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study to evaluate the effect of regional nodal irradiation omission in ypN0 breast cancer patient

prospective cohort study to evaluate the effect of regional nodal irradiation omission on the regional recurrence rate after neoadjuvant chemotherapy followed by breast conserving surgery and sentinal lymph node biopsy in clinical T1-3 with lymph node metastasis in axillary level I and ypN0 breast cancer patient

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
CRIS
Registry ID
KCT0004567
Enrollment
844
Registered
2019-12-19
Start date
2019-12-10
Completion date
Unknown
Last updated
2025-11-17

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

Conditions

None listed

Interventions

None listed

Sponsors

National Cancer Center
Lead Sponsor
Samsung Medical Center
Collaborator

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: 1. Ages eligible for study: between 20-70 years old 2. Patient must have had pathologic confirmation of invasive breast cancer 3. The patient must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 4. Patient must have clinically T1-3 (before neo-adjuvant therapy) 5. Patient must have axillary level I nodal involvement at presentation (before neo-adjuvant therapy) based on either a positive fine needle aspirate (FNA) or positive in positron emission tomography (PET) scan 6. Patients with metastatic lymph node at axilla level I only 7. Patient who have undergone breast conserving surgery 8. Patient who have undergone either sentinel lymph node biopsy or axillary lymph node sampling 9. Patients with pathologic staging of ypN0, ypN0(i+) or ypN0(mol+) are eligible (Note: postneo-adjuvant therapy is designated with a "yp" prefix.) 10. Patients must have had estrogen receptor (ER), progesterone receptor (PR), HER2, and Ki-67 index testing performed on the primary breast tumor before neo-adjuvant therapy

Exclusion criteria

Exclusion criteria: 1. T4 tumors including inflammatory breast cancer 2. Definitive clinical or radiologic evidence of metastatic disease 3. Patients with metastatic lymph node at axilla level II-III, internal mammary and supraclavicular area by imaging 4. Patient must have not completed a minimum of 50% of standard neo-adjuvant chemotherapy 5. Patients who showed progression during neo-adjuvant chemotherapy 6. Patient who have undergone mastectomy 7. Patient who have undergone axillary lymph node dissection 8. Bilateral breast cancer patients 9. Male breast cancer patients 10. Prior breast or thoracic radiation therapy (RT) for any condition 11. History of non-breast malignancies (except for in situ cervical cancers treated only by local excision and basal cell and squamous cell carcinomas of the skin) within 5 years prior to radiotherapy 12. Pregnancy or lactation at the time of study entry

Design outcomes

Primary

MeasureTime frame
regional recurrence rate

Secondary

MeasureTime frame
cumulative toxicity rate (lymphedema, brachial plexopathy, shoulder joint range of motion decreased, radiation pneumonitis, myocardial infartion);local recur-free survival, diease-free survival, cancer-specific survival, overall survival;Quality of life;molecular subtype layering analysis and subgroup analysis

Countries

Korea, Republic of

Contacts

Public ContactMyoung JI Kim

National Cancer Center

angella6936@daum.net+82-31-920-0143

Outcome results

None listed

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