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Trial registered on ANZCTR
Registration number
ACTRN12606000510549
Ethics application status
Approved
Date submitted
10/07/1996
Date registered
10/07/1996
Date last updated
12/02/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Protocol for the management of screen detected ductal carcinoma in situ (DCIS) of the breast
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Scientific title
ANZ 9002 (DCIS): Protocol for the management of screen detected ductal carcinoma in situ (DCIS) of the breast
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Secondary ID [1]
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National Clinical Trials Registry: NCTR130
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Universal Trial Number (UTN)
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Trial acronym
ANZ 9002 (DCIS)
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breast Cancer
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Condition category
Condition code
Cancer
14
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0
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Arm B: Complete local excision/lumpectomy followed by oral tamoxifen 20 mg daily for 5 years
Arm C: Complete local excision/lumpectomy followed by supervoltage radiotherapy to the residual breast tissue to a dose of 50Gy in 25 fractions over 5 weeks (or its equivalent)
Arm D: Complete local excision/lumpectomy followed by both radiotherapy to a dose of 50Gy in 25 fractions over 5 weeks (or its equivalent) and oral tamoxifen 20 mg daily for 5 years
PLEASE NOTE: Radiotherapists may choose alternate fractionation regimes, however treatment should not be given in less than 21 days or 15 fractions, and all alternative regimes should have a Tumour Dose Fractionation value of between 77 and 82. Whatever regime used, it is advised that the maximal tissue dose should not exceed the prescribed tumour dose by more than +10 percent.
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Intervention code [1]
1288
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Treatment: Other
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Comparator / control treatment
Arm A: Complete local excision/lumpectomy (surgical removal of the tumour) with no further initial local or systemic therapy
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Control group
Active
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Outcomes
Primary outcome [1]
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Disease-Free Survival
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Assessment method [1]
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Timepoint [1]
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Duration defined as the time from randomisation to relapse, appearance of a second primary tumour, or death from any cause, whichever occurs first.
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Primary outcome [2]
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Overall Survival
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Assessment method [2]
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Timepoint [2]
28
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Duration is defined as the time from randomisation to death of any cause.
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Secondary outcome [1]
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Systemic Relapse (is defined as any recurrent disease in sites other than ipsilateral or contralateral breast only).
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Assessment method [1]
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Timepoint [1]
44
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At the time systemic relapse is diagnosed.
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Eligibility
Key inclusion criteria
Patients with unilateral or bilateral DCIS cosmetically suited to breast conservation, which has been detected as a result of attendance at a screening centre, which is without evidence of invasion, and which has been completely excised as determined by free margins on histological examination. Patients, with similarly defined DCIS lesions, in whom the diagnosis of DCIS has been made as a result of mammograms taken following referral to a diagnostic clinic. Informed consent. Note: The wish to continue hormone replacement therapy for menopausal symptoms or the contraceptive pill will not exclude the patient from trial entry. Continued or subsequent use will be recorded on the follow-up form.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Paget's disease of the nipple. Lobular carcinoma in-situ or atypical hyperplasia of the breast in the absence of DCIS. Note: Patients with in-situ carcinoma which is of mixed lobular and ductal type are eligible. Cases in which the pathologist is unable to state that the excision margins are clear, even after re-excision. Histologically confirmed involvement of any axillary lymph nodes, indentified either as an incidental finding on examination of a CLE specimen or as a result of excision of a palpable node, constitutes invasion irrespective of breast histology. Patients for whom any of the treatment options are considered inappropriate. Patients with a reduced life expectancy due to either prior or concomitant invasive malignant disease or a non-malignant condition.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Multi-centre trial with a central randomisation office accessed by phone
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomisation table created by computer software
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Factorial
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/09/1991
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Actual
15/04/1992
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Date of last participant enrolment
Anticipated
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Actual
20/12/1998
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Date of last data collection
Anticipated
31/08/2018
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Actual
30/09/2017
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Sample size
Target
1000
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Accrual to date
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Final
1701
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,WA,VIC
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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N/A
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Breast Cancer Trials
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Address [1]
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PO Box 283
The Junction NSW 2291
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Breast Cancer Trials
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Address
PO Box 283
The Junction NSW 2291
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Country
Australia
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Secondary sponsor category [1]
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Charities/Societies/Foundations
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Name [1]
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UK Coordinating Committee on Cancer Research - Working Party of the Breast Cancer Trials Coordinating Subcommittee
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Address [1]
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PO Box 123
Lincoln's Inn Fields
London
WC2A 3PX
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Country [1]
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United Kingdom
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Alfred Hospital
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Ethics committee address [1]
174
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Ethics committee country [1]
174
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Australia
