New mapping technique may stop arm swelling in breast cancer patients
NCT ID NCT03927027
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a technique called axillary reverse mapping (ARM) to see if it can prevent lymphedema—painful arm swelling—after breast cancer surgery. About 534 people with stage I-III breast cancer will be followed for 3 years. The goal is to find out if mapping and preserving lymph vessels during lymph node removal reduces swelling without increasing cancer recurrence.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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534 people
The number who actually took part.
- Started
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Jul 2019
- Expected to finish
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Jan 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Documentation of Disease: cT1-3 patients undergoing axillary surgery who additionally meet one of the following conditions: * Clinically node negative patients undergoing mastectomy and sentinel lymph node biopsy (SLNB) with possible axillary lymph node dissection (ALND) if SLNB is positive. If ALND is performed during a separate operation, ARM procedure must be repeated. Clinically node negative is defined by i) negative clinical exam and/or ii) negative axillary US and/or iii) negative needle biopsy of sonographically suspicious axillary nodes as applicable to each case. * Clinically node positive patients as determined by needle biopsy and planned for ALND regardless of type of breast surgery. * Patients will be staged according to the TNM staging system. * Prior Treatment: No prior axillary surgery except needle biopsy or concurrent SLNB. o Prior neoadjuvant chemotherapy is allowed but must be completed at least 2 weeks before registration. * No prior history of ipsilateral breast cancer (invasive or ductal breast carcinoma in situ \[DCIS\]). Lobular breast carcinoma in situ (LCIS) and benign disease are allowed. (May have neoadjuvant chemotherapy which must be completed 2 weeks before registration). * No bilateral invasive breast cancer. * No matted nodes. * No history of lymphedema of either arm. * No known allergies blue dyes, including make-up containing blue dye. * In order to complete the mandatory patient-completed measures, participants must be able to speak and/or read English. * Female : Men are excluded from this study because the number of men with breast cancer is insufficient to provide a statistical basis for assessment of effects in this subpopulation of people with breast cancer. * Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2. * Creatinine: =\< 1.5 x upper limit of normal (ULN).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Advocate Christ Medical Center
Oak Lawn, Illinois, 60453-2699, United States
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Alta Bates Summit Medical Center - Summit Campus
Oakland, California, 94609, United States
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Anne Arundel Medical Center
Annapolis, Maryland, 21401, United States
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Ascension Medical Group Southeast Wisconsin - Mayfair Road
Wauwatosa, Wisconsin, 53226, United States
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Ascension Southeast Wisconsin Hospital - Elmbrook Campus
Brookfield, Wisconsin, 53045, United States
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Asplundh Cancer Pavilion
Willow Grove, Pennsylvania, 19090, United States
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Aurora BayCare Medical Center
Green Bay, Wisconsin, 54311, United States
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Aurora Cancer Care-Grafton
Grafton, Wisconsin, 53024, United States
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Aurora Saint Luke's Medical Center
Milwaukee, Wisconsin, 53215, United States
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Aurora Sinai Medical Center
Milwaukee, Wisconsin, 53233, United States
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Aurora West Allis Medical Center
West Allis, Wisconsin, 53227, United States
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Baptist MD Anderson Cancer Center
Jacksonville, Florida, 32207, United States
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Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
Houston, Texas, 77030, United States
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Beebe Health Campus
Rehoboth Beach, Delaware, 19971, United States
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Beebe South Coastal Health Campus
Frankford, Delaware, 19945, United States
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Cancer Institute at Saint Francis Hospital
East Hills, New York, 11548, United States
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Case Western Reserve University
Cleveland, Ohio, 44106, United States
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Christiana Care Health System-Christiana Hospital
Newark, Delaware, 19718, United States
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Cleveland Clinic Akron General
Akron, Ohio, 44307, United States
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Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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Contra Costa Regional Medical Center
Martinez, California, 94553-3156, United States
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Cooper Hospital University Medical Center
Camden, New Jersey, 08103, United States
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Geauga Hospital
Chardon, Ohio, 44024, United States
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Geisinger South Wilkes-Barre
Wilkes-Barre, Pennsylvania, 18765, United States
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Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre, Pennsylvania, 18711, United States
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Good Samaritan Hospital Medical Center
West Islip, New York, 11795, United States
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Goshen Center for Cancer Care
Goshen, Indiana, 46526, United States
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Helen F Graham Cancer Center
Newark, Delaware, 19713, United States
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Henry Ford Hospital
Detroit, Michigan, 48202, United States
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Henry Ford Macomb Hospital-Clinton Township
Clinton Township, Michigan, 48038, United States
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Henry Ford West Bloomfield Hospital
West Bloomfield, Michigan, 48322, United States
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Henry Ford Wyandotte Hospital
Wyandotte, Michigan, 48192, United States
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Holy Cross Hospital
Fort Lauderdale, Florida, 33308, United States
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M D Anderson Cancer Center
Houston, Texas, 77030, United States
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MD Anderson League City
League City, Texas, 77573, United States
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MD Anderson West Houston
Houston, Texas, 77079, United States
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MD Anderson in Sugar Land
Sugar Land, Texas, 77478, United States
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MD Anderson in The Woodlands
Conroe, Texas, 77384, United States
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Mayo Clinic in Florida
Jacksonville, Florida, 32224-9980, United States
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McLaren Cancer Institute-Bay City
