Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 18 to 75 Women only

Irradiation of internal mammary lymph nodes in high-risk breast cancer patients after chemotherapy

Official title: Internal Mammary Lymph Nodes Irradiation in High-risk Breast Cancer After Neoadjuvant Chemotherapy: A Phase III Randomized, Controlled Clinical Trial

Run by Fujian Medical University Union Hospital · NCT06559696 · Data updated 2026-11-12

This study tests if adding radiation to the internal mammary lymph nodes can help high-risk breast cancer patients who have already had chemotherapy live longer without their cancer coming back.

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Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 75 Years
SexWomen only
Enrollment722 (estimated)
SponsorFujian Medical University Union Hospital
Academic / other
Drugs / interventionschemotherapy
Locations1 site (Fuzhou, Fujian)
StatusRecruiting
StartedJuly 15, 2024
Main results expectedJuly 15, 2032
Study endsJuly 15, 2032
Registry record updatedOctober 29, 2026
Trial IDNCT06559696 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include patients with histologically confirmed invasive breast cancer who have undergone neoadjuvant chemotherapy and have specific lymph node involvement.

Probably not a fit

Patients with distant metastases or those who have not received neoadjuvant chemotherapy are unlikely to 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

This phase 3 trial investigates the effects of internal mammary nodal irradiation (IMNI) on disease-free survival in high-risk breast cancer patients who have undergone neoadjuvant chemotherapy. Participants with axillary lymph node-positive or supra/subclavicular lymph node metastasis are randomly assigned to receive either IMNI or no IMNI in addition to standard breast or chest wall irradiation. The study aims to determine if adding IMNI improves outcomes for these patients compared to those who do not receive this treatment.

Why it matters

Potential benefit: If successful, this approach could significantly improve disease-free survival rates for high-risk breast cancer patients.

How similar studies have gone: While similar approaches have been explored, this specific intervention is novel and aims to provide new insights into treatment efficacy.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histologically confirmed invasive breast cancer
* Underwent neoadjuvant chemotherapy
* Eastern Cooperative Oncology Group Performance Status Scale 0-2
* ypN+ after neoadjuvant chemotherapy or supraclavicular/subclavicular lymph node metastasis before system therapy
* No distant metastases
* No internal mammary nodes metastases based on images before system therapy
* Willing to follow up
* Written,informed consent

Exclusion Criteria:

* Without neoadjuvant chemotherapy
* Distant metastases
* Simultaneous bilateral breast cancer
* Pathological confirmation or imaging consideration of lymph node metastasis in the internal mammary before system therapy
* Had simultaneous or previous secondary malignancies, except for non-malignant melanoma skin cancer, papillary thyroid / follicular carcinoma, cervical carcinoma in situ, contralateral non-invasive breast cancer

Where it's running

  • Fujian Medical University Union Hospital
    Fuzhou, Fujian, China
    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.