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RecruitingBreast Cancer

RADIANT: Pre-op Radiation With Abemaciclib and Letrozole

Eligible age

60+ yrs

Accepts

Women

Locations

1 state

Healthy volunteers

No

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About this study

This phase 1b study investigates the safety and feasibility of combining pre-operative radiation therapy with Cyclin-Dependent Kinase 4 (CDK4/6) inhibitors in participants with hormone receptor positive/HER2 negative (HR+/HER2-) breast cancer. The study aims to assess the benefits of concurrent use of these treatments in a specific participant population, focusing on their safety and tolerability. The hypothesis is that the combination therapy will be well-tolerated, providing valuable insights into its effectiveness for future clinical applications.

Sponsor: Mridula George, MD

You may qualify if…

  • Histologically and/or cytologically confirmed diagnosis of invasive (ductal, lobular or mixed histology), Clinically inapparent tumor that is not palpable. (cT1-T2N0)disease. Minimum tumor size of 1.5 cm
  • Expression of ER or progesterone receptors (PR)and negative expression of HER2 per American Society of Clinical Oncology, (ASCO) Common Alerting Protocol (CAP) guidelines
  • Oncotype diagnosis (DX) Breast Recurrence score of less than 25 on core biopsy specimen
  • Post-menopausal status defined:
  • age \<60 with amenorrhea for at least 12 months in the absence of prior chemotherapy, tamoxifen, toremifene, or ovarian suppression and estradiol and FSH (follicle stimulating hormone) in postmenopausal range.
  • No clinical suspicion of metastasis disease
  • Eastern Cooperative Oncology Group (ECOG) performance status of follicle stimulating hormone (PFS) ≤2
  • Eligible to undergo surgery, either lumpectomy or mastectomy for local treatment of the breast cancer

You may not qualify if…

  • History of ipsilateral breast cancer
  • Prior treatment with CDK4/6 inhibitors or aromatase inhibitors
  • History of chest wall or ipsilateral breast radiation
  • Inflammatory breast cancer
  • Needs neoadjuvant chemotherapy
  • Presence of distant metastatic disease
  • Contraindication for surgery
  • Uncontrolled hypertension (systolic blood pressure \>190 mm Hg or diastolic blood pressure \>100 mm Hg)

Where it's recruiting

New Jersey

Belleville · Livingston · New Brunswick · Somerville

Source: ClinicalTrials.gov · NCT06139107 · last updated 2025-11-14