PRIMETIME
Objectives
Eligibility for first phase (pre-op):
- Age ≥60 (or ,60, postmenopausal and comorbidities implying high risk of radiotherapy toxicity )
- Tumour pre-op assessed as ≤2cm, grade 1-2, ER +ve, PR tested, HER2 –ve or awaited, node negative
- Breast conserving surgery planned
Eligibility for main study (assessed at post-op MDT):
- Availability of Ki67 (performed centrally on diagnostic core)
- Age ≥60 (or ,60, postmenopausal and comorbidities implying high risk of radiotherapy toxicity )
- Breast conserving surgery with complete resection of tumour tissue (≥1 mm)
- pT1/pN0/M0; tumours should be unifocal (associated DCIS is allowed, providing whole tumour size ≤2cm)
- Node negative (ITCs in axillary nodes are allowed)
- Grade 1 or 2 on excised tumour
- ER positive according to local practice
- PR status tested
- HER2 negative according to local practice
- Patient recommended for ≥5 years adjuvant endocrine therapy and willing to start and comply with endocrine therapy
Recruitment sites
64 sites opened to recruitment
Timeline
Closed to recruitment 31/03/2022. Currently in follow-up.