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Breast Neoplasm FemalePhase 3NCT05417516

A Randomized Trial of Five Fraction Partial Breast Irradiation (RAPID2)

A Phase 3 study testing Whole Breast Irradiation (WBI) and Partial Breast Irradiation (PBI) in people with Breast Neoplasm Female and Radiotherapy, run by Ontario Clinical Oncology Group (OCOG) at 31 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The primary objective of this study is to determine in women with node negative BC ≤3cm in size, if PBI compared to WBI, both given once-a-day over 1 week following BCS, is non-inferior for LR and reduces adverse cosmesis. The primary outcomes are LR and patient-assessed cosmesis at 3 years post randomization. Read more about this study

Who is it for?
Ages 50 to 120 years, women only
What is being tested?
Whole Breast Irradiation (WBI) and Partial Breast Irradiation (PBI)
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
910 participants
Where
31 sitesin 2 countries
Study dates
20 Nov 2023to Nov 2031
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 to 120 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • For inclusion in this study, patients must fulfill all of the following criteria:
  • Female with a new histological diagnosis of invasive carcinoma of the breast with no evidence of metastatic disease (see AJCC TNM Cancer Staging, Appendix II).
  • Treated by BCS with microscopically clear resection margins >= 1mm for invasive and non-invasive disease or no residual disease on re-excision.
  • Negative axillary node involvement as determined by either sentinel lymph node biopsy or axillary node dissection or clinical assessment with a negative axillary ultrasound and/or biopsy, for women with unifocal tumours <= 2cm, histologic grade 1 or 2, ER or PR+ and HER2-ve that are being planned for endocrine therapy

Who cannot join

  • Patients who satisfy any of the following exclusion criteria are NOT eligible for this study:
  • Age less than 50 years.
  • Known to be BRCA 1 and/or BRCA 2 positive.
  • Tumour size >3cm in greatest diameter on pathological examination.
  • Evidence of extensive intraductal component (EIC) (defined as an invasive tumour with a ductal carcinoma in situ (DCIS) component comprising at least 25% and extending beyond the invasive component to surrounding normal breast tissue) with the following exception: smaller tumours with EIC where the combined size (of the invasive and DCIS components) are <= 3cm remain eligible
  • Evidence of a DCIS component > 3cm
Show all 13Show fewer
  • Lobular carcinoma only.
  • More than one primary tumour in different quadrants of the same breast (patients with multifocal breast cancer are eligible).
  • Synchronous or previous contralateral breast cancer (patients with contralateral DCIS or LCIS are eligible).
  • History of non-breast malignancy within the last 5 years other than treated non-melanoma skin cancer or treated in-situ carcinoma.
  • Known pregnancy or currently lactating.
  • Inability to localize tumour bed on CT planning (no evidence of surgical clips or seroma).
  • Inability to plan the patient for the experimental technique.

Trial locations and contacts

31 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

31 sites in 2 countries

Canada19 sites, 19 recruiting
  • Royal Victoria Regional Health Centre

    Barrie, Ontario

    Sujata Pokhrel, pokhrels@rvh.on.ca

    Christine DiMarco, dimarcoc@rvh.on.ca

    Recruiting
  • Arthur J. E. Child Comprehensive Cancer Centre-Clinical Research Unit

    Calgary, Alberta

    Payal Thakker, payal.thakkar@ahs.ca

    Marny Yar, marny.yar@ahs.ca

    Recruiting
  • CSSS Champlain - Charles LeMoyne

    Greenfield Park, Quebec

    Lorraine Menard, lorraine.menard.cisssmc16@ssss.gouv.qc.ca

    Marjory Jolicoeur, MD

    Recruiting
  • QEII HSC - Nova Scotia Cancer Centre

    Halifax, Nova Scotia

    Jessica Boddy, jessica.boddy@nshealth.ca

    Maureen Nolan

    Recruiting
  • Juravinski Cancer Centre

    Hamilton, Ontario

    Kaelyn Ridgway, ridgwayk@hhsc.ca

    Kunj Patel, patelkun@hhsc.ca

    Recruiting
  • London Regional Cancer Centre

    London, Ontario

    Amanda Anderson, Amanda.Anderson@lhsc.on.ca

    Francisco Perera, MD

    Recruiting
  • CHUM - Centre Hospitalier de L'Université de Montréal

    Montreal, Quebec, H2L 4M1

    Camille Paquet, 514-890-8000, camille.paquet.rech.chum@ssss.gouv.qc.ca

    Siew Siew Pan, siew.siew.pan.chum@ssss.gouv.qc.ca

    Recruiting
  • McGill University Health Centre

    Montreal, Quebec

    Marianna Perna, marianna.perna@muhc.mcgill.ca

    Tatiana Carvalho, tatana.carvalho@muhc.mcgill.ca

    Recruiting
  • Stronach (Southlake) Regional Health Centre

    Newmarket, Ontario

    Rachel Woo, RWoo@southlake.ca

    Kendra, KSinnesael@southlake.ca

    Recruiting
  • CHUQ-Pavillon Hotel-Dieu de Quebec

    Québec, Quebec

    Josee Allard, Josee.Allard@chudequebec.ca

    Valerie Theberge

    Recruiting
  • Saskatoon Cancer Centre

    Saskatoon, Saskatchewan, S7N 4H4

    Shavaun Liss, 306-655-0641, shavaun.liss@saskcancer.ca

    Savannah Drapak, 306-655-2461, savannah.drapak@saskcancer.ca

    Recruiting
  • Algoma District Cancer Program

    Sault Ste. Marie, Ontario

    Natalie Walde, walden@sah.on.ca

    Stephane Thibodeau

    Recruiting
  • CHUS-Hopital Fleurimont

    Sherbrooke, Quebec, J1H5N4

    Cynthia Ladouceur, 819-346-1110 ext. 13250, cynthia.ladouceur.ciussse-chus@ssss.gouv.qc.ca

    Hélène Dion, 819-346-1110, helene.dion.ciussse-chus@ssss.gouv.qc.ca

    Recruiting
  • Princess Margaret Hospital

    Toronto, Ontario

    Lea Dungao, lea.dungao@rmp.uhn.on.ca

    Jennifer Croke

    Recruiting
  • Toronto-Sunnybrook Health Sciences Centre - Odette Cancer Centre

    Toronto, Ontario

    Clarissa Chau, clarissa.chau@sunnybrook.ca

    Recruiting
  • Centre Intégré Universitaire de Santé et de Services Sociaux de la Mauricie-Centre-du-Québec (CIUSSS MCQ)

