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CTRI Number  CTRI/2026/01/100098 [Registered on: 01/01/2026] Trial Registered Prospectively
Last Modified On: 29/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Radiation Therapy 
Study Design  Other 
Public Title of Study   A study to assess the response of Radiotherapy in Inoperable Breast Cancer Patients not responding to Preoperative Chemotherapy. 
Scientific Title of Study   A prospective study to determine the disease response to Radiotherapy (34Gy/10 fractions) in patients of Inoperable Carcinoma breast not responding to Neo-Adjuvant Chemotherapy and factors influencing it. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
U1111-1332-9013  UTN 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Avni Saini 
Designation  Post Graduate Trainee 
Affiliation  Institute of Post Graduate Education and Research Kolkata  
Address  Department of Radiotherapy Chest and Cancer Block IPGMER and SSKM Hospital Kolkata 700020

Kolkata
WEST BENGAL
700020
India 
Phone  9811036266  
Fax    
Email  dravnisaini@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Chandrima Banerjee 
Designation  Assistant Professor  
Affiliation  Institute of Post Graduate Education and Research Kolkata  
Address  Department of Radiotherapy Chest and Cancer Block IPGMER and SSKM Hospital Kolkata 700020

Kolkata
WEST BENGAL
700020
India 
Phone  9433824243  
Fax    
Email  chandrimab14@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Chandrima Banerjee  
Designation  Assistant Professor 
Affiliation  Institute of Post Graduate Education and Research Kolkata  
Address  Department of Radiotherapy Chest and Cancer Block IPGMER and SSKM Hospital Kolkata 700020

Kolkata
WEST BENGAL
700020
India 
Phone  9433824243  
Fax    
Email  chandrimab14@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Avni Saini 
Address  Department of Radiotherapy Chest and Cancer Block IPGMER and SSKM Hospital 244 AJC Bose Road Kolkata 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Institute of Post Graduate Education and Research Kolkata  IPGMER and SSKM Hospital 244 AJC Bose Road Kolkata 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Avni Saini  Institute of Post Graduate Medical Education and Research Kolkata   Department of Radiotherapy IPGMER and SSKM Hospital 244 AJC Bose Road Kolkata
Kolkata
WEST BENGAL 
9811036266

dravnisaini@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IPGMER Research Oversight Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C50||Malignant neoplasm of breast,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Hypo-fractionated Radiotherapy  Hypo-fractionated Radiotherapy with 34 Grey in 10 fractions to PTV, one fraction a day, 5 fractions a week, over 2 weeks. 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Histologically confirmed locally advanced or recurrent breast carcinoma deemed inoperable.
2. Patients unsuitable for surgery due to comorbidities, or patient refusal,3. Age: more than 18years.
4. ECOG performance status 0-3.
5. Stage of the disease T3/4, N positive, M positive or negative.
6. Patients not responding to neoadjuvant chemotherapy
7. Normal baseline complete blood counts, liver function tests, renal function tests, blood
sugar.
8. Patients who have received cardiological clearance with normal ECG and 2D
Echocardiography scans
9. Signed informed consent by the patient to participate in the study including willingness to
join the novel treatment approach. 
 
ExclusionCriteria 
Details  1. Prior radiation therapy to the same breast or chest wall
2. Pregnant or lactating women.
3. Evidence of uncontrolled co-morbidities e.g. uncompensated respiratory, cardiac, hepatic
and renal issues.
4. Refusal to undergo radiation therapy
5. Any other malignancy in past 5 years
6. Patients with visceral crisis.
7. Participation in any other interventional study on breast carcinoma. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Evaluated based on the change in acute and late toxicity profiles before and after completion
of radiotherapy. 
6 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1. Disease response in terms of Clinical assessment by Investigators
2. Toxicity assessment as per RTOG criteria 
6 weeks 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   09/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study seeks to establish the role of hypo-fractionated radiotherapy as a feasible and effective treatment modality for a difficult subset of inoperable and Neo-Adjuvant Chemotherapy non-responsive breast cancer patients, ultimately contributing to be enhanced clinical decision-making in such settings. This trial is an attempt to find the efficacy and tolerability in patients who has remained inoperable even after the Neo-Adjuvant Chemotherapy is completed. in a resource constrained high volume tertiary care centre like ours. 
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