Comparing sentinel lymph node biopsy to no surgery in early breast cancer
Official title: Sentinel Lymph Node Biopsy Versus No Axillary Surgery in Early Breast Cancer Clinically and Ultrasonographically Node-negative
Run by University of Campinas, Brazil · NCT05315154 · Data updated 2026-05-14
This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.
This study is testing if women with early breast cancer can safely skip a specific type of surgery called sentinel lymph node biopsy, to see if it helps avoid unnecessary procedures.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 800 (estimated) |
| Sponsor | University of Campinas, Brazil Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 18 sites (Fortaleza, CE and 17 other locations) |
| Trial ID | NCT05315154 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are women aged 18 and older with histologically confirmed invasive breast carcinoma, tumors smaller than 5 cm, and clinically negative axilla.
✕Probably not a fit
Patients with previous invasive neoplasia, metastatic disease, or those who have started treatment for breast cancer prior to enrollment may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The VENUS trial is a multicenter, randomized clinical trial that evaluates the safety of omitting sentinel lymph node biopsy (SLNB) in women with early breast cancer who have clinically and sonographically negative axilla. The study aims to determine if avoiding SLNB is a safe option for well-selected patients, potentially reducing unnecessary surgical interventions. Participants include women aged 18 and older with invasive breast carcinoma and tumors smaller than 5 cm. The trial will compare outcomes between those undergoing SLNB and those who do not have any axillary surgery.
Why it matters
Potential benefit: If successful, this study could lead to less invasive treatment options for women with early breast cancer, reducing surgical risks and improving quality of life.
How similar studies have gone: Previous studies, such as ACOSOG Z0011, have shown that omitting axillary surgery can be safe in certain patient populations, suggesting potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
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
Where it's running
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Hospital Geral de Fortaleza
Fortaleza, Ce, Brazil Recruiting -
Maternidade Dona Iris
Goiânia, Go, Brazil Recruiting -
Universidade Federal de Goiás
Goiânia, Go, Brazil Recruiting -
Hospital de Clínica da Universidade Federal de Minas Gerais
Belo Horizonte, Mg, Brazil Recruiting -
Hospital do Câncer de Muriaé da Fundação Cristiano Varella
Muriaé, Mg, Brazil Recruiting -
Hospital Barão de Lucena
Recife, Pe, Brazil Recruiting
Show 12 more locations
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Oncocenter
Teresina, Pi, Brazil Recruiting -
Universidade Federal do Piauí
Teresina, Pi, Brazil Recruiting -
Universidade Federal do Paraná
Curitiba, Pr, Brazil Recruiting -
Hospital Federal da Lagoa
Rio De Janeiro, Rj, Brazil Recruiting -
Liga Norte Riograndense Contra o Câncer
Natal, Rn, Brazil Recruiting -
Hospital de Clínicas de Porto Alegre - UFRS
Porto Alegre, Rs, Brazil Recruiting -
Hospital de Amor - Fundação Pio XII
Barretos, Sp, Brazil Recruiting -
Unesp
Botucatu, Sp, Brazil Recruiting -
Hospital Celso Pierro - PUCC
Campinas, Sp, Brazil Recruiting -
Hospital da Mulher Prof.Dr. J A Pinotti - UNICAMP
Campinas, Sp, Brazil Recruiting -
Hospital da Mulher
São Paulo, Sp, Brazil Recruiting -
Hospital do Servidor Público Estadual
São Paulo, Sp, Brazil Not yet recruiting
Study contacts
- Principal investigator: Giuliano Duarte, MD, PhD — Universidade Estadual de Campinas, Unicamp
- Study coordinator: Giuliano Duarte, MD, PhD
- Email: estudovenus@gmail.com
- Phone: +55 19 35219305
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.