    Trois-Rivières, Quebec, G8Z 3R9

    Marie-Eve Caron, 819-697-3333 ext. 63238, marie-eve_caron_chrtr@ssss.gouv.qc.ca

    Anne-Marie Taboika McMurray, anne-marie.taboika@ssss.gouv.qc.ca

    Recruiting
  • BC Cancer - Vancouver Island Centre

    Victoria, British Columbia

    Sarah Egli, 1(604) 675-4100 ext. 205780, sarah.egli@bccancer.bc.ca

    Emily White, emily.white@bccancer.bc.ca

    Recruiting
  • BCCA-Vancouver Island Cancer Centre

    Victoria, British Columbia

    Emily White, 604-675-4100 ext. 205381, emily.white@bccancer.bc.ca

    Tanya Berrang

    Not yet recruiting
  • Windsor Regional Cancer Centre

    Windsor, Ontario, N8W2X3

    Donna Clinansmith, 519-253-5253, Donna.Clinansmith@wrh.on.ca

    Khalid Hirmiz, MD

    Recruiting

Other trials in Canada

Australia12 sites, 12 recruiting
  • GenesisCare St Andrew's

    Adelaide, South Australia, 5000

    Maria Acevedo, (08) 8228 6700, maria.acevedo@genesiscare.com

    Isabelle Baldock, isabelle.baldock@genesiscare.com

    Recruiting
  • GenesisCare Bedford Park

    Bedford Park, South Australia, 5042

    Maria Acevedo, maria.acevedo@genesiscare.com

    Rangnekar Geetanjali, geetanjali.rangnekar@genesiscare.com

    Recruiting
  • GenesisCare Bundaberg

    Bundaberg, Queensland, 4670

    Nicole Frisby, (07) 4154 9900, nicole.frisby@genesiscare.com

    Kristy Longhurst, kristy.longhurst@genesiscare.com

    Recruiting
  • GenesisCare Darlinghurst

    Darlinghurst, New South Wales, 2010

    Katerina Zavitsanou, katerina.zavitsanou@genesiscare.com

    Shekhar Yadav, shekhar.yadav@genesiscare.com

    Recruiting
  • GenesisCare Hurstville

    Hurstville, New South Wales, 2220

    Peter Graham, +61 2 8568 7600, Peter.Graham@genesiscare.com

    Katerina Zavitsanou, +61 2 8037 4112, Katerina.Zavitsanou@genesiscare.com

    Recruiting
  • GenesisCare Fiona Stanley Hospital

    Murdoch, Western Austrailia, 6150

    Lara Carey, (08) 9366 1510, lara.carey@genesiscare.com

    Wilna Van Der Watt, wilna.vanderwatt@genesiscare.com

    Recruiting
  • GenesisCare Hollywood

    Nedlands, Western Australia, 6009

    Lara Carey, (08) 9366 1510, lara.carey@genesiscare.com

    Wilna Van der Watt, wilna.vanderwatt@genesiscare.com

    Recruiting
  • GenesisCare Mater Hospital

    North Sydney, New South Wales, 2060

    Katerine Zavitsanou, 02 8037 4112, katerina.zavitsanou@genesiscare.com

    Shekhar Yadav, shekhar.yadav@genesiscare.com

    Recruiting
  • GenesisCare Southport

    Southport, Queensland, 4215

    Kristy Longhurst, 07 5507 3600, kristy.longhurst@genesiscare.com

    Nicole Frisby, 07 4154 9900, nicole.frisby@genesiscare.com

    Recruiting
  • GenesisCare Tugun

    Tugun, Queensland, 4224

    Kristy Longhurst, (07) 5507 3600, kristy.longhurst@genesiscare.com

    Nicole Frisby, 07 5507 3600, nicole.frisby@genesiscare.com

    Recruiting
  • GenesisCare Hervey Bay

    Urraween, Queensland, 4655

    Nicole Frisby, nicole.frisby@genesiscare.com

    Kristy Longhurst, kristy.longhurst@genesiscare.com

    Recruiting
  • GenesisCare Wembley

    Wembley, Washington, 6014

    Lara Carey, 08 9366 1510, lara.carey@genesiscare.com

    Wilna Van Der Watt, wilna.vanderwatt@genesiscare.com

    Recruiting

Other trials in Australia

About this study

Official title: A Randomized Trial of Five-Fraction Partial Breast Irradiation (RAPID2)

The primary objective of this study is to determine in women with node negative BC ≤3cm in size, if PBI compared to WBI, both given once-a-day over 1 week following BCS, is non-inferior for LR and reduces adverse cosmesis. The primary outcomes are LR and patient-assessed cosmesis at 3 years post randomization.

Read the detailed description

This is a randomized, two-arm, single blinded trial comparing two radiation treatment modalities, PBI and WBI. Following BCS or on the completion of additional adjuvant chemotherapy, eligible and consenting patients with newly diagnosed and histologically confirmed invasive carcinoma of the breast (without evidence of metastatic disease); with microscopically clear resection margins of 1mm (or no residual disease on re-excision) and negative axillary node involvement will be randomized in a 1:1 fashion to receive either PBI (experimental group) or WBI (control group). Study participants will receive 26Gy in 5 fractions in both treatment arms, treated once per day, for a period of 5-7 days. Study participants will not be made aware of treatment allocation to prevent any potential bias in their assessment of cosmesis. Stratification factors include tumour size, estrogen receptor (ER) status, and clinical centre.

