Axillary Management in Breast Cancer Patients With Needle Biopsy Proven Nodal Metastases After Neoadjuvant Chemotherapy
NCT04109079 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1900
Last updated 2026-03-30
Summary
The aim of this study is to assess whether, omitting further axillary treatment (ALND and ART) for patients with early stage breast cancer and axillary nodal metastases on needle biopsy, who after NACT have no residual cancer in the lymph nodes on sentinel node biopsy, is non-inferior to axillary treatment in terms of disease free survival (DFS) and results in reduced risk of lymphoedema at 5 years.
Conditions
- Breast Cancer
- Sentinel Lymph Node
- Neoplasm, Breast
Interventions
- PROCEDURE
-
Axillary lymph node dissection
Participants will undergo removal of at least level I and II axillary lymph nodes.
- RADIATION
-
Axillary radiotherapy
Axillary radiotherapy will be delivered as per the Radiotherapy Trials Quality Assurance (RTTQA) guidelines.
- RADIATION
-
Breast or chest wall radiotherapy
Breast or chest wall radiotherapy will be delivered as per the Radiotherapy Trials Quality Assurance (RTTQA) guidelines.
Sponsors & Collaborators
-
University Hospitals of Derby and Burton NHS Foundation Trust
lead OTHER
Principal Investigators
-
Amit Goyal, MS, MD, FRCS · Royal Derby Hospital, Derby, UK
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-02-26
- Primary Completion
- 2030-02-28
- Completion
- 2030-02-28
Countries
- Ireland
- United Kingdom
Study Locations
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