[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100550335":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":33,"centralContacts":44,"locations":50,"responsibleParty":178,"collaborators":32,"id":180,"slug":181,"hasResults":182,"nctId":183,"briefTitle":184,"officialTitle":185,"acronym":186,"eligibilityCriteria":187,"healthyVolunteers":182,"sex":188,"minAge":189,"maxAge":32,"enrollmentInfo":190,"targetDuration":32,"studyType":193,"phases":194,"briefSummary":196,"conditions":197,"keywords":200,"overallStatus":117,"whyStopped":32,"lastUpdateSubmitDate":203,"lastUpdatePostDateStruct":204,"startDateStruct":207,"completionDateStruct":209,"leadSponsor":211,"locationsCount":212},{"fullName":5,"class":6},"Breast Cancer Trials, Australia and New Zealand","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Radiotherapy Omission","EXPERIMENTAL","Participants with nil, minimal or mild parenchymal enhancement on pre-operative MRI whose pathology meets inclusion\u002Fexclusion requirements for omission of post-operative radiotherapy will be allocated to Arm A, unless the participant prefers to receive Standard Treatment (Arm B) or following clinical team recommendation.\n\nArm A participants will be divided into 2 groups:\n\n* Arm A1: Grade 1 or 2\u002FHER2 negative (\"low risk\")\n* Arm A2: Grade 3 and\u002For HER2 positive (\"high risk\")",[13],"Radiation: Arm A: Radiotherapy Omission",{"label":15,"type":16,"description":17,"interventionNames":18},"Standard Treatment","ACTIVE_COMPARATOR","Participants who are found to be ineligible for RT omission on study; includes management of MRI-detected lesions.\n\nParticipants with any of:\n\n* Moderate or marked parenchymal enhancement on pre-operative MRI\n* A malignant occult lesion identified on MRI; or\n* Pathology that does not meet inclusion\u002Fexclusion criteria will receive standard multidisciplinary team recommendations to guide treatment. Participants may also be included in Arm B due to their own preference or following clinical team recommendation.",[19],"Other: Arm B: Standard Treatment",[21,28],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"RADIATION","Arm A: Radiotherapy Omission","Omission of radiotherapy based on pre-surgical MRI and pathology findings at surgery.",[9],[27],"A1: Grade 1 or 2\u002FHER2 negative; A2: Grade 3 and\u002For HER2 positive",{"type":6,"name":29,"description":30,"armGroupLabels":31,"otherNames":32},"Arm B: Standard Treatment","Ineligible for RT omission on study; includes management of MRI-detected lesions.",[15],null,[34,38,41],{"name":35,"affiliation":36,"role":37},"Bruce Mann, MD","Melbourne Health","STUDY_CHAIR",{"name":39,"affiliation":40,"role":37},"Steven David, MD","Peter MacCallum Cancer Centre - Moorrabin",{"name":42,"affiliation":43,"role":37},"Alastair Thompson, MD","Baylor College of Medicine",[45],{"name":46,"role":47,"phone":48,"phoneExt":32,"email":49},"Heath Badger","CONTACT","+61 2 4925 5239","heath.badger@bctrials.org.au",[51,72,88,103,115,128,140,153,166],{"facility":52,"status":53,"city":54,"state":55,"zip":56,"country":57,"countryCode":58,"cosmosGeoPoint":59,"geoPoint":64,"contacts":65},"UCSF Breast Care Center","NOT_YET_RECRUITING","San Francisco","California","94158","United States","US",{"type":60,"coordinates":61},"Point",[62,63],-122.41942,37.77493,{"lat":63,"lon":62},[66,70],{"name":67,"role":47,"phone":68,"phoneExt":32,"email":69},"Michael Alvarado, Prof","+1 (415) 353-7070","michael.alvarado@ucsf.edu",{"name":67,"role":71,"phone":32,"phoneExt":32,"email":32},"PRINCIPAL_INVESTIGATOR",{"facility":73,"status":53,"city":74,"state":75,"zip":76,"country":57,"countryCode":58,"cosmosGeoPoint":77,"geoPoint":81,"contacts":82},"Baylor St Luke's Medical Centre","Houston","Texas","77030",{"type":60,"coordinates":78},[79,80],-95.36327,29.76328,{"lat":80,"lon":79},[83,87],{"name":84,"role":47,"phone":85,"phoneExt":32,"email":86},"Alastair Thompson, Prof","+1 (713) 798 2901","alastair.thompson@bcm.edu",{"name":84,"role":71,"phone":32,"phoneExt":32,"email":32},{"facility":89,"status":53,"city":90,"state":91,"zip":92,"country":93,"countryCode":94,"cosmosGeoPoint":95,"geoPoint":99,"contacts":100},"The Chris O'Brien Lifehouse","Camperdown","New South Wales","2050","Australia","AU",{"type":60,"coordinates":96},[97,98],151.17642,-33.88965,{"lat":98,"lon":97},[101],{"name":102,"role":71,"phone":32,"phoneExt":32,"email":32},"Sanjay Warrier, A\u002FProf",{"facility":104,"status":53,"city":105,"state":91,"zip":106,"country":93,"countryCode":94,"cosmosGeoPoint":107,"geoPoint":111,"contacts":112},"Lake Macquarie Private Hospital","Gateshead","2290",{"type":60,"coordinates":108},[109,110],151.69188,-32.98208,{"lat":110,"lon":109},[113],{"name":114,"role":71,"phone":32,"phoneExt":32,"email":32},"Shanta Velaiutham, Dr",{"facility":116,"status":117,"city":118,"state":91,"zip":119,"country":93,"countryCode":94,"cosmosGeoPoint":120,"geoPoint":124,"contacts":125},"Mater Hospital, Sydney","RECRUITING","North Sydney","2060",{"type":60,"coordinates":121},[122,123],151.2072,-33.839,{"lat":123,"lon":122},[126],{"name":127,"role":71,"phone":32,"phoneExt":32,"email":32},"Andrew Spillane, Prof",{"facility":129,"status":53,"city":130,"state":91,"zip":131,"country":93,"countryCode":94,"cosmosGeoPoint":132,"geoPoint":136,"contacts":137},"Westmead Hospital","Westmead","2145",{"type":60,"coordinates":133},[134,135],150.98768,-33.80383,{"lat":135,"lon":134},[138],{"name":139,"role":71,"phone":32,"phoneExt":32,"email":32},"Elisabeth Elder, Dr",{"facility":141,"status":53,"city":142,"state":143,"zip":144,"country":93,"countryCode":94,"cosmosGeoPoint":145,"geoPoint":149,"contacts":150},"Royal Adelaide Hospital","Adelaide","South Australia","5000",{"type":60,"coordinates":146},[147,148],138.59863,-34.92866,{"lat":148,"lon":147},[151],{"name":152,"role":71,"phone":32,"phoneExt":32,"email":32},"Janne Bingham, Dr",{"facility":154,"status":117,"city":155,"state":156,"zip":157,"country":93,"countryCode":94,"cosmosGeoPoint":158,"geoPoint":162,"contacts":163},"Monash Cancer Centre (MMC Moorabbin)","Clayton","Victoria","3168",{"type":60,"coordinates":159},[160,161],145.11667,-37.91667,{"lat":161,"lon":160},[164],{"name":165,"role":71,"phone":32,"phoneExt":32,"email":32},"Corinne Wei Leng Ooi, Dr",{"facility":167,"status":117,"city":168,"state":156,"zip":169,"country":93,"countryCode":94,"cosmosGeoPoint":170,"geoPoint":174,"contacts":175},"The Royal Melbourne Hospital","Melbourne","3000",{"type":60,"coordinates":171},[172,173],144.96332,-37.814,{"lat":173,"lon":172},[176],{"name":177,"role":71,"phone":32,"phoneExt":32,"email":32},"Bruce Mann, Prof",{"type":179,"investigatorFullName":32,"investigatorTitle":32,"investigatorAffiliation":32,"oldNameTitle":32,"oldOrganization":32},"SPONSOR","100550335","post-operative-radiotherapy-omission-in-selected-patients-with-early-breast-cancer-trial-international-version-prospective-100550335",false,"NCT06445738","Post-operative Radiotherapy Omission in Selected Patients With Early Breast Cancer Trial International VErsion (PROSPECTIVE)","A Two-arm, Non-randomised, Prospective, Multicentre Study Using Magnetic Resonance Imaging (MRI) Findings and Pathology Features to Select Patients With Early Breast Cancer for Omission of Post-operative Radiotherapy","PROSPECTIVE","Inclusion Criteria:\n\nFor inclusion in the study at Registration, participants must fulfil all of the following criteria:\n\n1. Has provided written, informed consent to participate in the study.\n2. Female participants ≥ 50 years old with histologically\\* confirmed ER-positive and\u002For HER2-positive invasive breast cancer.\n3. Has a life expectancy of at least 10 years and suitable for prolonged follow up for 10 years.\n4. Breast imaging indicating unifocal, unilateral breast cancer must have been performed before pre-registration.\n5. Willing\u002Fable to have surgery within 8 weeks of registration or pre-operative MRI, whichever occurs later.\n6. Have ECOG performance status 0-2.\n\n   * Oestrogen receptor and progesterone receptor status of invasive cancer will be assessed by immunohistochemistry on the diagnostic core biopsy specimen. The IHC results will be reported as percentage of nuclei stained and a score of intensity from negative, weak, intermediate or high staining\n\nHER2 neu status will be assessed by immunohistochemistry and will be scored as follows46:\n\n* 0 or 1+ (HER2 negative): No staining or membrane staining that is incomplete and is faint\u002Fbarely perceptible and in ≤ 10% of tumour cells (0); or incomplete membrane staining that is faint\u002Fbarely perceptible and in \\> 10% of tumour cells (1+).\n* 2+ (equivocal): weak to moderate complete membrane staining observed in \\> 10% of tumour cells. Must order reflex test (same specimen using ISH) or order a new test (new specimen if available using HIS or ISH).\n* 3+ (HER2 positive): Circumferential membrane staining that is complete, intense and in \\> 10% of tumour cells.\n\nExclusion Criteria:\n\nAny one of the following at Registration is regarded as a criterion for exclusion from the study:\n\n1. Triple negative breast cancer (ER-negative and PR-negative and HER2-negative) where ER and PR positivity is defined as ≥ 10% staining on IHC.\n2. Previous invasive breast cancer and\u002For DCIS in either breast.