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| Name | Class |
|---|---|
| RenJi Hospital | OTHER |
| Xinhua Hospital, Shanghai Jiao Tong University School of Medicine | OTHER |
| Shanghai 6th People's Hospital | OTHER |
| Shanghai 10th People's Hospital |
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This trial is to explore the optimal strategies for guaranteeing the cardiac safety of breast cancer patients following adjuvant radiotherapy in the modern era of multidisciplinary treatment.
With the development of modern radiotherapy techniques, the dose-volume of heart irradiated could be kept in much low level. However, until now, the optimal dose-volume parameters for limiting heart irradiation, the optimal follow-up interval for cardiac safety after adjuvant radiotherapy, the optimal screening examinations and treatments for irradiation-induced cardiac toxicity are unclear. We designed this trial to find answer for above questions to establish rationalization proposal for prevention, treatment and follow-up for cardiac toxicity associated with adjuvant radiotherapy for breast cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Heart safety management | Experimental | limit heart dose more frequent follow up of cardiac function professional management of cardiac toxicity |
|
| Control group | No Intervention | without any restrict heart dose limitation for RT Follow up of cardiac function Observation and without any special management of cardiac toxicity |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| limit heart dose | Other | limit heart dose: Dmean≤6Gy,V30≤20%,V10≤50% |
|
| Measure | Description | Time Frame |
|---|---|---|
| cardiac toxicity event free survival | The time from the date of randomization to any recurrence of clinical or subclinical cardiac toxicity | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| cardiac toxicity event free survival | The time from the date of randomization to any recurrence of clinical or subclinical cardiac toxicity | 5 years |
| cardiac toxicity event free survival | The time from the date of randomization to any recurrence of clinical or subclinical cardiac toxicity |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ruijin Hospital, Shanghai Jiaotong University School of Medicine | Shanghai | Shanghai Municipality | 200025 | China |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D066126 | Cardiotoxicity |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| OTHER |
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| 10 years |
| overall survival | The time from the date of randomization to the date of death from any cause | 5 years |
| overall survival | The time from the date of randomization to the date of death from any cause | 10 years |
| relative change of value of serum cardiac biomarkers of creatine kinase (CK)-MB | The change of value of serum cardiac biomarkers during and after adjuvant radiotherapy compared with baseline before initiation of adjuvant radiotherapy | 1 year |
| relative change of value of serum cardiac biomarkers of Cardiac troponin (cTn)-I | The change of value of serum cardiac biomarkers during and after adjuvant radiotherapy compared with baseline before initiation of adjuvant radiotherapy | 1 year |
| relative change of value of serum cardiac biomarkers of N-terminal pro brain natriuretic peptide (NT-proBNP) | The change of value of serum cardiac biomarkers during and after adjuvant radiotherapy compared with baseline before initiation of adjuvant radiotherapy | 1 year |
| relative change of value of serum cardiac biomarkers of CK-MB | The change of value of serum cardiac biomarkers during and after adjuvant radiotherapy compared with baseline before initiation of adjuvant radiotherapy | 5 years |
| relative change of value of serum cardiac biomarkers of cTn-I | The change of value of serum cardiac biomarkers during and after adjuvant radiotherapy compared with baseline before initiation of adjuvant radiotherapy | 5 years |
| relative change of value of serum cardiac biomarkers of NT-proBNP | The change of value of serum cardiac biomarkers during and after adjuvant radiotherapy compared with baseline before initiation of adjuvant radiotherapy | 5 years |
| relative change of left ventricular ejection fraction (LVEF) | The change of value of LVEF during and after adjuvant radiotherapy compared with baseline before initiation of adjuvant radiotherapy | 1 year |
| relative change of LVEF | The change of value of LVEF during and after adjuvant radiotherapy compared with baseline before initiation of adjuvant radiotherapyThe change of value of LVEF during and after adjuvant radiotherapy compared with baseline before initiation of adjuvant radiotherapy | 5 year |
| relative change of LVEF | The change of value of LVEF during and after adjuvant radiotherapy compared with baseline before initiation of adjuvant radiotherapy | 10 year |
| Quality of Life-EORTC QLQ-C30 | Quality of life will be assessed using self-administered questionnaire EORTC QLQ-C30 | 1 year |
| Quality of Life-EORTC QLQ-BR23 | Quality of life will be assessed using self-administered questionnaire EORTC QLQ-BR23 | 1 year |
| Quality of Life-EORTC QLQ-C30 | Quality of life will be assessed using self-administered questionnaire EORTC QLQ-C30 | 5 years |
| Quality of Life-EORTC QLQ-BR23 | Quality of life will be assessed using self-administered questionnaire EORTC QLQ-BR23 | 5 years |
| D017437 |
| Skin and Connective Tissue Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D064420 | Drug-Related Side Effects and Adverse Reactions |
| D064419 | Chemically-Induced Disorders |
| D011832 | Radiation Injuries |
| D014947 | Wounds and Injuries |