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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | Women only |
| Enrollment | 722 (estimated) |
| Sponsor | Fujian Medical University Union Hospital Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Fuzhou, Fujian) |
| Status | Recruiting |
| Started | July 15, 2024 |
| Main results expected | July 15, 2032 |
| Study ends | July 15, 2032 |
| Registry record updated | October 29, 2026 |
| Trial ID | NCT06559696 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
- Principal investigator: Yong Yang, MD — Fujian Medical University Union Hospital
- Study coordinator: Yong Yang, M.S
- Email: dr_yangyong1983@163.com
- Phone: 18813019084
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Gyrotonic exercise for elders with breast cancer and Behcet disease
We’re testing whether a gyrotonic exercise program helps older people who have both Behcet disease and breast cancer.
-
PECS II vs SPSIP nerve blocks for pain after mastectomy
This study tests whether two ultrasound-guided nerve blocks (PECS II and SPSIP) differ in how much opioid patients need after mastectomy.
-
CG-7321: a first-in-human test in advanced solid tumors
We’re testing CG-7321 alone and with fulvestrant to see if it’s safe and tolerable in adults with advanced solid tumors.
-
Compare a new endoscopy-assisted breast-conserving surgery with the usual approach
This study tests whether a new endoscopy-assisted breast-conserving technique can provide similar or better cosmetic outcomes and safety compared with conventional breast-conserving surgery in women with early breast cancer who want to preserve their breast.
-
Different skin care approaches to prevent skin reactions after mastectomy radiation
This study tests three standard skin care methods to see which best prevents radiation dermatitis in people who had a mastectomy and are receiving post-mastectomy radiation therapy.
-
3D Heart Strain to Detect Early Cardiotoxicity in Cancer Therapy
This study tests whether 3D echocardiography can detect early heart damage from cancer treatments like anthracyclines or HER2-targeted therapy better than standard 2D methods.
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.