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Hypofractionated Radiotherapy After Breast Reconstruction for Breast Cancer
Sponsor: Tianjin Medical University Cancer Institute and Hospital
Summary
This study aims to evaluate the efficacy and safety of hyperfractionated radiotherapy (40Gy/15 fractions) compared to conventional fractionated radiotherapy (50Gy/25 fractions) in breast cancer patients undergoing breast reconstruction through a three-phase randomized controlled non-inferiority clinical trial. The primary objective is to verify that hyperfractionated radiotherapy is non-inferior to conventional fractionated radiotherapy in terms of local area control; the secondary objectives are to compare the main complications of wounds, acute and chronic toxic reactions, breast cosmetic effects, and quality of life between the two groups, thereby providing high-level evidence-based medical evidence for optimizing postoperative radiotherapy regimens for breast cancer and promoting individualized treatment. Additionally, the molecular characteristics of blood samples will be studied to identify biomarkers related to the radiotherapy process and treatment response, providing high-level evidence for immediate medium-dose low-fractionation radiotherapy after different reconstructions.
Official title: Comparison of Efficacy and Safety Between Hypofractionated and Conventional Fractionated Radiotherapy After Breast Reconstruction in Breast Cancer Patients: A Phase III Randomized Controlled Clinical Trial
Key Details
Gender
FEMALE
Age Range
18 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
960
Start Date
2026-10-01
Completion Date
2030-04-01
Last Updated
2026-09-21
Healthy Volunteers
No
Conditions
Interventions
Whole-dose radiotherapy
The radiotherapy plan for the large-dose fractionation group: 45 Gy / 15 fractions / 3 weeks
Conventional fractionated radiotherapy
Conventional fractionated radiotherapy plan: 50 Gy / 25 fractions / 5 weeks