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CTRI Number  CTRI/2018/04/013008 [Registered on: 04/04/2018] Trial Registered Retrospectively
Last Modified On: 26/03/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Radiation Therapy 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Studying of two different techniques of radiation therapy in breast cancer patients after tumor excision surgery.  
Scientific Title of Study   Comparison of sequential and simultaneous integrated boost hypofractionated radiotherapy in patients with breast cancer 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shipra Gupta 
Designation  Junior resident 
Affiliation  PGIMER 
Address  Radiotherapy department, PGIMER, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  8527216552  
Fax    
Email  shiprag184@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Budhi Singh Yadav 
Designation  Associate professor  
Affiliation  PGIMER 
Address  Radiotherapy department, PGIMER, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  9815981176  
Fax    
Email  drbudhi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Budhi Singh Yadav 
Designation  Associate professor  
Affiliation  PGIMER 
Address  Radiotherapy department, PGIMER, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  9815981176  
Fax    
Email  drbudhi@gmail.com  
 
Source of Monetary or Material Support  
Post graduate institute of medical education and research, sector 12, chandigarh. 160012  
 
Primary Sponsor  
Name  PGIMER 
Address  Post graduate institute of medical education and research, sector 12, Chandigarh.  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shipra gupta  PGIMER  Radiotherapy department, Post graduate institute of research and technology,Chandigarh
Chandigarh
CHANDIGARH 
8527216552

shiprag184@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE PGIMER  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  STABLE, FIT FOR TREATMENT,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Arm A   Simultaneous integrated boost IMRT. Total duration of radiation treatment will be 2 weeks. one treatment fraction per day. Dose will be 34 Gy to whole breast along with 40 Gy to the cavity simultaneously.  
Comparator Agent  Arm B   Sequential boost IMRT. Total duration of radiation treatment will be 2 weeks and two days. Treatment fraction will be one per day. Dose will be 34 Gy to whole breast followed by 8Gy boost to the cavity. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  BREAST CANCER PATIENTS AFTER BREAST CONSERVING SURGERY 
 
ExclusionCriteria 
Details  patients with poor KPS (performance status )
patients with double malignancy
patients with history of prior radiation
patients >70 years of age  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Dosimetry and cosmetic outcomes and acute toxicities
 
Post radiation, 1 month, 3 months, 6 months
 
 
Secondary Outcome  
Outcome  TimePoints 
Late toxicities, locoregional control, TOXICITIES, disease free survival, event free survival, overall survival.  immediately post radiation, 1 month post radiation, 3 month post radiation, 6 month post radiation 
 
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 
Date of First Enrollment (India)   05/05/2017 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   none yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Breast irradiation has reduced the rate of local recurrence significantly in case of breast cancer which have undergone breast conservative surgery. The recurrence of cancer is most likely in the region surrounding the original tumor, therefore addition of boost irradiation to the tumor bed after whole breast irradiation has been shown to further improve local control. Conventionally the radiation treatment is delivered in a sequential manner of whole breast radiation followed by boost dose delivery. While now with the introduction of volumetric arc therapy (VMAT) technique, simultaneous irradiation of tumour bed is also possible with the radiation of whole breast. It helps in achieving minimal doses to the organs at risk. The simultaneous boost technique will be compared with sequential boost where the boost dose will be delivered after the delivery of whole breast radiation. Doses will be studied in both the arms in terms of target coverage, homogenity and doses to organs at risk. The radiation treatment has cosmetic effects on the treated breast. The study will assess the cosmetic effects on the treated breast as compared to the untreated breast. Cosmetic effects will be assessed by both subjective and objective methods.        
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