Clinical Application of Multi-modal Sentinel Lymph Node Staining Method in Breast Cancer Patients After Neoadjuvant Chemotherapy

NCT ID: NCT06212440

Last Updated: 2025-03-13

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

COMPLETED

Clinical Phase

NA

Total Enrollment

348 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-04

Study Completion Date

2024-10-02

Brief Summary

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This clinical trial aimed to confirm the effectiveness of sentinel lymph node surgery by determining the lymph node identification rate using multimodal sentinel lymph node marker methods in patients with advanced breast cancer undergoing neoadjuvant chemotherapy (NAC).

Detailed Description

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After NAC, the sentinel lymph node (SLN) identification rate is lower, and it has a higher false-negative rate than that in early-stage breast cancer. As appropriate SLN surgery directly affects the treatment and prognosis of patients undergoing NAC, evaluation to identify SLN using various methods is necessary.

This clinical trial aimed to confirm the effectiveness of sentinel lymph node surgery by determining the lymph node identification rate using multimodal sentinel lymph node marker methods in patients with advanced breast cancer undergoing neoadjuvant chemotherapy (NAC).

Conditions

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Sentinel Lymph Node Biopsy Neoadjuvant Therapy Breast Neoplasm

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

open-label, prospective, single-institution, 3-arms expended randomized study
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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RI + ICG-F

Participants undergo sentinel lymph node biopsy using Radioactive Isotope (RI) and Indocyanine Green Fluorescence (ICG-F) for lymphatic mapping.

Group Type EXPERIMENTAL

Radioactive Isotope (RI) Mapping

Intervention Type DIAGNOSTIC_TEST

Administered via peritumoral or subareolar injection for sentinel lymph node detection.

Indocyanine Green Fluorescence (ICG-F) Mapping

Intervention Type DIAGNOSTIC_TEST

Administered via peritumoral or subareolar injection, detected using near-infrared fluorescence imaging.

RI + Vital Dye

Participants undergo sentinel lymph node biopsy using Radioactive Isotope (RI) and Vital Dye for lymphatic mapping.

Group Type EXPERIMENTAL

Radioactive Isotope (RI) Mapping

Intervention Type DIAGNOSTIC_TEST

Administered via peritumoral or subareolar injection for sentinel lymph node detection.

Vital Dye Mapping

Intervention Type DIAGNOSTIC_TEST

Administered via peritumoral or subareolar injection for intraoperative visualization of lymphatic drainage pathways.

Vital Dye + ICG-F

Participants undergo sentinel lymph node biopsy using Vital Dye and Indocyanine Green Fluorescence (ICG-F) for lymphatic mapping.

Group Type EXPERIMENTAL

Indocyanine Green Fluorescence (ICG-F) Mapping

Intervention Type DIAGNOSTIC_TEST

Administered via peritumoral or subareolar injection, detected using near-infrared fluorescence imaging.

Vital Dye Mapping

Intervention Type DIAGNOSTIC_TEST

Administered via peritumoral or subareolar injection for intraoperative visualization of lymphatic drainage pathways.

Interventions

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Radioactive Isotope (RI) Mapping

Administered via peritumoral or subareolar injection for sentinel lymph node detection.

Intervention Type DIAGNOSTIC_TEST

Indocyanine Green Fluorescence (ICG-F) Mapping

Administered via peritumoral or subareolar injection, detected using near-infrared fluorescence imaging.

Intervention Type DIAGNOSTIC_TEST

Vital Dye Mapping

Administered via peritumoral or subareolar injection for intraoperative visualization of lymphatic drainage pathways.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* The patient with locally advanced breast cancer who achieved neoadjuvant chemotherapy
* Confirmed operability with imaging study after neoadjuvant chemotherapy
* Age over 20 years old
* ECOG Performance status : 0-2
* The patient with written informed consent form

Exclusion Criteria

* The patient with previous ipsilateral breast cancer history
* The patinet with previous ipsilateral axillary surgical procedure (e.g. excisional or incisional biopsy, axillary dissection)
* The patient without neoadjuvant chemotherapy
* Inoperable imaging study after neoadjuvant chemotherapy
* Inflammatory breast cancer
* Pregnant patient
Minimum Eligible Age

20 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Cancer Center, Korea

OTHER_GOV

Sponsor Role lead

Responsible Party

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Seeyoun Lee

Doctor, M.D., head of center for breast cancer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Seeyoun Lee, Doctor

Role: PRINCIPAL_INVESTIGATOR

National Cancer Center, Korea

Locations

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National Cancer Center

Goyang-si, Gyeonggi-do, South Korea

Site Status

National cancer center

Goyang-si, Gyeonggi-do, South Korea

Site Status

Countries

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South Korea

Other Identifiers

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2010242-2

Identifier Type: -

Identifier Source: org_study_id

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