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ABSTRACT: Purpose
We report results of a multicenter prospective single-arm phase II trial (ARO-2013-04, NCT01948726) of moderately accelerated hypofractionated radiotherapy with a simultaneous integrated boost (SIB) in patients with breast cancer receiving adjuvant radiotherapy after breast-conserving surgery.Methods
The eligibility criteria included unifocal breast cancer with an indication for adjuvant radiotherapy to the whole breast and boost radiotherapy to the tumor bed. The whole breast received a dose of 40?Gy and the tumor bed a total dose of 48?Gy in 16 fractions of 2.5 and 3?Gy, respectively. Radiotherapy could be given either as 3D conformal RT (3D-CRT) or as intensity-modulated radiotherapy (IMRT). The study was designed as a prospective single-arm trial to evaluate the acute toxicity of the treatment regimen. The study hypothesis was that the frequency of acute skin reaction grade ?2 would be 20% or less.Results
From November 2013 through July 2014, 149 patients were recruited from 12 participating centers. Six patients were excluded, leaving 143 patients for analysis. Eighty-four patients (58.7%) were treated with 3D-CRT and 59 (41.3%) with IMRT. Adherence to the treatment protocol was high. The rate of grade ?2 skin toxicity was 14.7% (95% confidence interval 9.8-21.4%). The most frequent grade 3 toxicity (11%) was hot flashes.Conclusion
This study demonstrated low toxicity of and high treatment adherence to hypofractionated adjuvant radiotherapy with SIB in a multicenter prospective trial, although the primary hypothesis was not met.
SUBMITTER: Krug D
PROVIDER: S-EPMC7801347 | biostudies-literature | 2021 Jan
REPOSITORIES: biostudies-literature
Krug David D Baumann René R Krockenberger Katja K Vonthein Reinhard R Schreiber Andreas A Boicev Alexander A Würschmidt Florian F Weinstrauch Evelyn E Eilf Kirsten K Andreas Peter P Höller Ulrike U Dinges Stefan S Piefel Karen K Zimmer Jörg J Dellas Kathrin K Dunst Jürgen J
Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] 20201001 1
<h4>Purpose</h4>We report results of a multicenter prospective single-arm phase II trial (ARO-2013-04, NCT01948726) of moderately accelerated hypofractionated radiotherapy with a simultaneous integrated boost (SIB) in patients with breast cancer receiving adjuvant radiotherapy after breast-conserving surgery.<h4>Methods</h4>The eligibility criteria included unifocal breast cancer with an indication for adjuvant radiotherapy to the whole breast and boost radiotherapy to the tumor bed. The whole b ...[more]