NCT01276054

Brief Summary

Lymph node biopsy followed by axillary reverse mapping may reduce the incidence and severity of arm lymphedema. This randomized phase II trial is studying how well sentinel and/or axillary lymph node biopsy with or without axillary reverse mapping works in reducing incidence and severity of lymphedema in patients with resectable stage 0-II breast cancer

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
4

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Dec 2010

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2010

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

January 11, 2011

Completed
2 days until next milestone

First Posted

Study publicly available on registry

January 13, 2011

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2011

Completed
2.8 years until next milestone

Results Posted

Study results publicly available

August 1, 2014

Completed
Last Updated

August 1, 2014

Status Verified

February 1, 2014

Enrollment Period

10 months

First QC Date

January 11, 2011

Results QC Date

July 1, 2014

Last Update Submit

July 1, 2014

Conditions

Outcome Measures

Primary Outcomes (1)

  • Whether or Not a Patient Has Developed Grade 1+ LE

    LE is defined using the CTCAE v3 definition: a \>5-10% increase in the inter-limb volume in the ipsilateral arm compared to the unaffected arm.

    During the first year post-operatively

Study Arms (2)

SNB plus ARM or ALND (+/- SNB) plus ARM

EXPERIMENTAL

Patients undergo sentinel lymph node biopsy (SNB) and/or axillary lymph node biopsy (ALND) using technetium Tc 99m sulfur colloid followed by methylene blue or indocyanine green solution tracer for localization of the arm lymph node. Patients then undergo an axillary reverse mapping.

Radiation: technetium Tc 99m sulfur colloidDrug: methylene blueDrug: indocyanine green solutionProcedure: sentinel lymph node biopsyProcedure: axillary lymph node biopsyProcedure: bioimpedance spectroscopyProcedure: quality-of-life assessmentOther: lymphedema management

SNB or ALND (+/- SNB)

ACTIVE COMPARATOR

Patients undergo SNB and/or ALND using technetium Tc 99m sulfur colloid followed by methylene blue or indocyanine green solution tracer for localization of the arm lymph node.

Radiation: technetium Tc 99m sulfur colloidDrug: methylene blueDrug: indocyanine green solutionProcedure: sentinel lymph node biopsyProcedure: axillary lymph node biopsyProcedure: bioimpedance spectroscopyProcedure: quality-of-life assessment

Interventions

Given intradermally and periareolarly

Also known as: Tc 99m Sulfur Colloid, Tc-99m SC
SNB or ALND (+/- SNB)SNB plus ARM or ALND (+/- SNB) plus ARM

Given subcutaneously

Also known as: Azul de Metileno, Azul Metile, Blu di Metilene, MB
SNB or ALND (+/- SNB)SNB plus ARM or ALND (+/- SNB) plus ARM

Given subcutaneously

Also known as: IC-GREEN, ICG solution
SNB or ALND (+/- SNB)SNB plus ARM or ALND (+/- SNB) plus ARM

Undergo sentinel lymph node biopsy

Also known as: sentinel node biopsy
SNB or ALND (+/- SNB)SNB plus ARM or ALND (+/- SNB) plus ARM

Undergo axillary lymph node biopsy

Also known as: axillary node biopsy
SNB or ALND (+/- SNB)SNB plus ARM or ALND (+/- SNB) plus ARM

Correlative studies

Also known as: BIS
SNB or ALND (+/- SNB)SNB plus ARM or ALND (+/- SNB) plus ARM

Ancillary studies

Also known as: quality of life assessment
SNB or ALND (+/- SNB)SNB plus ARM or ALND (+/- SNB) plus ARM

Undergo axillary reverse mapping

SNB plus ARM or ALND (+/- SNB) plus ARM

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Stage 0, I, and II Breast Cancer
  • Not pregnant or breastfeeding
  • Breast cancer or prophylactic mastectomy requiring axillary nodal staging
  • Ability to read and/or comprehend consent form and questionnaires
  • Ability to follow-up per protocol
  • Unilateral axillary staging

You may not qualify if:

  • Stage 3
  • Previous axillary lymph node dissection
  • Neoadjuvant chemotherapy or hormonal therapy exceeding greater than 30 days duration
  • Allergy to blue dyes or iodine; NOTE: a non-blue dye or non-iodine-containing dye may be used in these patients
  • Patients with implanted medical devices such as a pacemaker may undergo perometry, but not BIS (Bioelectrical Impedance Spectroscopy)
  • Previous diagnosis of LE (lymphedema) of either extremity
  • Bilateral axillary staging

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

USC/Norris Comprehensive Cancer Center

Los Angeles, California, 90033, United States

Location

MeSH Terms

Conditions

LymphedemaBreast Neoplasms

Interventions

Technetium Tc 99m Sulfur ColloidMethylene BlueIndocyanine GreenSentinel Lymph Node Biopsy

Condition Hierarchy (Ancestors)

Lymphatic DiseasesHemic and Lymphatic DiseasesNeoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Sulfur CompoundsInorganic ChemicalsTechnetium CompoundsPhenothiazinesOrganic ChemicalsHeterocyclic Compounds, 3-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsIndolesHeterocyclic Compounds, 2-RingBiopsyCytodiagnosisCytological TechniquesClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisSpecimen HandlingDiagnostic Techniques, SurgicalSurgical Procedures, OperativeLymph Node ExcisionInvestigative Techniques

Limitations and Caveats

Study terminated early due to P.I. moving to another institution.

Results Point of Contact

Title
Victoria Soto, Project Specialist, Clinical Investigations Support Office
Organization
USC Norris Comprehensive Cancer Center

Study Officials

  • Dennis Holmes

    University of Southern California

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 11, 2011

First Posted

January 13, 2011

Study Start

December 1, 2010

Primary Completion

October 1, 2011

Study Completion

October 1, 2011

Last Updated

August 1, 2014

Results First Posted

August 1, 2014

Record last verified: 2014-02

Locations