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Date submitted for ethics approval [1]
174
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Approval date [1]
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01/09/1991
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Ethics approval number [1]
174
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Ethics committee name [2]
175
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Auckland Hospital
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Ethics committee address [2]
175
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Ethics committee country [2]
175
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New Zealand
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Date submitted for ethics approval [2]
175
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Approval date [2]
175
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Ethics approval number [2]
175
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Ethics committee name [3]
176
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Christo Road Hospital
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Ethics committee address [3]
176
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Ethics committee country [3]
176
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Australia
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Date submitted for ethics approval [3]
176
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Approval date [3]
176
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Ethics approval number [3]
176
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Ethics committee name [4]
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Flinders Medical Centre
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Ethics committee address [4]
177
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Ethics committee country [4]
177
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Australia
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Date submitted for ethics approval [4]
177
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Approval date [4]
177
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Ethics approval number [4]
177
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Ethics committee name [5]
178
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Fremantle Hospital
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Ethics committee address [5]
178
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Ethics committee country [5]
178
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Australia
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Date submitted for ethics approval [5]
178
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Approval date [5]
178
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Ethics approval number [5]
178
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Ethics committee name [6]
179
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Geelong Hospital
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Ethics committee address [6]
179
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Ethics committee country [6]
179
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Australia
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Date submitted for ethics approval [6]
179
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Approval date [6]
179
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Ethics approval number [6]
179
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Ethics committee name [7]
180
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Liverpool Hospital
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Ethics committee address [7]
180
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Ethics committee country [7]
180
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Australia
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Date submitted for ethics approval [7]
180
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Approval date [7]
180
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Ethics approval number [7]
180
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Ethics committee name [8]
181
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Mater Hospital Bundaburg
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Ethics committee address [8]
181
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Ethics committee country [8]
181
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Australia
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Date submitted for ethics approval [8]
181
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Approval date [8]
181
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Ethics approval number [8]
181
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Ethics committee name [9]
182
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Mount Hospital
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Ethics committee address [9]
182
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Ethics committee country [9]
182
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Australia
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Date submitted for ethics approval [9]
182
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Approval date [9]
182
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Ethics approval number [9]
182
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Ethics committee name [10]
183
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Newcastle Mater Hospital
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Ethics committee address [10]
183
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Ethics committee country [10]
183
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Australia
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Date submitted for ethics approval [10]
183
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Approval date [10]
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Ethics approval number [10]
183
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Ethics committee name [11]
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Orange Base Hospital
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Ethics committee address [11]
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Ethics committee country [11]
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Australia
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Date submitted for ethics approval [11]
184
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Approval date [11]
184
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Ethics approval number [11]
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Ethics committee name [12]
185
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Prince of Wales Hospital
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Ethics committee address [12]
185
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Ethics committee country [12]
185
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Australia
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Date submitted for ethics approval [12]
185
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Approval date [12]
185
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Ethics approval number [12]
185
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Ethics committee name [13]
186
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Princess Alexandra Hospital
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Ethics committee address [13]
186
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Ethics committee country [13]
186
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Australia
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Date submitted for ethics approval [13]
186
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Approval date [13]
186
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Ethics approval number [13]
186
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Ethics committee name [14]
