Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Lymphovenous bypass to prevent lymphedema in breast cancer and melanoma patients

Official title: Prophylactic Lymphovenous Bypass Procedure Following Axillary Lymphadenectomy: A Prospective Observational Study

Run by M.D. Anderson Cancer Center · NCT03941756 · Data updated 2026-11-12

This study is testing if a special surgery called lymphovenous bypass can help prevent lymphedema in breast cancer and melanoma patients who are at high risk for this condition.

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Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment252 (estimated)
SponsorM.D. Anderson Cancer Center
Academic / other
Drugs / interventionsradiation
Locations1 site (Houston, Texas)
StatusRecruiting
StartedAugust 14, 2018
Main results expectedJanuary 1, 2027
Study endsDecember 1, 2027
Registry record updatedNovember 10, 2026
Trial IDNCT03941756 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults with inflammatory breast cancer or locally advanced non-inflammatory breast cancer, as well as melanoma patients scheduled for axillary lymph node dissection.

Probably not a fit

Patients with a body mass index greater than 50, those taking anticoagulants, or those who are pregnant will 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

This pilot trial investigates whether performing a lymphovenous bypass procedure before axillary lymph node surgery can prevent lymphedema in patients with inflammatory or locally advanced non-inflammatory breast cancer and melanoma. The study involves randomizing patients into two groups: one receiving the lymphovenous bypass along with standard surgery, and the other receiving standard surgery alone. Patients will be monitored for outcomes related to lymphedema over an 18-month follow-up period. The primary goal is to evaluate the protective benefits of the lymphovenous bypass procedure in high-risk patients.

Why it matters

Potential benefit: If successful, this approach could significantly reduce the incidence of lymphedema in patients undergoing surgery for breast cancer or melanoma.

How similar studies have gone: While lymphovenous bypass has been studied in other contexts, this specific approach in the pre-surgical setting for these cancers is novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients greater than or equal to 18 years of age.
* Patients willing to participate.
* Patients able to complete informed consent.
* Patients will be eligible for inclusion if they fall into one for two groups:

  * Patients with inflammatory breast cancer, and those with locally advanced non-inflammatory breast cancer that are undergoing ALND and are anticipated to receive radiation therapy
  * Or: Patients with a diagnosis of melanoma (including unknown primary) that will undergo ALND will also be eligible for inclusion in the study as a comparator group.

Exclusion Criteria:

* Patients taking anticoagulants within 7 days prior to surgery.
* Patients that are known to be pregnant at the time of surgery.
* Patients are available for follow-up less than 18 months or do not undergo measurements within the scheduled period.
* Patients with body mass index (BMI) greater than 50.0.

Where it's running

  • M D Anderson Cancer Center
    Houston, Texas, United States
    Recruiting

Study contacts

  • Principal investigator: Mark Schaverien — M.D. Anderson Cancer Center

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.