Clinical trial Recruiting at 1 site Interventional Ages 18 and up Women only

Immune checkpoint washout for axillary lymph node staging in invasive ductal breast cancer

Official title: Detection of Lymph Node Positivity in Patients With Invasive Ductal Breast Cancer Using Immun Checkpoint Washout

Run by Istanbul Training and Research Hospital · NCT07003009 · Data updated 2026-11-12

This test sees if washing axillary lymph nodes for immune checkpoint markers can help find cancer spread in people with invasive ductal breast cancer who are scheduled for neoadjuvant therapy.

Quick facts

Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment30 (estimated)
SponsorIstanbul Training and Research Hospital
Government
Drugs / interventionsipilimumab, nivolumab
Locations1 site (Istanbul)
StatusRecruiting
StartedJanuary 1, 2024
Main results expectedSeptember 1, 2025
Study endsOctober 1, 2025
Registry record updatedJune 4, 2025
Trial IDNCT07003009 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with confirmed invasive ductal carcinoma who are scheduled to receive neoadjuvant therapy and are undergoing axillary lymph node evaluation are ideal candidates.

Probably not a fit

Patients with discordant FNAB results as specified in the exclusions, pregnant people, those with immunodeficiency, or those with another primary cancer would be excluded and unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Patients with histopathologically confirmed invasive ductal carcinoma who are planned for neoadjuvant therapy will have washout fluid collected from axillary lymph nodes characterized as benign or suspicious on ultrasound. Washout specimens will be analyzed for immune checkpoint markers and compared with results from fine-needle aspiration or core biopsy and final pathology. The aim is to determine whether immune checkpoint washout could serve as a faster, lower-cost adjunct to ultrasound and biopsy for lymph node staging. Standard exclusions include negative FNAB of a suspected metastatic node, malignant FNAB of a presumed healthy node, pregnancy, immunodeficiency, or another primary malignancy.

Why it matters

Potential benefit: If successful, this method could provide a faster and less costly way to detect axillary metastases and help guide preoperative treatment decisions.

How similar studies have gone: Washout testing is well established in thyroid cancer, but applying immune checkpoint washout to breast axillary node staging is largely novel with limited supporting data.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histopathologically proven invasive ductal carcinoma
* Patients who will have neoadjuvant therapy

Exclusion Criteria:

* The fine-needle aspiration biopsy (FNAB) result of the suspected metastatic lymph node is negative.
* The FNAB result of the presumed healthy lymph node is malignant.
* They refuse to participate in the study.
* They have another primary malignancy.
* They are pregnant.
* They have a history of immunodeficiency.

Where it's running

  • Istanbul Training and Research Hospital
    Istanbul, Turkey (Türkiye)
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.