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NCT07762924RecruitingPhase 2

Omission of Adjuvant Radiotherapy in Young Low-Risk Ductal Carcinoma In Situ Following Breast-Conserving Surgery

A Single-Center Prospective Phase II Study Evaluating the Safety of Omission of Adjuvant Radiotherapy in Young Patients With Low-Risk Ductal Carcinoma In Situ After Breast-Conserving Surgery

Source: ClinicalTrials.gov · Last updated 13 Aug 2026

Brief summary (registry, in English)

This is a single-center, prospective phase II clinical study designed to evaluate whether omission of postoperative radiotherapy is clinically acceptable in young patients with low-risk ductal carcinoma in situ (DCIS) following breast-conserving surgery. Eligible patients include women younger than 40 years with low- or intermediate-grade DCIS, tumor size ≤1 cm, negative surgical margins ≥3 mm, absence of comedo necrosis, and unifocal screen-detected disease. Patients in the radiotherapy omission cohort will undergo close surveillance after surgery, with endocrine therapy permitted according to physician discretion. The primary endpoint is 5-year ipsilateral breast tumor recurrence (IBTR).

Status (registry)
Recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
234 (estimated)
First submitted
23 Jun 2026
Start date
1 Sept 2026
Primary completion date
Feb 2032
Lead sponsor
Fudan University
NCT number
NCT07762924

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 234
  • From 1 Sept 2026 to the primary completion date, Feb 2032
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Bilateral breast cancer or prior contralateral breast cancer;

Other illness

  • Severe uncontrolled comorbidities, including significant cardiac, pulmonary, hepatic, renal, hematologic, or psychiatric disorders;
  • History of other malignancies, including thyroid cancer, except adequately treated basal cell carcinoma of the skin or cervical carcinoma in situ;

Age

  • Estimated life expectancy ≤5 years;

Other

  • Known BRCA1, BRCA2, or TP53 germline mutation carriers (genetic testing not mandatory);
  • Pregnant or breastfeeding patients;
  • Poor compliance or inability to adhere to study follow-up requirements.

Who the study is looking for

  • Female patients aged \<40 years;
  • Histologically confirmed low- or intermediate-grade ductal carcinoma in situ (DCIS) without invasive carcinoma, including incidental DCIS identified within benign breast lesions;
  • Tumor size ≤1 cm on final pathology;
  • Negative surgical margins ≥3 mm, including margins obtained after re-excision;
  • Unifocal lesion;
  • Absence of comedo necrosis;
  • Screen-detected disease without bloody nipple discharge or palpable mass;
  • Clinically node-negative disease;
  • Central pathology review by the participating institution required;
  • Ability to understand and willingness to sign written informed consent.

Age in the registry: - to 40 years · Sex: Female · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Fudan University Shanghai Cancer Center
Coordinator of this site? Confirm its status
ShanghaiChinaRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.