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

Optimized ultrasound twinkling marker to image axillary lymph nodes in clinically node-positive breast cancer

Official title: A Phase 1 Study in Patients With Clinically Node-Positive Breast Cancer to Assess the Safety, Ultrasound Conspicuity, and Migration of an Optimized Ultrasound Twinkling Marker Observed for Sonographic Targeting (UTMOST2 Trial)

Run by Mayo Clinic · NCT06999798 · Data updated 2026-11-12

This trial tests an improved ultrasound twinkling marker to help doctors reliably see cancer-containing lymph nodes by ultrasound in people with biopsy-proven node-positive breast cancer.

More Anatomic Stage IV Breast Cancer AJCC v8 trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment20 (estimated)
SponsorMayo Clinic
Academic / other
Locations1 site (Rochester, Minnesota)
StatusRecruiting
StartedAugust 29, 2025
Main results expectedNovember 30, 2027
Study endsNovember 30, 2027
Registry record updatedSeptember 23, 2026
Trial IDNCT06999798 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with biopsy-proven malignant involvement of an axillary lymph node who are scheduled for surgical management at Mayo Clinic in Rochester and can comply with study procedures are ideal candidates.

Probably not a fit

People without axillary node involvement, those not planning surgical removal of the targeted node, or those unable to undergo ultrasound imaging are unlikely to benefit from this device.

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

What this trial studies

This Phase I study places an optimized ultrasound twinkling marker near or in biopsy-proven positive axillary lymph nodes and images them with ultrasound before surgical removal. Some patients may also have standard localization (I-125 seed) per surgeon preference, and all targeted nodes and markers are removed at surgery for confirmation. The study documents ultrasound visibility over time and correlates imaging findings with the surgical and pathology record. Outcomes focus on marker visibility and practical usability for preoperative and intraoperative ultrasound guidance.

Why it matters

Potential benefit: If successful, the marker could make ultrasound localization of positive lymph nodes more reliable, reducing missed markers and improving surgical guidance.

How similar studies have gone: Preliminary and pilot work on ultrasound twinkling markers has suggested improved marker visibility, but this optimized marker is a novel iteration that still requires clinical testing.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patient 18 years or older with breast cancer and biopsy-proven malignant involvement of an axillary lymph node
* Surgical management will be determined by the surgeon, who will decide if preoperative Iodine (I)-125 seed localization of the positive node is necessary or if they will retrieve the positive node with intraoperative ultrasound guidance. During surgery, the targeted node, its associated biopsy markers, I-125 seed if placed, and optimized twinkling marker will be resected. The position of the marker in the lymph node or proximity to the node will be noted from the surgical and pathology documentation
* Surgery will be performed by one of the surgeons in the Division of Breast and Melanoma Surgical Oncology (Doctor \[Dr.\] Judy Boughey, Dr. Amy Degnim, Dr. Tina Hieken, Dr. Jeffrey Johnson, Dr. Mary Mrdutt, Dr. Shon Black)
* Patients must be able to understand the study procedures and comply with them for the entire length of the study
* No contraception is necessary or required

Exclusion Criteria:

* Patients who are pregnant
* Current drug or alcohol use or dependence that, in the opinion of the site investigator, would interfere with adherence to study requirements
* Current or past participation within a specified timeframe in another clinical trial, as warranted by the administration of this intervention

Where it's running

  • Mayo Clinic in Rochester
    Rochester, Minnesota, United States
    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.