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A prospective multicenter study to evaluate different surgical methods of axillary staging in clinically node-positive breast cancer patients treated with neoadjuvant chemotherapy

A prospective multicenter cohort study to evaluate different surgical methods of axillary staging (sentinel lymph node biopsy, targeted axillary dissection, axillary dissection) in clinically node-positive breast cancer patients treated with neoadjuvant chemotherapy

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2021/09/036397
Enrollment
3000
Registered
2021-09-09
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: C506- Malignant neoplasm of axillary tail of breast

Interventions

None listed

Sponsors

Prof Dr med Thorsten Khn
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Signed informed consent form - Primary invasive breast cancer (confirmed by core biopsy) - cN+ (confirmed by core biopsy/fine needle aspiration or presence of highly suspicious axillary node[s] on imaging) - In case a minimally invasive biopsy of axillary lymph node(s) has been performed and yielded a negative or inconclusive result, patients may be included if the final classification after imaging-pathology-correlation is cN+ - cT1-cT4c - Scheduled for neoadjuvant systemic therapy - Female / male patients >= 18 years old

Exclusion criteria

Exclusion criteria: Distant metastasis - Recurrent breast cancer - Inflammatory breast cancer - Extramammary breast cancer - Bilateral breast cancer - History of invasive breast cancer, DCIS or any other invasive cancer - Confirmed or suspected supraclavicular lymph node metastasis - Confirmed or suspected parasternal lymph node metastasis - Axillary surgery before NACT (e.g. SLNB or nodal sampling) - Pregnancy - Less than 4 cycles of NACT administered - Patients not suitable for surgical treatment

Design outcomes

Primary

MeasureTime frame
Evaluation of the 5-year invasive disease-free survival (iDFS) in cN+ â?? ycN0 patients treated with different axillary staging techniques (ALND, TAD, SLNB, TLNB)Evaluation of the 3-year axillary recurrence rate in cN+ â?? ycN0 patients treated with different axillary staging techniques (ALND, TAD, SLNB, TLNB) - Evaluation of quality of life and arm morbidity in patients treated with different axillary staging techniquesTimepoint: Evaluation of the 5-year invasive disease-free survival (iDFS) in cN+ â?? ycN0 patients treated with different axillary staging techniques (ALND, TAD, SLNB, TLNB)Evaluation of the 3-year axillary recurrence rate in cN+ â?? ycN0 patients treated with different axillary staging techniques (ALND, TAD, SLNB, TLNB) - Evaluation of quality of life and arm morbidity in patients treated with different axillary staging techniques

Secondary

MeasureTime frame
Evaluation of the success rate of nodal staging using different axillary staging techniques Evaluation of the number of removed lymph nodes using different axillary staging techniques and their correlation to complications, arm morbidity and quality of life - Evaluation of the operating time as a surrogate parameter for surgical resources - Evaluation of the rate of patients with positive nodes according to the technique used (as a surrogate parameter for the FNR) Timepoint: 5 Years

Countries

Germany, India

Contacts

Public ContactDr Geeta Kadayaprath

Max Super Speciality Hospital,A Unit of Balaji Medical & Diagnostic Research Centre)

geeta.kadayaprath@maxhealthcare.com9810169286

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026