Ireland
--:--IST
Enrolling by invitation Observational

Validation of TAD in HER-2 with More Than 2 Lymph Nodes

NCT06821490 · tracked via the Priya Life Science Spain tracker
Phase
Observational
Started
2024-06-30
Last updated
2025-02-12

Condition(s) studied

Breast Carcinoma Metastatic in Lymph NodeHER2 Positive Breast Carcinoma

Investigational drug(s) / intervention(s)

Targeted axillary dissection and subsequently a lymphadenectomy

Targeted axillary dissection and subsequently a lymphadenectomy: Selective sentinel lymph node biopsy is performed, along with biopsy of the node marked at diagnosis. Subsequently, a lymphadenectomy is performed, with the three samples separated for pathological study during the same surgical procedure

Study summary

The main objective of the study is to validate the DAT technique in patients with Her2-positive breast cancer who have more than two positive axillary lymph nodes at diagnosis. After receiving adequate oncological treatment and axillary assessment by ultrasound for complete radiological response, DAT and Berg level I and II lymphadenectomy will be performed to assess false negatives and positives, as well as their sensitivity and specificity.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * ECOG 0-1 (physical condition: able to walk and live a normal life) * Patients with early-stage breast cancer (BC) with histopathological diagnosis of HER2+ and axillary involvement. Patients with either positive or negative hormonal receptor expression will be included. * Patients must have marked the pathological axillary lymph node. * Any number of affected or suspicious lymph nodes at diagnosis is allowed. * Patients will receive appropriate neoadjuvant treatment based on a combination of chemotherapy and anti-HER2 therapy. • After neoadjuvant treatment and prior to surgery, radiological response will be assessed. * No relevant comorbidities, adequate liver and kidney function, and no contraindications to receive neoadjuvant treatment followed by surgery and radiotherapy. Exclusion Criteria: * Patients with inoperable breast cancer. * Patients with a diagnosis of inflammatory breast cancer. * Patients without a diagnostic biopsy of the suspicious lymph node or the presence of axillary conglomerate.

Primary outcome measure(s)

  • Location of the marked lymph node and the sentinel lymph node, and assessment after lymphadenectomy of number of true positives and negatives, sensitivity and specificity — From enrollment to the end of treatment at 12 months
    Determining the number of positive and negative nodes in targeted axillary dissection and axillary lymphadenectomy

Trial sites (1)

FacilityCityRegionStatus
Hospital Clínico de la Comunidad Valenciana Valencia Valencia
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06821490 on ClinicalTrials.gov ↗ ← All trials in Spain