Being tested
Whole Breast Irradiation (WBI), Partial Breast Irradiation (PBI)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Whole Breast Irradiation (WBI)Radiation

    The dose fractionation and prescription is 26Gy in 5 fractions to the PTV once per day over 5-7 days (due to holiday weekends up to 8 days will be acceptable).

  • Partial Breast Irradiation (PBI)Radiation

    The dose fractionation and prescription is 26Gy in 5 fractions to the PTV prescribed at the isocentre of the treatment fields treated once per day over 5-7 days (due to holiday weekends up to 8 days will be acceptable).

Study groups in NCT05417516
Study groupRoleWhat they receive
Whole Breast Irradiation (WBI)Active comparator26 Gy in 5 fractions to the whole breast
Receives: Radiation: Whole Breast Irradiation (WBI)
Partial Breast Irradiation (PBI)Experimental26 Gy in 5 fractions to the tumour bed with a margin of normal tissue
Receives: Radiation: Partial Breast Irradiation (PBI)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Local Recurrence

    Time from randomization to any evidence of tumour recurrence (invasive and non-invasive) in the treated breast.

    Measured: Annually for 5 years post-randomization

  2. Patient Assessment Cosmesis at 3 years

    Cosmesis will be assessed by the patient using the Breast Cosmesis Questionnaire which incorporates the Modified EORTC Breast Cosmetic Rating System and the UK Patient Reported Outcomes Questions following BCS.

    Measured: 3 and 5 years post-randomization

Secondary outcomes (7)
  1. Distant Disease Free Survival (DDSF)

    Time from randomization to evidence of metastasis involving distant sites (e.g. bone, liver, lung, or brain).

    Measured: Annually for 5 years post-randomization.

  2. Disease Free Survival (DFS)

    Time from randomization to local recurrence, regional or distant recurrence, contralateral breast cancer, other second cancer, or death.

    Measured: Annually for 5 years post-randomization.

  3. Overall Survival

    Time from randomization to death of any cause.

    Measured: 3 years post-randomizaton.

  4. Radiation Toxicity

    Acute (2 weeks and up to 3 months after completing RT) and late toxicity (beyond the 3 months after completing RT) will be assessed by clinical centre personnel using the NCI CTCAE version 5.0.

    Measured: 2 weeks and 3 months post-radiation treatment, then annually for 5 years post-randomization.

  5. Nurse/Clinical Research Associate assessed cosmesis at 3 and 5 years.

    A nurse/Clinical Research Associate (CRA) assessment of cosmesis using the EORTC Breast Cosmetic Rating System. Nurses and CRAs will be training in assessing cosmesis using training slides and guide previously developed for other trials.

    Measured: 3 and 5 years post-randomization.

  6. Patient Assessed Cosmesis at 5 years.

    Cosmesis will be assessed by the patient using the Breast Cosmesis Questionnaire which incorporates the Modified EORTC Breast Cosmetic Rating System13,27,42 and the UK Patient Reported Outcomes Questions following BCS.

    Measured: 5 years post-randomization.

  7. Patient Reported Quality of Life

    Patients will complete the EORTC Breast Cancer Quality of life questionnaire

    Measured: 2 weeks post-radiation treatment, then at 3 and 5 years post-randomization.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jun 2022
  2. Study start20 Nov 2023
  3. Primary completionNov 2029 (estimated)
  4. Study completionNov 2031 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
910 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05417516
Sponsor's protocol ID
OCOG-2022-RAPID2
Status last verified
Sep 2026
First submitted
7 Jun 2022
Last updated
14 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Whole Breast Irradiation (WBI) and Partial Breast Irradiation (PBI) in people with Breast Neoplasm Female and Radiotherapy, run by Ontario Clinical Oncology Group (OCOG) at 31 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 14 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in Canada, Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Shelley Chambers, MA (905-527-2299 ext. 42618, schamber@mcmaster.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Local Recurrence (time frame: Annually for 5 years post-randomization). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Sep 2026.

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