The IDEA Study (Individualized Decisions for Endocrine Therapy Alone)

Running, not enrolling · Not applicable

Conditions studied: Breast Neoplasms

In brief

This study will collect rates of local/regional recurrence in select patients who do not receive radiation treatment after lumpectomy surgery. These women must be postmenopausal; have hormone receptor-positive, Her2-negative tumors; have Oncotype-DX RS less than or equal to 18; and plan to receive endocrine therapy. In this way, this study seeks to collect prospective data supporting the idea that this is a population at sufficiently low risk of local/regional recurrence that omission of adjuvant radiation might be a reasonable option.

Key facts

Study ID

NCT02400190

Run by

University of Michigan Rogel Cancer Center

People needed

202

Starts

2015-05-27

Expected to finish

2028-05-01

Last updated by the study team

2026-06-03

Who can join

Age: 50 and older, up to 69. Sex: female. Healthy volunteers: not accepted.

You may qualify if…

• Postmenopausal status, as defined by (a) patients age 60 or greater, or, (b) patients age 50-69 with either (a) s/p bilateral oophorectomy, or, (b) intact uterus without menses in the past 12 months, or, (c) biochemical confirmation of postmenopausal status.
• Histopathological confirmation of Stage 1 (pT1N0M0) invasive breast cancer status post breast conserving surgery
• Negative axillary nodes (isolated tumor cells with no cluster measuring >0.2mm allowed)
• Allowable options for axillary staging include:
• Sentinel node biopsy only
• Sentinel node biopsy followed by axillary dissection
• Axillary dissection only
• Margins of excision ≥2mm
• ER+, PR+, Her2 - using the current College of American Pathologists guidelines
• Oncotype-DX RS ≤ 18
• Disease must be unifocal on clinical, radiologic, and pathologic examination
• Registration within 90 days of last surgical procedure for breast cancer treatment
• Patient must willingly sign study specific informed consent prior to study entry
• Patient must be a candidate for and willing to take endocrine therapy for minimum of 5 years (aromatase inhibitor or tamoxifen). Patients who have already begun endocrine therapy after lumpectomy are eligible.
• Patient must have had breast imaging (mammogram or MRI) of the ipsilateral breast within 6 months and contralateral breast within 1 year of study entry.
• Patient must have Zubrod performance status 0-2

You may not qualify if…

• Evidence of multifocal or multicentric breast cancer that has not been biopsy-proven negative. Note that MRI is not required for this study, but if performed, evidence of disease beyond the site of the primary tumor in the ipsilateral breast or in the contralateral breast must be biopsy-proven not to be malignant before registration.
• Metastatic disease. Note that no specific staging studies are mandated, but any studies performed must not provide clear evidence of metastatic spread.
• Previous radiation therapy to the breast region
• Prior DCIS or invasive breast cancer
• Bilateral breast cancer
• Prior non-breast invasive malignancy other than non-melanoma skin cancer, unless there has been no evidence of disease for at least 5 years
• Known carrier of a mutation known to predispose towards breast cancer development (including BRCA-1 and BRCA-2). Note: testing for mutation status is not required for this protocol; this criterion applies only to patients who have been tested and have known carrier status.

Where it is running

• Stanford University — Stanford, California, United States
• Yale University — New Haven, Connecticut, United States
• Loyola University Medical Center — Maywood, Illinois, United States
• Johns Hopkins University — Baltimore, Maryland, United States
• Harvard University — Cambridge, Massachusetts, United States
• University of Michigan — Ann Arbor, Michigan, United States
• Rutgers Cancer Institute of New Jersey — New Brunswick, New Jersey, United States
• Northwell Health — Lake Success, New York, United States
• Memorial Sloan Kettering Cancer Center — New York, New York, United States
• East Carolina University — Greenville, North Carolina, United States
• University of Pennsylvania — Philadelphia, Pennsylvania, United States
• University of Texas Southwestern Medical Center — Dallas, Texas, United States
• Medical College of Wisconsin — Milwaukee, Wisconsin, United States

Full record on ClinicalTrials.gov

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