Study Stopped
P.I. left
Sentinel and/or Axillary Lymph Node Biopsy With or Without Axillary Reverse Mapping in Reducing Incidence and Severity of Arm Lymphedema in Stage 0-2 Patients.
Reducing the Incidence and Severity of Arm Lymphedema With Axillary Reverse Mapping and Implementation of a Lymphedema Screening and Intervention Program
2 other identifiers
interventional
4
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Dec 2010
Shorter than P25 for phase_2
1 active site
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
CompletedFirst Submitted
Initial submission to the registry
January 11, 2011
CompletedFirst Posted
Study publicly available on registry
January 13, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2011
CompletedResults Posted
Study results publicly available
August 1, 2014
CompletedAugust 1, 2014
February 1, 2014
10 months
January 11, 2011
July 1, 2014
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
EXPERIMENTALPatients 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.
SNB or ALND (+/- SNB)
ACTIVE COMPARATORPatients 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.
Interventions
Given intradermally and periareolarly
Given subcutaneously
Given subcutaneously
Undergo sentinel lymph node biopsy
Undergo axillary lymph node biopsy
Correlative studies
Ancillary studies
Eligibility Criteria
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
- University of Southern Californialead
- National Cancer Institute (NCI)collaborator
Study Sites (1)
USC/Norris Comprehensive Cancer Center
Los Angeles, California, 90033, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
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
- PRINCIPAL INVESTIGATOR
Dennis Holmes
University of Southern California
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