No Axillary Surgical Treatment in Clinically Lymph Node Negative Patients on Ultrasonography After Neoadjuvant Chemotherapy
NCT06704945 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 464
Last updated 2026-01-28
Summary
NEO-NAUTILUS is a prospective, multicenter, randomized phase III clinical trial to evaluate whether omitting axillary lymph node surgery (ALND or SLNB) in clinically lymph node-negative breast cancer patients after neoadjuvant chemotherapy is non-inferior to performing SLNB in terms of 5-year disease-free survival.
Conditions
- Breast Cancer
- Neoadjuvant Therapy
- Sentinel Lymph Node Biopsy
Interventions
- PROCEDURE
-
No axillary surgery
BCS only. Ommission of axillary surgery. No axillary surgery after neoadjuvant chemotherapy.
- PROCEDURE
-
Axillary surgery
BCS with SLNB(+/-ALND)
Sponsors & Collaborators
-
Asan Medical Center
collaborator OTHER -
Seoul National University Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-06-04
- Primary Completion
- 2029-12-31
- Completion
- 2034-12-31
Countries
- South Korea
Study Locations
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