Radiation-Free path for young breast cancer patients? trial tests skipping therapy
NCT ID NCT07762924
First seen Aug 13, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This trial is testing whether young women under 40 with a very early, low-risk form of breast cancer called ductal carcinoma in situ (DCIS) can safely avoid radiation therapy after having breast-conserving surgery. Instead of radiation, participants will be closely monitored, and some may take hormone-blocking medication. The study will track how many women experience a recurrence in the same breast over five years to see if skipping radiation is a safe option.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Omission of adjuvant radiotherapy, with close surveillance and optional endocrine therapy
- What this could lead to
- If successful, this could show that some young women with low-risk DCIS can safely skip radiation, avoiding side effects and reducing treatment burden.
- What could go wrong
- This is a phase II trial, so results are preliminary. Skipping radiation may increase the risk of breast cancer recurrence, and the long-term safety is not yet established.
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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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 234 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2037
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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Up to 40 years
- 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 patients aged \<40 years; 2. Histologically confirmed low- or intermediate-grade ductal carcinoma in situ (DCIS) without invasive carcinoma, including incidental DCIS identified within benign breast lesions; 3. Tumor size ≤1 cm on final pathology; 4. Negative surgical margins ≥3 mm, including margins obtained after re-excision; 5. Unifocal lesion; 6. Absence of comedo necrosis; 7. Screen-detected disease without bloody nipple discharge or palpable mass; 8. Clinically node-negative disease; 9. Central pathology review by the participating institution required; 10. Ability to understand and willingness to sign written informed consent. Exclusion Criteria: 1. Known BRCA1, BRCA2, or TP53 germline mutation carriers (genetic testing not mandatory); 2. Bilateral breast cancer or prior contralateral breast cancer; 3. Severe uncontrolled comorbidities, including significant cardiac, pulmonary, hepatic, renal, hematologic, or psychiatric disorders; 4. History of other malignancies, including thyroid cancer, except adequately treated basal cell carcinoma of the skin or cervical carcinoma in situ; 5. Pregnant or breastfeeding patients; 6. Estimated life expectancy ≤5 years; 7. Poor compliance or inability to adhere to study follow-up requirements.
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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
1 site. 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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Fudan University Shanghai Cancer Center
RECRUITINGShanghai, 200032, China
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