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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06529302
Registration number
NCT06529302
Ethics application status
Date submitted
25/07/2024
Date registered
31/07/2024
Date last updated
31/07/2024
Titles & IDs
Public title
The OPBC-07/microNAC Study
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Scientific title
Association of Axillary Lymph Node Dissection With Oncological Outcomes in Patients With Residual Micrometastases After Neoadjuvant Chemotherapy: The OPBC-07/microNAC Study
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Secondary ID [1]
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2024-00186; bb24Weber
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breast Cancer
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Condition category
Condition code
Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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5-year rate of any axillary recurrence
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Assessment method [1]
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Assessment of the incidence of any axillary recurrence, which is defined as isolated or combined with local or distant recurrence.
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Timepoint [1]
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5 years
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Primary outcome [2]
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5-year rate of isolated axillary recurrence
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Assessment method [2]
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Assessment of the incidence of isolated axillary recurrence.
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Timepoint [2]
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5 years
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Primary outcome [3]
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Comparison of 5-year rate of axillary recurrence in patients treated with and without axillary dissection
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Assessment method [3]
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The incidence of axillary recurrence is compared between patients that were treated with and without axillary dissection.
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Timepoint [3]
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5 years
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Secondary outcome [1]
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Proportion of patients with additional micro- and macrometastases removed by axillary lymph node dissection
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Assessment method [1]
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Assessment of the proportion of patients with additional micro- and macrometastases that were removed by axillary lymph node dissection.
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Timepoint [1]
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5 years
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Secondary outcome [2]
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5-year rates of locoregional and any invasive recurrence
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Assessment method [2]
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Assessment of the incidence of locoregional and any invasive recurrence.
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Timepoint [2]
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5 years
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Secondary outcome [3]
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Comparison of 5-year rate of locoregional and any invasive recurrence in patients treated with and without axillary lymph node dissection
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Assessment method [3]
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The incidence of locoregional and any invasive recurrence is compared between patients that were treated with and without axillary lymph node dissection.
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Timepoint [3]
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5 years
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Eligibility
Key inclusion criteria
* Consecutive women and men aged 18 years or older with a diagnosis of stage I-III breast cancer (any histological and receptor subtype)
* For Clinically Node negative (cN0) at presentation: any axillary staging technique including palpation is allowed. Dual tracer mapping is not required for Sentinel Lymph Node Biopsy (SLNB)
* For Clinically Node positive (cN+) at presentation: Biopsy proven confirmation is required. Staging techniques include: SLNB with dual mapping or targeted axillary dissection (Targeted Axillary Dissection, TAD: imaging-guided localization of sampled node in combination with Sentinel Lymph Node procedure with or without dual mapping) or the Marking Axillary Lymph Nodes with Iodine Seeds (MARI) procedure
* Completed neoadjuvant chemotherapy
* Residual micrometastases detected on SLNB or TAD or MARI (on frozen section or final pathology)
* Concomitant presence of Isolated Tumor Cells (ITCs) and micrometastases in other sentinel lymph nodes is allowed
* Received axillary treatment with completion axillary lymph node dissection (ALND), axillary Radiotherapy (ART), both or none
* At least 1-year follow-up (inclusion should end in May 2023)
* Had surgery at any time point until May 2023 at the latest
* Prior history of stage I-III (not stage IV) breast cancer is allowed
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Minimum age
18
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Maximum age
100
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Did not undergo SLNB/TAD/MARI (e.g., went straight to ALND or ART)
* Presence of ITCs alone or macrometastases on the sentinel nodes (or TAD nodes or MARI node)
* Stage IV disease at presentation
* Inflammatory breast cancer at presentation
* Neoadjuvant endocrine therapy
* Micrometastases detected by One-step nucleic acid amplification (OSNA)
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Study design
Purpose
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Duration
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Selection
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Timing
Retrospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
15/05/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/06/2025
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Actual
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Sample size
Target
2000
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Accrual to date
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Final
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Recruitment in Australia
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Recruitment hospital [1]
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Chris O'Brien Lifehouse - Camperdown
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Recruitment hospital [2]
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University of Sydney - Camperdown
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NSW 2050 - Camperdown
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Funding & Sponsors
Primary sponsor type
Other
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Name
University Hospital, Basel, Switzerland
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Other
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Memorial Sloan Kettering Cancer Center
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Ethics approval
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Summary
Brief summary
The aim of this multicenter retrospective cohort study is to determine the safety of omission of axillary lymph node dissection in patients with residual micrometastases after neoadjuvant chemotherapy.
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Trial website
https://clinicaltrials.gov/study/NCT06529302
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Walter Paul Weber, Prof. Dr.
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Address
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University Hospital, Basel, Switzerland
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06529302
Download to PDF