SUPREMO
(Selective Use of Postoperative Radiotherapy aftEr MastectOmy)
A randomised phase III trial assessing the role of chest wall irradiation in women with intermediate risk breast cancer following mastectomy.
Study schema

Objectives
Primary:
To determine the effect of ipsilateral chest wall irradiation following mastectomy and axillary clearance for women with operable breast cancer at ?intermediate risk? of loco-regional recurrence on overall survival.
Secondary:
To determine the effect of ipsilateral chest wall irradiation following mastectomy and axillary clearance for women with operable breast cancer at ?intermediate risk? of loco-regional recurrence in terms of:
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Chest wall recurrence
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Regional recurrence
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Disease-free survival
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Metastasis-free survival
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Cause of death (Breast cancer, intercurrent disease [cardiovascular and non-cardiovascular])
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Acute and late morbidity
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Quality of life
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Cost effectiveness
Sub studies:
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Biological sub study (TRANS-SUPREMO)
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Cardiac sub study (UK only)
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Quality of life sub study (UK only)
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Health economic sub study (UK only)
Target accrual: 3700
Trial opened in UK: June 2006
Trial opened in EORTC: April 2007
Current accrual in UK: 134 patients
Current accrual in EORTC: 20 patients
SUPREMO
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