\n3. Prior RT to the breast or chest.\n4. Participants who plan to have a mastectomy for the index cancer.\n5. Lymphovascular invasion (LVI) reported on diagnostic core biopsy.\n6. Multifocal\u002Fmulticentric breast cancer on breast imaging before registration.\n7. Distant metastasis at diagnosis.\n8. Bilateral breast cancer\n9. Known breast cancer predisposition gene mutation carriers (BRCA1, BRCA2, PALB2, CHEK2, ATM, CDK1, p53, BARD1, RAD51C, RAD51D, CDH1, STK11, PTEN).\n10. Contraindication to breast MRI scanning.\n11. Concurrent illness\u002Fconditions which limits life expectancy to 10 years or less.\n12. Has moderate or marked BPE in the breast containing the index cancer (where MRI is done before registration).\n13. Inability to give informed consent.\n\nAllocation: Arm A - Radiotherapy Omission\n\nIn addition to the above criteria, for inclusion in the omission of radiation therapy arm of the study after surgery, participants must fulfil all the following criteria. Participants not fulfilling any one of the following criterial will be allocated to Arm B:\n\n1. Has nil\u002Fminimal or mild BPE in the breast containing the index lesion on pre-operative breast MRI.\n2. BCS with unifocal\\*\\*, invasive primary tumour (including any surrounding DCIS) ≤ 20 mm.\n\n   The overall tumour size (including additional foci of DCIS) must remain ≤ 20 mm. The tumour size is defined as the longest distance between the outer most edges of all foci, the space between the two or more foci is included in the overall size: Size = ('Focus A + Focus B + 'the distance between A and B').\n3. Radial resection margins must be ≥ 2 mm clear of any invasive cancer and ≥ 2 mm clear of any DCIS. Superficial or deep margins of \\\u003C 2 mm for invasive cancer and DCIS are allowed if there is no tumour on ink and all breast tissue from the subcutaneous tissue or pectoralis fascia respectively was removed and radial margins are ≥ 2 mm for invasive cancer and DCIS.\n4. pN0 (pN0 i+ is eligible for inclusion) by sentinel node biopsy and\u002For axillary dissection.\n5. Absence of LVI and extensive intraductal component (EIC) on final pathology.\n6. The extent of invasive cancer is at least 50% of the total tumour size (invasive cancer + DCIS).\n7. Have no additional BIRADS 3+ lesions not shown to be benign on pre-operative or surgical biopsy.\n8. Participants with Grade 3 cancer and\u002For HER2-positive cancer must agree to comply with systemic treatment recommendations.\n9. Participants must be allocated to a treatment arm within 8 weeks after final breast surgery.\n\n   * Where histopathology is unable to identify a 'bridge' of tumour tissue joining two or more apparent invasive cancer foci the following will be used to confirm unifocal disease:\n\n     * All foci must be of the same histological subtype\n     * All foci must have the same hormone (ER and PR) and HER2 status.\n\nAllocation: Arm B - Standard Treatment (ineligible for RT omission on study; includes management of MRI-detected lesions)\n\nIn addition to the above Inclusion Criteria, participants who fulfil one any of the following criteria will receive standard treatment:\n\n1. Has moderate or marked BPE in the breast containing the index lesion on pre-operative breast MRI.\n2. Has a biopsy-proven mOL identified on breast MRI.\n3. Suspicious lesion identified on CEM but not on MRI and confirmed on investigation to be a DCIS or invasive breast cancer.\n4. Surgical pathology does not meet the inclusion criteria. 2mm radial margins are required, as guidelines suggesting \"no tumour on ink\" relate to those receiving adjuvant RT.\n5. Clinical team meeting determination that RT be recommended.\n6. Participant chooses to have RT despite being eligible for RT omission.","FEMALE","50 Years",{"count":191,"type":192},1400,"ESTIMATED","INTERVENTIONAL",[195],"NA","The PROSPECTIVE trial aims to find out if using the results of Magnetic Resonance Imaging (MRI) for early breast cancer can select people to not have radiotherapy and still have a low chance of the cancer coming back after surgery.\n\nThe main question it aims to answer is:\n\n\\* Will cancer come back in the same breast as the original cancer in patients who have surgery for their breast cancer, but who don't have radiotherapy afterwards because the results of an MRI before surgery showed favourable characteristics for not having radiotherapy.",[198,199],"Breast Cancer","Breast Cancer Female",[201,202],"Omission of radiotherapy","Magnetic Resonance Imaging (MRI)","2026-01-13",{"date":205,"type":206},"2026-01-15","ACTUAL",{"date":208,"type":206},"2025-06-06",{"date":210,"type":192},"2039-06",{"name":5,"class":6},9]