Effect of ALND With Vein Branches Reservation on Postoperative Upper Limb Edema and Dysfunction in Breast Cancer

NCT ID: NCT05120180

Last Updated: 2024-09-19

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

258 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-03

Study Completion Date

2029-04-01

Brief Summary

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The purpose of this study is to compare the effects of axillary lymph node dissection with or without axillary vein branches reservation on the affected upper limb edema and dysfunction in breast cancer patients, and to explore the solutions to prevent the affected upper limb edema and dysfunction after ALND.

Detailed Description

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Conditions

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Breast Cancer Lymphedema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Branches Sparing

The patients in this arm will undergo axillary lymph node dissection with preserved axillary vein branches

Group Type EXPERIMENTAL

axillary lymph node dissection with vein branches reservation

Intervention Type PROCEDURE

Spare the vein branches when ALND being performed

None Branches Sparing

The patients in this arm will undergo axillary lymph node dissection without preserved axillary vein branches

Group Type ACTIVE_COMPARATOR

axillary lymph node dissection without vein branches reservation

Intervention Type PROCEDURE

Don't spare the vein branches when ALND being performed

Interventions

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axillary lymph node dissection with vein branches reservation

Spare the vein branches when ALND being performed

Intervention Type PROCEDURE

axillary lymph node dissection without vein branches reservation

Don't spare the vein branches when ALND being performed

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age 18-69 years old,
* Regardless of gender,
* Breast masses were diagnosed by histology and pathology, stage II -III.
* Clinical palpation of axillary lymph nodes is positive, or
* Axillary lymph node puncture pathology is positive, or
* The multidisciplinary treatment cooperation group (MDT) recommends axillary lymph node dissection,
* Good physical state score (0-2),
* No severe organ complications,
* No congenital or acquired diseases affecting the normal morphology and functional activities of the upper limbs,
* Informed consent, understanding and compliance with research requirements.

Exclusion Criteria

* Pregnancy or lactation,
* Inflammatory breast cancer,
* Clinical findings of metastatic lesions,
* Sentinel lymph node biopsy was negative,
* History of upper limb or shoulder, chest, back trauma or surgery,
* Previous history of local radiotherapy,
* History of other tumors,
* Vascular embolic disease,
* Those who are unable to comply with the clinical trial requirements for any reason.
Minimum Eligible Age

18 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Xiangyun Zong

OTHER

Sponsor Role lead

Responsible Party

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Xiangyun Zong

Head of Breast Cancer, Principal Investigator, Clinical Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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XIANGYUN ZONG, M.D., Ph.D.P

Role: STUDY_CHAIR

Shanghai Jiao Tong University School of Medicine

Locations

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Shanghai Jiao Tong University Affiliated Sixth People's Hospital

Shanghai, Shanghai Municipality, China

Site Status

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status

Shanghai Fengxian Central Hospital

Shanghai, , China

Site Status

Countries

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China

Other Identifiers

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JTU-6H-20211011001

Identifier Type: -

Identifier Source: org_study_id

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