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Genetic test may spare thousands of women from unnecessary radiation
NCT ID NCT04797299
First seen Jun 27, 2026 · Last updated Aug 14, 2026 · Updated 2 times
Summary
This study looks at whether women over 45 with a low-risk type of early breast cancer (DCIS) can avoid radiation after breast-conserving surgery. A genetic test helps identify those with a very low chance of the cancer coming back. The goal is to see if skipping radiation is safe and still keeps the cancer from returning.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 526 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2022
- Expected to finish
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Nov 2035
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Prospective cohort study conducted in Canada in women with a low risk DCIS following breast conserving surgery who are candidates for radiation. Eligibility status should be confirmed by the referring physician or delegate prior to enrollment. It is important that no exceptions are made to the eligibility criteria. Questions related to eligibility requirements and/or specific criteria should be addressed with OCOG prior to enrollment
- Ages
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46 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Female patient \> 45 years of age with DCIS without microinvasion. 2. Tumour size ≤ 2.5cm. 3. Treated by BCS with clear resection margins ≥ 2 mm or no residual disease on re-excision.\* \* Patients with anterior margins and posterior margins ≥1 mm are eligible. Or if the dissection was confirmed to be taken to skin and down to fascia with no DCIS present at inked margins. 4. Oncotype DX DCIS score with a predicted 10-year risk of LR ≤10%. Exclusion Criteria: 1. Multifocal DCIS. 2. History of any invasive breast cancer or non-invasive breast cancer in the ipsilateral breast. 3. Synchronous or previous invasive or non-invasive breast cancer. 4. Prior history of invasive cancer within the last 5 years, excluding non-melanoma skin cancers. 5. ECOG performance status ≥3. 6. Life expectancy \<10 years. 7. Geographic inaccessibility for follow-up.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
24 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Allan Blair Cancer Centre
RECRUITINGRegina, Saskatchewan, S4T 7T1, Canada
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Arthur J.E. Child Comprehensive Cancer Centre
RECRUITINGCalgary, Alberta, T2N 5G2, Canada
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BC Cancer - Abbotsford Centre
RECRUITINGAbbotsford British Columbia, British Columbia, V2S 0C2, Canada
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BC Cancer - Centre for the North (Prince George)
RECRUITINGPrince George, British Columbia, V2M 7E9, Canada
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BC Cancer - Fraser Valley Centre
RECRUITINGSurrey, British Columbia, V3V 1Z2, Canada
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BC Cancer - Vancouver Centre
RECRUITINGVancouver, British Columbia, V5Z 4E6, Canada
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BC Cancer - Victoria
RECRUITINGVictoria, British Columbia, V8R 6V5, Canada
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CHUM - Centre Hospitalier de L'Université de Montréal
RECRUITINGMontreal, Quebec, H2L 4M1, Canada
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CancerCare Manitoba
RECRUITINGWinnipeg, Manitoba, R3E 0V9, Canada
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Cape Breton Cancer Centre
RECRUITINGSydney, Nova Scotia, B1P 1P3, Canada
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Centre Intégré Universitaire de Santé et de Services Sociaux de la Mauricie- Centre-du-Québec (CIUSSS MCQ) - Trois-Rivières
RECRUITINGTrois-Rivières, Quebec, G8Z 3R9, Canada
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Centre intégré de cancérologie du CHU de Québec - Université Laval
RECRUITINGQuébec, Quebec, G1J 1Z4, Canada
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Cross Cancer Institute
RECRUITINGEdmonton, Alberta, T6G 1Z2, Canada
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Hôpital Charles Le Moyne (CISSS de la Montérégie-Centre)
RECRUITINGGreenfield Park, Quebec, J4V 2H1, Canada
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Jewish General Hospital
WITHDRAWNMontreal, Quebec, H3T 1E2, Canada
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Juravinski Cancer Centre
RECRUITINGHamilton, Ontario, L8V 5C2, Canada
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London Regional Cancer Program
RECRUITINGLondon, Ontario, N6A 4L6, Canada
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McGill University Health Centre
RECRUITINGMontreal, Quebec, H4A 3J1, Canada
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QE II HSC - Nova Scotia Cancer Centre
RECRUITINGHalifax, Nova Scotia, B3H 1V7, Canada
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Regional Cancer Care, Thunder Bay Regional Health Sciences Centre
RECRUITINGThunder Bay, Ontario, P7B 6V4, Canada
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Royal Victoria Regional Health Centre
RECRUITINGBarrie, Ontario, L4M 6M2, Canada
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Saskatoon Cancer Centre
RECRUITINGSaskatoon, Saskatchewan, S7N4H4, Canada
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Sunnybrook Health Science Centre -Odette Cancer Centre
RECRUITINGToronto, Ontario, M4N 3M5, Canada
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University Health Network - Princess Margaret Cancer Centre
RECRUITINGToronto, Ontario, M5G 2M9, Canada
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Windsor Regional Cancer Centre
RECRUITINGWindsor, Ontario, N8W 2X3, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- One-Week radiation for breast cancer: MRI precision may cut side effects
- New test may help tailor treatment for early breast cancer
- New genetic test may help women with early breast cancer avoid unnecessary treatment
- One-Week radiation shows promise for breast cancer patients
- Could monitoring replace surgery for some breast lesions?
- Breast cancer overdiagnosis? landmark trial tests monitoring vs. surgery for Low-Risk DCIS