A Study of Surgery and Radiotherapy in People With Breast Cancer

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorMemorial Sloan Kettering Cancer Center

About this trial

The researchers are doing this study to see if the combination of surgery, locoregional radiation therapy, SBRT (stereotactic body radiation therapy), and the usual approach is more effective in treating oligometastatic HER2-positive breast cancer than the usual approach alone. The researchers will also study the side effects of the study treatment.

Eligibility criteria

Qualifiers

Age ≥ 18 years.

Pathologically-confirmed metastatic breast cancer.

Oligometastatic breast cancer (≤5 discrete metastatic lesions) without CNS involvement; as seen on standard imaging during initial workup and monitoring prior to registration.

HER2-positive breast cancer per CAP/ASCO guidelines as determined by staff pathologist (any estrogen or progesterone receptor status).

Disqualifiers

Any foci of disease progression during initial 3-12 months of first-line systemic therapy (as determined by treating clinician)

Escalation of systemic therapy line due to progressive disease (i.e. initiated second-line therapy prior to enrollment).

Comorbidities precluding receipt of radiotherapy, surgery or standard systemic therapy.

Intracranial or intrathecal/intramedullary spinal disease (ie. CNS involvement is excluded from the study; epidural/vertebral disease is permitted)

Trial design

Treatments tested in this trial

  • Lumpectomy or mastectomy
  • Radiotherapy
  • Trastuzumab, Pertuzumab, Paclitaxel, or a combination of these drugs

Treatment groups

178 Participants
are divided into 2 treatment groups

Locations

7
Memorial Sloan Kettering at Basking Ridge (Limited Protocol Activities)07920, Basking RidgeNew Jersey, United States
Memorial Sloan Kettering Monmouth (Limited Protocol Activities)07748, MiddletownNew Jersey, United States
Memorial Sloan Kettering Bergen (Limited Protocol Activities)07645, MontvaleNew Jersey, United States
Memorial Sloan Kettering Suffolk-Commack (Limited Protocol Activities )11725, CommackNew York, United States

Sponsors and collaborators

Memorial Sloan Kettering Cancer Center

Lead sponsor

Gateway for Cancer Research

Collaborator