(大阪府)、札幌医科大学附属病院(北海道)、市立貝塚病院(大阪府)、名古屋市立大学病院(愛知県)、三重大学医学部附属病院(三重県)


Other administrative information

Date of disclosure of the study information

2022 Year 05 Month 16 Day


Related information

URL releasing protocol

https://doi.org/10.1245/s10434-024-15282-

Publication of results

Published


Result

URL related to results and publications

https://doi.org/10.1245/s10434-024-15282-

Number of participants that the trial has enrolled

102

Results

Of the 100 respondents, only 11 patients (11%)
preferred rBCS. Patients who had undergone rBCS and radiotherapy for IBTR were significantly more likely to prefer to undergo rBCS than other groups (p = 0.030).
The most frequent reason for choosing rBCS was the patient's desire to minimize breast deformity and surgical wounds.

Results date posted

2025 Year 01 Month 08 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Inclusion criteria were as follows:
(1) patients who underwent BCS and axillary surgery (sentinel lymph
node biopsy only was allowed if these nodes had no metastases)
(2) patients in whom IBTR was confirmed histologically
(3) patients who underwent salvage surgery for IBTR
(4) patients with no evidence of distant recurrence at the
time of participation
(5) patients aged >18 years at participation.
Patients who had a known BRCA1 or BRCA2 pathogenic variant, or bilateral breast cancer patients were
excluded. None of the participating centers in the study recommended repeat RT throughout the entire period from the
time the questionnaire respondent was treated with IBTR to the present. This study was approved by the Institutional
Review Board at each participating institution and was conducted in accordance with the ethical principles of the Declaration of Helsinki.

Participant flow

Consecutive patients who were judged eligible to participate in this study were directly approached by one of the investigators in an outpatient setting between April 2022 and May 2023.
If the patient showed an interest in the study, detailed information was provided; patients were then approached for enrollment. Participants completed the questionnaire and posted it to the Osaka International Cancer Center or filled out a Google Form. They provided their consent via completion of the questionnaire.

Adverse events

No special note

Outcome measures

We collected clinicopathologic data (both primary tumor and IBTR) on the included patients from the participating institutions.
The following data were collected age, clinical stage, preoperative and postoperative chemotherapy, date of surgery, breast reconstruction, grade, subtype, and presence of RT to the breast or chest wall.
The Fisher test was used to evaluate correlations between patients' preferences and clinicopathologic factors and between patients' preference and the reasons for their preferences.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2022 Year 03 Month 05 Day

Date of IRB

2022 Year 03 Month 05 Day

Anticipated trial start date

2022 Year 04 Month 05 Day

Last follow-up date

2023 Year 11 Month 16 Day

Date of closure to data entry

2023 Year 11 Month 16 Day

Date trial data considered complete

2023 Year 11 Month 16 Day

Date analysis concluded

2023 Year 11 Month 16 Day


Other

Other related information

questionnaire survey


Management information

Registered date

2022 Year 05 Month 16 Day

Last modified on

2025 Year 01 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000054413