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OncoMatch/Clinical Trials/NCT05774678

Trial Of PreoperAtive Radiation (TOPAz): A Randomized Trial Comparing Hypofractionated Versus Conventionally Fractionated Preoperative Radiation Followed by Mastectomy With Immediate Autologous Breast Reconstruction With Integrated Nanomechanical Biomarker Evaluation

Is NCT05774678 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies non-drug interventions for breast cancer.

Phase 3RecruitingM.D. Anderson Cancer CenterNCT05774678Data as of May 2026

To compare the outcomes of and responses to 2 different radiation therapy schedules (the standard radiation amount and number of doses versus less radiation and fewer doses) that are being given before having breast cancer surgery (cancer removal and reconstruction).

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Allowed: HER2 (ERBB2) positive

Disease stage

Required: Stage T4C

Clinical and/or pathologic stage T3-T4c OR N1-N3; for the IBC pilot cohort only, the stage requirement is T4d, any N, M1

Prior therapy

Must have received: neoadjuvant chemotherapy — neoadjuvant

For patients with HER2 positive, non-IBC breast cancer treated with neoadjuvant chemotherapy, one of the following criteria must be met: ...

Cannot have received: therapeutic irradiation

History of therapeutic irradiation to the breast, lower neck, mediastinum or other area(s) that will overlap with the affected breast.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • M D Anderson Cancer Center · Houston, Texas

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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