Could skipping axillary surgery be safe for early breast cancer patients?
NCT ID NCT05315154
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether women with early breast cancer (tumors smaller than 5 cm) and no signs of cancer in the lymph nodes can safely avoid axillary surgery. About 800 women will be randomly assigned to either have a sentinel lymph node biopsy or no surgery at all. The goal is to see if skipping surgery leads to similar rates of cancer recurrence and survival, while potentially reducing side effects like arm swelling.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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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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About 800 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2019
- Expected to finish
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Oct 2029
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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 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 Exclusion Criteria: * 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
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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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Hospital Barão de Lucena
Recife, Pernambuco, Brazil
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Hospital Celso Pierro - PUCC
Campinas, São Paulo, Brazil
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Hospital Federal da Lagoa
Rio de Janeiro, Rio de Janeiro, Brazil
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Hospital Geral de Fortaleza
Fortaleza, Ceará, Brazil
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Hospital da Mulher
São Paulo, São Paulo, Brazil
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Hospital da Mulher Prof.Dr. J A Pinotti - UNICAMP
Campinas, São Paulo, Brazil
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Hospital de Amor - Fundação Pio XII
Barretos, São Paulo, Brazil
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Hospital de Clínica da Universidade Federal de Minas Gerais
Belo Horizonte, Minas Gerais, Brazil
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Hospital de Clínicas de Porto Alegre - UFRS
Porto Alegre, Rio Grande do Sul, Brazil
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Hospital do Câncer de Muriaé da Fundação Cristiano Varella
Muriaé, Minas Gerais, Brazil
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Hospital do Servidor Público Estadual
São Paulo, São Paulo, Brazil
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Liga Norte Riograndense Contra o Câncer
Natal, Rio Grande do Norte, Brazil
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Maternidade Dona Iris
Goiânia, Goiás, Brazil
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Oncocenter
Teresina, Piauí, Brazil
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Unesp
Botucatu, São Paulo, Brazil
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Universidade Federal de Goiás
Goiânia, Goiás, Brazil
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Universidade Federal do Paraná
Curitiba, Paraná, Brazil
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Universidade Federal do Piauí
Teresina, Piauí, Brazil
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