New surgery aims to stop lymphedema in cancer patients
NCT ID NCT03428581
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a surgical method to prevent lymphedema (arm swelling) in people having lymph nodes removed for breast cancer or melanoma. The technique, called axillary reverse mapping with lympho-venous bypass, aims to preserve arm drainage while removing cancer-affected nodes. The trial was terminated early, so it's unclear how well it works.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- surgical procedure (axillary reverse mapping with lympho-venous bypass)
- What this could lead to
- If successful, this approach could reduce the risk of chronic arm swelling after lymph node removal, improving quality of life for cancer survivors.
- What could go wrong
- The trial was terminated early, so results are limited. The procedure is complex and may not work for everyone. It also requires a skilled surgeon, limiting widespread use.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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264 people
The number who actually took part.
- Started
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Apr 2018
- Finished
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Jul 2025
- 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 * Patients scheduled to undergo an axillary lymph node dissection * Patients who in the surgeon's judgement are at high risk to convert to an axillary lymph node dissection based intraoperative findings * English speaking Exclusion Criteria * Prior ipsilateral axillary lymph node dissection * Prior ipsilateral axillary radiation * Patients undergoing sentinel lymph node biopsy only or at low risk of converting to an axillary lymph node dissection in the surgeon's judgement * Previous treatment for lymphedema of either arm or prescribed prophylactic treatment for lymphedema. * Pregnant patients cannot participate in the substudy
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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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Mayo Clinic in Florida
Jacksonville, Florida, 32224, United States
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Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
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