New study tests if proton therapy spares hearts in breast cancer patients
NCT ID NCT02603341
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two types of radiation therapy—proton and photon—for people with non-metastatic breast cancer. The goal is to see if proton therapy reduces heart problems and improves quality of life while still controlling the cancer. About 1,200 participants who had surgery for breast cancer are being followed for years to track heart health, cancer recurrence, and daily well-being.
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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 1,238 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2016
- Expected to finish
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Nov 2036
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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21 years and older
- Sex
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Anyone
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Females or males diagnosed with pathologically (histologically) proven invasive mammary carcinoma (ductal, lobular or other) of the breast who have undergone either mastectomy or lumpectomy with any type of axillary surgery or axillary sampling. * For patients who have undergone lumpectomy, any type of mastectomy and any type of reconstruction (including no reconstruction) are allowed. * For patients who have undergone lumpectomy, there are no breast size limitations. * Patients with non-metastatic breast cancer are eligible. This includes American Joint Committee on Cancer (AJCC) 7th edition left- or right-sided breast cancer clinical or pathologic stage I, II, III or loco-regionally recurrent at time of diagnosis. For patients that receive neoadjuvant chemotherapy, AJCC 7th edition left- or right-sided breast cancer pathologic stage yp 0, I, II, III are eligible. * Bilateral breast cancer is permitted. Patients with bilateral breast cancer will be stratified as left-sided. * Must be proceeding with breast/chest wall and nodal radiation therapy including internal mammary node treatment. * Must have a pertinent history/physical examination within 90 days prior to registration. * Age ≥ 21 years * ECOG Performance Status 0 - 2 (asymptomatic to symptomatic but capable of self-care) within 90 days prior to randomization. * Confirmation that the patient's health insurance will pay for the treatment in this study (patients may still be responsible for some costs, such as co-pays and deductibles). If the patient's insurance will not cover a specific treatment in this study and the patient still wants to participate, confirmation that the patient would be responsible for paying for any treatment received. * Patients who are HIV positive are eligible, provided they are under treatment with highly active antiretroviral therapy (HAART) and have a CD4 count ≥ 200 cells/microliter within 180 days prior to registration as documented in the medical record. HIV testing is not required for eligibility for this protocol. * The patient must provide study-specific informed consent prior to study entry. Exclusion Criteria * Definitive clinical or radiologic evidence of metastatic disease, as documented by the treating institution. * Prior radiotherapy to the ipsilateral chest wall or ipsilateral breast or thorax. Individuals with prior radiotherapy in the contralateral breast or chest wall are eligible. * Any radiation therapy for the currently diagnosed breast cancer prior to randomization. * Dermatomyositis with a CPK level above normal or with an active skin rash or scleroderma. * Other non-malignant systemic disease that would preclude the patient from receiving study treatment or would prevent required 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.
Contacts and locations
Locations
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Abramson Cancer Center at Penn Medicine
Philadelphia, Pennsylvania, 19104, United States
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Cancer Institute of NJ
New Brunswick, New Jersey, 08903, United States
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Chester County Hospital
West Chester, Pennsylvania, 19380, United States
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Emory University
Atlanta, Georgia, 30322, United States
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Georgetown University Medical Center
Washington D.C., District of Columbia, 20007, United States
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Inova Schar Cancer Institute
Fairfax, Virginia, 22031, United States
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Johns Hopkins
Baltimore, Maryland, 21287, United States
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MD Anderson Cancer Center
Houston, Texas, 77030, United States
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Mass General/North Shore Cancer Center
Danvers, Massachusetts, 01923, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Mayo Clinic-Arizona
Phoenix, Arizona, 85054, United States
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Mayo Clinic-Rochester
Rochester, Minnesota, 55905, United States
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McLaren Proton Therapy
Flint, Michigan, 48532, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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Miami Cancer Insititute
Miami, Florida, 33176, United States
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New York Proton Center
New York, New York, 10035, United States
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Northwestern Medicine Proton Center
Chicago, Illinois, 60190, United States
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Oklahoma University - Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104, United States
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Orlando Health
Orlando, Florida, 32806, United States
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Pinnacle Health Cancer Institute
Harrisburg, Pennsylvania, 17109, United States
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ProCure Proton Therapy Center
Somerset, New Jersey, 07728, United States
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RWJ University Hospital Hamilton
Hamilton, New Jersey, 08690, United States
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Seattle Cancer Care Alliance
Seattle, Washington, 98133, United States
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Texas Center for Proton Therapy
Irving, Texas, 75063, United States
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Thompson Proton Center
Knoxville, Tennessee, 37909, United States
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UC San Diego
San Diego, California, 92121, United States
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University Hospitals, Case Medical Center
Cleveland, Ohio, 44106, United States
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University Pointe, University of Cincinnati
West Chester, Ohio, 45069, United States
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University of Alabama
Birmingham, Alabama, 35233, United States
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University of Cincinnati
Cincinnati, Ohio, 45267, United States
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University of Florida Health
Gainesville, Florida, 32610, United States
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University of Florida Health Proton Therapy Institute
Jacksonville, Florida, 32206, United States
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University of Maryland
Baltimore, Maryland, 21201, United States
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University of Miami Sylvester Cancer Center
Miami, Florida, 33136, United States
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University of Miami Sylvester Cancer Center - Deerfield
Deerfield Beach, Florida, 33442, United States
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University of Miami Sylvester Cancer Center at Coral Gables
Coral Gables, Florida, 33146, United States
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University of Washington
Seattle, Washington, 98195, United States
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Washington University, St. Louis
St Louis, Missouri, 63110, United States
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William Beaumont
Royal Oak, Michigan, 48073, United States
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Willis Knighton
Shreveport, Louisiana, 71103, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a faster radiation course match the standard one after breast reconstruction?
- Can High-Risk breast cancer patients skip an extra radiation boost?
- Radioactive probe lights up CD73 on breast tumors in PET scans
- Can time with horses help cancer patients feel better?
- Can an oral drug replace injections for advanced breast cancer?
- Can a common steroid shield breast cancer patients from a dangerous drug side effect?