Bay City, Michigan, 48706, United States
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Mount Carmel East Hospital
Columbus, Ohio, 43213, United States
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Mount Carmel New Albany Surgical Hospital
New Albany, Ohio, 43054, United States
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NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
New York, New York, 10032, United States
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Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210, United States
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Orlando Health Cancer Institute
Orlando, Florida, 32806, United States
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Parkland Memorial Hospital
Dallas, Texas, 75235, United States
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Penn Presbyterian Medical Center
Philadelphia, Pennsylvania, 19104, United States
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Pennsylvania Hospital
Philadelphia, Pennsylvania, 19107, United States
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Piedmont Fayette Hospital
Fayetteville, Georgia, 30214, United States
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Pluta Cancer Center
Rochester, New York, 14623, United States
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Robert Wood Johnson University Hospital Somerset
Somerville, New Jersey, 08876, United States
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Rush University Medical Center
Chicago, Illinois, 60612, United States
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Saint John's Cancer Institute
Santa Monica, California, 90404, United States
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Shaw Cancer Center
Edwards, Colorado, 81632, United States
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Sidney Kimmel Cancer Center Washington Township
Sewell, New Jersey, 08080, United States
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Swedish Cancer Institute-Issaquah
Issaquah, Washington, 98029, United States
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Swedish Medical Center-First Hill
Seattle, Washington, 98122, United States
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The James Graham Brown Cancer Center at University of Louisville
Louisville, Kentucky, 40202, United States
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Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107, United States
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UC San Diego Moores Cancer Center
La Jolla, California, 92093, United States
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UH Seidman Cancer Center at Firelands Regional Medical Center
Sandusky, Ohio, 44870, United States
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UH Seidman Cancer Center at Lake Health Mentor Campus
Mentor, Ohio, 44060, United States
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UH Seidman Cancer Center at Saint John Medical Center
Westlake, Ohio, 44145, United States
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UH Seidman Cancer Center at Southwest General Hospital
Middleburg Heights, Ohio, 44130, United States
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UHHS-Chagrin Highlands Medical Center
Beachwood, Ohio, 44122, United States
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UHHS-Westlake Medical Center
Westlake, Ohio, 44145, United States
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UM Sylvester Comprehensive Cancer Center at Coral Gables
Coral Gables, Florida, 33146, United States
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UM Sylvester Comprehensive Cancer Center at Deerfield Beach
Deerfield Beach, Florida, 33442, United States
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UM Sylvester Comprehensive Cancer Center at Kendall
Miami, Florida, 33176, United States
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UM Sylvester Comprehensive Cancer Center at Plantation
Plantation, Florida, 33324, United States
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UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599, United States
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UT Southwestern/Simmons Cancer Center-Dallas
Dallas, Texas, 75390, United States
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UTMB Cancer Center at Victory Lakes
League City, Texas, 77573, United States
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UTMB Health Angleton Danbury Campus
Angleton, Texas, 77515, United States
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University Hospitals Parma Medical Center
Parma, Ohio, 44129, United States
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University Hospitals Portage Medical Center
Ravenna, Ohio, 44266, United States
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University Hospitals Sharon Health Center
Wadsworth, Ohio, 44281, United States
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University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205, United States
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University of Cincinnati Cancer Center-UC Medical Center
Cincinnati, Ohio, 45219, United States
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University of Cincinnati Cancer Center-West Chester
West Chester, Ohio, 45069, United States
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University of Florida Health Science Center - Gainesville
Gainesville, Florida, 32610, United States
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University of Kansas Cancer Center
Kansas City, Kansas, 66160, United States
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University of Kansas Hospital-Indian Creek Campus
Overland Park, Kansas, 66211, United States
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University of Kansas Hospital-Westwood Cancer Center
Westwood, Kansas, 66205, United States
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University of Miami Miller School of Medicine-Sylvester Cancer Center
Miami, Florida, 33136, United States
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University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104, United States
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University of Pennsylvania/Abramson Cancer Center
Philadelphia, Pennsylvania, 19104, United States
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University of Pittsburgh Cancer Institute (UPCI)
Pittsburgh, Pennsylvania, 15232, United States
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University of Rochester
Rochester, New York, 14642, United States
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University of Texas Medical Branch
Galveston, Texas, 77555-0565, United States
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VCU Massey Cancer Center at Stony Point
Richmond, Virginia, 23235, United States
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Virginia Commonwealth University/Massey Cancer Center
Richmond, Virginia, 23298, United States
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Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157, United States
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Wayne State University/Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
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Weisberg Cancer Treatment Center
Farmington Hills, Michigan, 48334, United States
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Women and Infants Hospital
Providence, Rhode Island, 02905, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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