NCT05315154

Brief Summary

The VENUS trial is a prospective, multicenter, noninferiority, randomized, controlled clinical trial that compares sentinel lymph node biopsy versus no axillary surgery in women with early breast cancer (tumor \<5cm) and node-negative after clinical palpation and axillary ultrasound.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
800

participants targeted

Target at P75+ for not_applicable breast-cancer

Timeline
39mo left

Started Oct 2019

Longer than P75 for not_applicable breast-cancer

Geographic Reach
1 country

18 active sites

Status
active not recruiting

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 Progress68%
Oct 2019Oct 2029

Study Start

First participant enrolled

October 2, 2019

Completed
2.5 years until next milestone

First Submitted

Initial submission to the registry

March 20, 2022

Completed
18 days until next milestone

First Posted

Study publicly available on registry

April 7, 2022

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 22, 2026

Completed
3.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

October 2, 2029

Expected
Last Updated

May 7, 2026

Status Verified

May 1, 2026

Enrollment Period

6.6 years

First QC Date

March 20, 2022

Last Update Submit

May 3, 2026

Conditions

Keywords

Breast cancerSentinel Lymph Node

Outcome Measures

Primary Outcomes (1)

  • Disease free survival (DFS)

    Interval between the end of treatment and the diagnosis of any disease recurrence (breast, axilla or distant) by image exams or biopsy

    5 years

Secondary Outcomes (3)

  • Overall survival (OS)

    5 years

  • Locoregional free survival

    5 years

  • Axillary recurrence rate

    5 years

Study Arms (2)

No axillary surgery

EXPERIMENTAL
Procedure: No axillary surgery

Sentinel lymph node biopsy

ACTIVE COMPARATOR
Procedure: SLNB

Interventions

In the study arm will be omitted surgery in axilla

No axillary surgery
SLNBPROCEDURE

in the control arm will be realized SLNB

Sentinel lymph node biopsy

Eligibility Criteria

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

You may qualify if:

  • Women
  • Aged 18 years or older
  • Histologically confirmed invasive breast carcinoma (core or open biopsy), independent of hormone receptor and HER2 status
  • Tumor smaller than 5 cm (T1 or T2) in clinical and radiological exams
  • Clinically negative axilla
  • Sonographically negative axilla or negative core biopsy/ fine needle biopsy (FNB) when ultrasound is suspect (lymph node tissue is required in core/FNB sample)
  • Planned breast conservative surgery or mastectomy
  • Written informed consent

You may not qualify if:

  • Previous diagnostic of any invasive neoplasia (excluded skin cancer no melanoma)
  • Metastatic disease in biopsy or image before treatment
  • Withdrawal from participating of the study
  • Initiated treatment for current breast cancer prior to study enrollment
  • Pregnancy
  • Breastfeed

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Hospital Geral de Fortaleza

Fortaleza, Ceará, Brazil

Location

Maternidade Dona Iris

Goiânia, Goiás, Brazil

Location

Universidade Federal de Goiás

Goiânia, Goiás, Brazil

Location

Hospital de Clínica da Universidade Federal de Minas Gerais

Belo Horizonte, Minas Gerais, Brazil

Location

Hospital do Câncer de Muriaé da Fundação Cristiano Varella

Muriaé, Minas Gerais, Brazil

Location

Universidade Federal do Paraná

Curitiba, Paraná, Brazil

Location

Hospital Barão de Lucena

Recife, Pernambuco, Brazil

Location

Oncocenter

Teresina, Piauí, Brazil

Location

Universidade Federal do Piauí

Teresina, Piauí, Brazil

Location

Hospital Federal da Lagoa

Rio de Janeiro, Rio de Janeiro, Brazil

Location

Liga Norte Riograndense Contra o Câncer

Natal, Rio Grande do Norte, Brazil

Location

Hospital de Clínicas de Porto Alegre - UFRS

Porto Alegre, Rio Grande do Sul, Brazil

Location

Hospital de Amor - Fundação Pio XII

Barretos, São Paulo, Brazil

Location

Unesp

Botucatu, São Paulo, Brazil

Location

Hospital Celso Pierro - PUCC

Campinas, São Paulo, Brazil

Location

Hospital da Mulher Prof.Dr. J A Pinotti - UNICAMP

Campinas, São Paulo, Brazil

Location

Hospital da Mulher

São Paulo, São Paulo, Brazil

Location

Hospital do Servidor Público Estadual

São Paulo, São Paulo, Brazil

Location

Related Publications (2)

  • Araujo DCM, Duarte GM, Jales RM, Shinzato JY, Cardoso Filho C, Torresan RZ, Brenelli FP, Esteves SCB, Sarian LO. Sentinel lymph node biopsy vs no axillary surgery in early breast cancer clinically and ultrasonographically node negative: A prospective randomized controlled trial-VENUS trial. Breast J. 2020 Oct;26(10):2087-2089. doi: 10.1111/tbj.13994. Epub 2020 Jul 30. No abstract available.

    PMID: 32729181BACKGROUND
  • Duarte GM, Araújo DCM, Jales RM, Shinzato JY, Cardoso Filho C, Torresan RZ, Brenelli FB, Kraft MBPL, Esteves SCB, Sarian LOZ, Rahal RMS, Freitas Jr R, Pessoa EC, Lucena CEM, Damin APS, Biazus JV, Budel VM, Oliveira Jr I, Vieira RAC, Gomes JCN. Sentinel lymph node biopsy versus no axillary surgery in early breast cancer clinically and ultrasonographically node negative: A multicentre prospective randomized controlled trial (VENUS trial. Cancer Research. 2022 82 (4_Supplement): OT1-04-03. DOI: https://doi.org/10.1158/1538-7445.SABCS21-OT1-04-03 Published: 15 February 2022

    BACKGROUND

MeSH Terms

Conditions

Breast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Study Officials

  • Giuliano Duarte, MD, PhD

    Universidade Estadual de Campinas, Unicamp

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD PhD

Study Record Dates

First Submitted

March 20, 2022

First Posted

April 7, 2022

Study Start

October 2, 2019

Primary Completion

April 22, 2026

Study Completion (Estimated)

October 2, 2029

Last Updated

May 7, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations