Sentinel Node Biopsy and Axillary Sampling in Operable Breast Cancer

The recruitment status of this study is unknown because the information has not been verified recently.
Verified May 2008 by Tata Memorial Hospital.
Recruitment status was  Recruiting
Indian Council of Medical Research
Information provided by:
Tata Memorial Hospital Identifier:
First received: August 8, 2005
Last updated: May 1, 2008
Last verified: May 2008

The advent of mammography and increased awareness of breast cancer has resulted in detection of smaller tumors, the majority of which would not have had metastasized to the axillary lymph nodes. The sentinel node (SN) is presumably the first echelon node in the axillary basin to become involved with metastatic breast cancer cells. Sentinel node biopsy (SNB) in operable breast cancer has gained popularity since it promises to avoid treatment of the axilla when the nodes are negative for metastasis. Advances in technology (radio-guided SNB) is associated with a risk of false negative SN reporting in 4-12%. The consequence of leaving behind untreated positive non-sentinel nodes in the axilla is a potential risk for axillary recurrence. Axillary sampling is a simple and inexpensive procedure in which level I nodes are removed by a blind dissection. The investigators critically analyzed the efficacy of both the procedures separately in consecutive pilot studies i.e., targeted SNB versus blind axillary sampling. The current study is planned as a prospective comparison study where a patient undergoes both the procedures in the same surgical intervention and thus provides an immediate comparison of the two techniques with respect to their effectiveness.

Condition Intervention Phase
Cancer of the Breast
Procedure: Radio-guided sentinel node biopsy
Procedure: Axillary sampling
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Official Title: Clinical Trial of Sentinel Node Biopsy Versus Axillary Sampling in Women With Clinically Node Negative Operable Breast Cancer

Resource links provided by NLM:

Further study details as provided by Tata Memorial Hospital:

Primary Outcome Measures:
  • Comparison of methodologies in predicting status of axillary lymph nodes

Secondary Outcome Measures:
  • Number of lymph nodes identified by sentinel node biopsy and axillary sampling
  • Number of times the sentinel node is found within the sampled nodes
  • False negative rate by each method
  • Negative predictive value for each method

Estimated Enrollment: 1000
Study Start Date: September 2005
Estimated Study Completion Date: August 2009
  Show Detailed Description


Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Clinically node negative operable breast cancer
  • No prior incision or excision biopsy

Exclusion Criteria:

  • Palpable axillary lymph nodes
  • Contraindications for injecting radiocolloid
  Contacts and Locations
Please refer to this study by its identifier: NCT00128362

Contact: Rajendra A Badwe, M.S. 91-22-2417-7299
Contact: Parmar Vani, M.S., D.N.B. 91-22-2417-7194

Tata Memorial Hospital Recruiting
Mumbai, Maharashtra, India, 400 012
Contact: Rajendra A Badwe, M.S.    91-22-2417-7299   
Contact: Vani Parmar, M.S., D.N.B.    91-22-2417-7194   
Principal Investigator: Rajendra A Badwe, M.S.         
Sub-Investigator: Vani Parmar, M.S., D.N.B         
Sub-Investigator: Narendra Nair, M.D.         
Sub-Investigator: Roshni F Chinoy, M.D.         
Sponsors and Collaborators
Tata Memorial Hospital
Indian Council of Medical Research
Principal Investigator: Rajendra A Badwe, M.S. Tata Memorial Hospital
  More Information

Additional publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Dr R A badwe, Tata memorial Hospital Identifier: NCT00128362     History of Changes
Other Study ID Numbers: TMH/115/2003, No.5/13/66/2003-NCD-III
Study First Received: August 8, 2005
Last Updated: May 1, 2008
Health Authority: India: Indian Council of Medical Research

Keywords provided by Tata Memorial Hospital:
Sentinel node
Axillary sampling
Operable breast cancer

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases processed this record on April 17, 2014