Neoadjuvant Radiation in Locally Advanced Breast Cancer

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexFemale
Age18-70
SponsorFudan University

About this trial

The purpose of this study is to evaluate the efficacy and safety of neoadjuvant radiation therapy in improving local-regional control and facilitating surgical conversion in patients with inoperable locally advanced breast cancer after 2-6 courses of neoadjuvant chemotherapy. This study will also investigate whether beta-alanine supplementation and spatially fractionated radiotherapy can enhance the therapeutic response to neoadjuvant chemoradiotherapy. In addition, this study aims to explore tumor microenvironmental features and molecular biomarkers associated with treatment response, radioresistance, immune activation, and long-term outcomes.

Eligibility criteria

Qualifiers

Histologically or cytologically confirmed locally advanced breast carcinoma

Inoperable with with 4-6 courses of prior chemotherapy

No contradiction of radiation or chemo-radiotherapy

Patients should have the ability to understand and the willingness to sign a written informed consent document

Disqualifiers

Other prior or concurrent malignancy except adequately treated squamous cell or basal cell skin cancer or contralateral breast DCIS

Coagulation disorders

Uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, and cardiac arrhythmia

Serious underlying medical illness with life expectancy less than 2 years.

Trial design

Treatments tested in this trial

  • Neoadjuvant radiotherapy
  • β-alanine
  • Spatially fractionated radiotherapy

Treatment groups

70 Participants
are divided into 3 treatment groups

Sponsors and collaborators