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Is using a single tracer to identify lymph nodes during breast cancer surgery as good as using two tracers?

A prospective randomised study comparing indocyanine green (ICG) fluorescence combined with a standard tracer versus ICG alone for sentinel lymph node (SLN) detection in early breast cancer

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN12010145
Enrollment
100
Registered
2021-12-08
Start date
2022-01-20
Completion date
Unknown
Last updated
2025-10-13

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

Conditions

Identification of sentinel lymph nodes during breast cancer surgery Cancer

Interventions

Participants will be identified from the breast cancer services at each site. Once consented, participants will be randomised using sealed opaque envelopes to receive either standard care or intervent

Sponsors

NHS Tayside
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: 1. Female 2. Aged over 18 years 3. Biopsy-proven invasive breast cancer 4. Tumour(s) measuring <5 cm in radiological size 5. No record of clinical or sonographic evidence of abnormal axillary lymph nodes 6. Planned SLN biopsy to be carried out as per local standard care using ICG plus radioactive tracer (Cambridge only) or ICG plus Patent Blue Dye (Tayside only)

Exclusion criteria

Exclusion criteria: 1. Neoadjuvant chemotherapy 2. Prior ipsilateral axillary surgery or breast excision biopsy 3. Pregnant or breastfeeding

Design outcomes

Primary

MeasureTime frame
Successful identification of the sentinel lymph node using a physical examination on Day 1

Secondary

MeasureTime frame
1. Tumour deposits in at least one node measured using a pathology evaluation on Day 1 2. Seroma formation measured using a physical examination at 2 weeks and 3 months 3. Cutaneous staining measured using a physical examination at 2 weeks and 3 months 4. Other adverse reactions to tracers measured using a physical examination at 2 weeks and 3 months

Countries

England, Scotland, United Kingdom

Outcome results

None listed

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