Zapping resistant tumors: could radiation keep breast cancer therapy working longer?
NCT ID NCT06925984
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tests whether giving precise radiation (SBRT) to a few growing cancer spots can help women with ER+/HER2- metastatic breast cancer stay on their current hormone therapy or CDK4/6 inhibitor longer. The study enrolls 48 women whose cancer has started to progress in 1 to 3 places after at least 6 months on treatment. They will continue their systemic therapy while receiving SBRT to those resistant spots, with the goal of delaying the need to switch to a new treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- stereotactic body radiation therapy (SBRT)
- What this could lead to
- If successful, this approach could help women with metastatic breast cancer stay on their current well-tolerated treatment longer before needing to switch to a new one.
- What could go wrong
- This is a small early-phase study with only 48 participants, so results may not apply to everyone. The treatment only targets a few resistant spots, and the cancer may still progress elsewhere.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 48 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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May 2030
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.
- Ages
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18 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: * ECOG performance status 0-2. * Histologically confirmed ER+/HER2- MBC. * History of polymetastatic disease. Patients with genuine oligometastatic disease and 1-3 oligoprogressive lesions are only allowed if ablative therapy of all metastases is deemed impossible. * Under 1st to 2nd systemic treatment line with hormonotherapy and/or CDK4/6 inhibitors for at least 6 months before progression. * Progressive disease at 1-3 extracranial sites. * Ability to treat all progressive lesions locally according to the treating radiation oncologist. Exclusion Criteria: * Second malignancy if it is not in complete remission. * Previous local treatment for oligoprogression under the current systemic treatment line * Current progression in a lesion that has been treated with SBRT before and is not amendable for surgery or radiofrequency ablation (RFA). * Progressive or newly diagnosed brain metastases. Known brain metastases that have been nonprogressive for at least 6 months, are not an exclusion criterion. * Inability to continue the same ST line after local therapy (for example because of toxicity or patient refusal). * Pregnancy. * Inability to sign the informed consent.
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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
5 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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AZ Groeninge
RECRUITINGKortrijk, Belgium
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AZ Sint-Maarten
RECRUITINGMechelen, Belgium
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CHU UCL Namur - Site Saint Elisabeth
RECRUITINGNamur, Belgium
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Jules Bordet Institute
RECRUITINGBrussels, Belgium
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UZ Gent
RECRUITINGGhent, Belgium
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a drug that blocks HER proteins re-sensitize resistant breast cancer to hormone therapy?
- Radiation zaps may buy time for melanoma patients
- Zapping resistant spots: radiation may buy more time for lung cancer patients on targeted drugs
- Blood test could match resistant breast cancer to best drug
- Breast cancer drug study looks at body fat changes
- Can zapping just the growing spots keep cancer in check?