One-Week radiation may cut lymphedema risk in breast cancer patients
NCT ID NCT04228991
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares a 1-week radiation course to a standard 3-week course for women with node-positive breast cancer. The goal is to see if the shorter treatment is just as effective at preventing cancer from coming back while reducing the risk of lymphedema (arm swelling). About 588 participants who had surgery will be followed for outcomes like recurrence, survival, and quality of life.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 588 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2021
- Expected to finish
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Dec 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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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.
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. Newly diagnosed invasive carcinoma of the breast. 2. Treated with definitive surgery (BCS or mastectomy with nodal staging using SLNB or ALND) with clear margins of excision.\* Note: \*Patients with limited positive posterior margin where disease is resected to chest wall or limited positive anterior margin where disease is resected to dermis are eligible. 3. Candidate for locoregional radiotherapy: breast cancer stage after definitive surgery: * Neoadjuvant chemotherapy was not administered: pathologic stage T3N0,T1-3 N1-2\*\* \*\* patients with nodal micromets (N1mi) are eligible * Neoadjuvant chemotherapy was administered: clinical stage T3N0, T1-3, N1-2 and pathologic stage T0-3, N0-2† * Patients who are clinically N1-2 prior to chemotherapy should be confirmed histologically unless it is clear that they are node positive. Patients who are deemed node negative prior to chemotherapy but are node positive following chemotherapy are eligible. Patients who are node positive prior to chemotherapy and who have complete response in the lymph nodes are also eligible. 4. No evidence of metastatic disease. Exclusion Criteria: 1. Age \< 18 years. 2. Clinical stages T4 and/or N3. 3. Clinical lymphedema in the ipsilateral arm or breast/chest wall. 4. Any prior history, not including index cancer, of ipsilateral invasive breast cancer or ipsilateral DCIS treated with radiation therapy. (Patients with previous ipsilateral DCIS or LCIS not treated with radiation are eligible.) 5. Synchronous or previous contralateral breast cancer.(Patients with previous contralateral DCIS or LCIS not treated with radiation are eligible.) 6. History of non-breast malignancy within the last 5 years other than non-melanoma skin cancer or treated in-situ carcinoma. 7. Neoadjuvant endocrine therapy. (Extended neoadjuvant endocrine therapy is not permitted. Endocrine therapy exposure for 12 weeks or less prior to surgery is acceptable.) 8. Breast reconstruction. 9. Presence of known medical conditions that would preclude follow-up for 5 years. 10. Previous radiotherapy to the ipsilateral breast or chest wall or serious non-malignant disease e.g. scleroderma, severe lung or heart disease that would preclude radiotherapy. 11. Known pregnancy or currently lactating. 12. Geographic inaccessibility for follow-up. 13. Inability to provide 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.
Contacts and locations
Locations
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Allan Blair Cancer Centre
Regina, Saskatchewan, S4T 7T1, Canada
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BC Cancer - Centre for the North
Prince George, British Columbia, Canada
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BC Cancer - Centre for the Southern Interior
Kelowna, British Columbia, V1Y 5L3, Canada
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BC Cancer - Vancouver Centre
Vancouver, British Columbia, V5Z 4E6, Canada
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BC Cancer - Vancouver Island Centre
Victoria, British Columbia, V8R 6V5, Canada
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CHU-de Québec-Université de Laval
Québec, Quebec, Canada
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CHUM - Centre Hospitalier de L'Universite de Montreal
Montreal, Quebec, Canada
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CIUSSS de l'Est-de-l'Île de Montréal, Hôpital, Maisonneuve-Rosemont
Montreal, Quebec, H1T 2M4, Canada
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Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2, Canada
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Hotel-Dieu de Lévis (CISSS CA)
Lévis, Quebec, G6V 3Z1, Canada
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Juravinski Cancer Centre
Hamilton, Ontario, L8V 5C2, Canada
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London Regional Cancer Program
London, Ontario, N6A 5W9, Canada
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McGill University Health Centre-Cedars Cancer Centre
Montreal, Quebec, H4A 3J1, Canada
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Northeast Cancer Centre, Health Sciences North
Greater Sudbury, Ontario, P3E5J1, Canada
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Princess Margaret Cancer Centre - UHN
Toronto, Ontario, M5G 1E0, Canada
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Saskatoon Cancer Centre
Saskatoon, Saskatchewan, S7N 4H4, Canada
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Sherbrooke University Hospital Centre
Sherbrooke, Quebec, J1G 2E8, Canada
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Sunnybrook Health Sciences Centre - Odette Cancer Centre
Toronto, Ontario, M4N 3M5, Canada
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The Ottawa Hospital Regional Cancer Centre
Ottawa, Ontario, K1H 8L6, Canada
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Tom Baker Cancer Centre
Calgary, Alberta, T2N 4N2, Canada
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Other studies related to the condition(s) this trial covers.
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