Sentinel Node Biopsy Vs Observation After Axillary PET

NCT ID: NCT04072653

Last Updated: 2020-07-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

1528 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-04

Study Completion Date

2027-09-01

Brief Summary

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Several researches have proved that avoiding axillary surgery does not worsen the outcome of breast cancer patients with relatively low risk. Based on the routine axillary imaging evaluation (ultrasound and MR etc.) and latest dedicate lymph node PET (LymphPET), axillary nodal burden can be identified before operation.

Therefore this prospective study are designed to evaluate the negative predictive value of LymphPET and to verify whether sentinel lymph node biopsy can be spared in patients with negative preoperative axillary assessment.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

In the first stage, the negative predictive value is evaluated in patients with negative preoperative axillary assessment, including LymphPET and routine imaging examinations. In the second stage, sentinel lymph node biopsy will be spared in the patients with negative preoperative axillary assessment.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Observation group( SLNB is spared)

In the second stage, sentinel lymph node biopsy will be spared in the patients with negative preoperative axillary assessment.

Group Type EXPERIMENTAL

SLNB is spared

Intervention Type PROCEDURE

SLNB is spared in patients with negative preoperative axillary assessment(including LymphPET and other imaging examinations)

Interventions

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SLNB is spared

SLNB is spared in patients with negative preoperative axillary assessment(including LymphPET and other imaging examinations)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

stage 1:

1. female
2. ≥18 years old
3. invasive ductal carcinoma or DCIS proved by core needle biopsy
4. tumor size ≤ 5cm
5. negative preoperative axillary assessment(including body examination, ultrasound and MR examination)
6. patients is accessible for the following axillary surgery and pathological test(including sentinel lymph node biopsy and axillary lymph node dissection)

stage 2:

1. female
2. ≥18 years old
3. invasive carcinoma proved by core needle biopsy
4. has plan for breast conserving surgery and adjuvant radiation after surgery
5. negative preoperative axillary assessment(including body examination, ultrasound and axillary PET mSUV\<0.27)
6. patients is accessible for the follow up

Exclusion Criteria

stage 1:

1. distant metastases
2. in the procedure of neoadjuvant therapy
3. positive preoperative axillary assessment (including body examination, ultrasound and MR examination)
4. pregnancy or breastfeeding
5. axillary biopsy or axillary surgery before LymphPET
6. suffer from diabetes mellitus and without well control of bloodglucose
7. previous malignancy
8. allergic to tracer of LymphPET

stage 2:

1. distant metastases
2. in the procedure of neoadjuvant therapy
3. positive preoperative axillary assessment (including body examination, ultrasound and PET mSUV≥0.27)
4. pregnancy or breastfeeding
5. axillary biopsy or axillary surgery before LymphPET
6. suffer from diabetes mellitus and without well control of bloodglucose
7. previous malignancy
8. allergic to tracer of LymphPET
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Zhimin Shao

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhi-Min Shao

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Locations

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Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhi-Min Shao

Role: CONTACT

086-021-64175590

Facility Contacts

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Zhiming Shao

Role: primary

+86-021-64175590

Other Identifiers

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SCHBCC-SOAPET

Identifier Type: -

Identifier Source: org_study_id

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