De-Escalation of Breast Radiation Trial for Hormone Sensitive, HER-2 Negative, Oncotype Recurrence Score Less Than or Equal to 18 Breast Cancer (DEBRA)

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age50-70
SponsorNRG Oncology

About this trial

This Phase III Trial evaluates whether breast conservation surgery and endocrine therapy results in a non-inferior rate of invasive or non-invasive ipsilateral breast tumor recurrence (IBTR) compared to breast conservation with breast radiation and endocrine therapy.

Eligibility criteria

Qualifiers

• The patient or a legally authorized representative must provide study-specific informed consent prior to pre-entry/Step 1 and, for patients treated in the U.S., authorization permitting release of personal health information.

The patient must have an ECOG performance status of 0 or 1.

The patient must have undergone a lumpectomy and the margins of the resected specimen or re-excision must be histologically free of invasive tumor and DCIS with no ink on tumor as determined by the local pathologist. If pathologic examination demonstrates tumor at the line of resection, additional excisions may be performed to obtain clear margins. (Patients with margins positive for LCIS are eligible without additional resection.)

The tumor must be unilateral invasive adenocarcinoma of the breast on histologic examination.

Disqualifiers

• Definitive clinical or radiologic evidence of metastatic disease.

pT1 mi and pT2 - pT4 tumors including inflammatory breast cancer.

Pathologic staging of pN0(i+) or pN0(mol+), pN1, pN2, or pN3 disease.

Patient had a mastectomy.

Trial design

Treatments tested in this trial

  • Radiation and Endocrine Therapy (Tamoxifen, Anastrozol, Letrozole, Exemestane)
  • Endocrine Therapy (Tamoxifen, Anastrozol, Letrozole, Exemestane)

Treatment groups

1,670 Participants
are divided into 2 treatment groups

Locations

832
Canada
Atlantic Health Sciences Corporation-Saint John Regional HospitalE2L 4L2, Saint JohnNew Brunswick, Canada
Kingston Health Sciences CentreK7L 2V7, KingstonOntario, Canada
Odette Cancer Centre- Sunnybrook Health Sciences CentreM4N 3M5, TorontoOntario, Canada
CHUM - Centre Hospitalier de l'Universite de MontrealH2X 3E4, MontrealQuebec, Canada

Sponsors and collaborators

NRG Oncology

Lead sponsor

National Cancer Institute (NCI)

Collaborator