187
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Royal Melbourne Hospital
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Ethics committee address [14]
187
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Ethics committee country [14]
187
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Australia
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Date submitted for ethics approval [14]
187
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Approval date [14]
187
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Ethics approval number [14]
187
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Ethics committee name [15]
188
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Royal Perth Hospital
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Ethics committee address [15]
188
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Ethics committee country [15]
188
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Australia
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Date submitted for ethics approval [15]
188
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Approval date [15]
188
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Ethics approval number [15]
188
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Ethics committee name [16]
189
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St Jon of God Hospital
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Ethics committee address [16]
189
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Ethics committee country [16]
189
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Australia
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Date submitted for ethics approval [16]
189
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Approval date [16]
189
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Ethics approval number [16]
189
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Ethics committee name [17]
190
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St Vincent's Hospital Melbourne
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Ethics committee address [17]
190
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Ethics committee country [17]
190
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Australia
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Date submitted for ethics approval [17]
190
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Approval date [17]
190
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Ethics approval number [17]
190
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Ethics committee name [18]
191
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Sir Charles Gairdner Hospital
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Ethics committee address [18]
191
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Ethics committee country [18]
191
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Australia
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Date submitted for ethics approval [18]
191
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Approval date [18]
191
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Ethics approval number [18]
191
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Ethics committee name [19]
192
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Waikato Hospital
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Ethics committee address [19]
192
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Ethics committee country [19]
192
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New Zealand
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Date submitted for ethics approval [19]
192
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Approval date [19]
192
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Ethics approval number [19]
192
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Summary
Brief summary
As a consequence of mammographic breast screening programs, ductal carcinoma in situ was diagnosed with increasing frequency. Mastectomy for localised DCIS was thought to be a overtreatment by many physicians, but there was much controversy as to whether complete local excision alone was sufficient. The trial aimed to assess the effectiveness of adjuvant radiotherapy and tamoxifen.
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Trial website
www.breastcancertrials.org.au
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Trial related presentations / publications
Houghton J, George WD, Cuzick J, Duggan C, Fentiman IS, Spittle M; UK Coordinating Committee on Cancer Research (UKCCCR) Ductal Carcinoma in Situ (DCIS) Working Party on behalf of DCIS trialists in the UK, Australia and New Zealand. Radiotherapy and tamoxifen in women with completely excised ductal carcinoma in situ of the breast in the UK, Australia, and New Zealand: randomised controlled trial. Lancet 2003; 362:95-102. Pinder SE, Duggan C, Ellis IO, Cuzick J, Forbes JF, Bishop H, Fentiman IS, George WD, on behalf of the UK Coordinating Committee on Cancer Research (UKCCCR) Ductal Carcinoma In Situ (DCIS) Working Party. A new pathological system for grading DCIS with improved prediction of local recurrence: results from the UKCCCR/ANZ DCIS trial. Br J Cancer 2010; 103(1):94-100. Cuzick J, Sestak I, Pinder SE, Ellis IO, Forsyth S, Bundred NJ, Forbes JF, Bishop H, Fentiman IS, George WD. Effect of tamoxifen and radiotherapy in women with locally excised ductal carcinoma in situ: long-term results from the UK/ANZ DCIS trial. Lancet Oncol 2011; 12(1):21-29. Thorat MA, Wagner S, Jones LJ, Levey PM, Bulka K, Hoff R, Sangale Z, Flake II DD, Bundred NJ, Fentiman IS, Forbes JF, Lanchbury JS, Cuzick J. Prognostic and predictive relevance of cell cycle progression (CCP) score in ductal carcinoma in situ: Results from the UK/ANZ DCIS trial. SABCS 2016. 2016; P1-09-06.
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Public notes
Breast Cancer Trials formerly known as the Australia & New Zealand Breast Cancer Trials Group.
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Contacts
Principal investigator
Name
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Prof Bruce Mann
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Address
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The Victorian Comprehensive Cancer Centre
Suite 12, Department of Surgery
PARKVILLE VIC 3052
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Country
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Australia
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Phone
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+61 (03) 9347-6301
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Corinna Beckmore
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Address
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BCT
PO Box 283
The Junction NSW 2291
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Country
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Australia
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Phone
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+61 2 4925 5235
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Fax
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+61 2 4925 3068
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Email
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[email protected]
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Contact person for scientific queries
Name
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Bruce Mann
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Address
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The Victorian Comprehensive Cancer Centre
Suite 12, Department of Surgery
PARKVILLE VIC 3052
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Country
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Australia
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Phone
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+61 (03) 9347-6301
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF