Clinical trial Recruiting at 1 site Interventional Ages 40 and up Women only

Partial Breast Radiation After Breast-Conserving Surgery Without Sentinel Node Biopsy

Official title: RADIation After no Axillary Nodal Sampling (RADIANS)

Run by NYU Langone Health · NCT07723209 · Data updated 2026-11-12

This pilot study tests whether partial breast irradiation is safe for women who had breast-conserving surgery without sentinel lymph node biopsy or axillary dissection.

Quick facts

Study typeInterventional
Ages40 Years and up
SexWomen only
Enrollment105 (estimated)
SponsorNYU Langone Health
Academic / other
Drugs / interventionsradiation
Locations1 site (New York, New York)
StatusRecruiting
StartedJuly 9, 2026
Main results expectedJuly 31, 2034
Study endsJuly 31, 2034
Registry record updatedJuly 23, 2026
Trial IDNCT07723209 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Women aged 40 or older with histologically confirmed invasive ductal carcinoma, breast-conserving surgery without SLNB/ALND, tumor size <3 cm, clinically and radiologically node-negative, ECOG 0-2, and able to consent and comply with follow-up.

Probably not a fit

Patients with breast size that makes partial breast irradiation technically unsuitable or those with non–node-negative disease or other exclusion criteria may not benefit.

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

What this trial studies

This single-arm pilot study evaluates the safety of partial breast irradiation in women with early-stage invasive ductal carcinoma who have undergone breast-conserving surgery without SLNB or ALND. Participants will have baseline demographic and clinical data collected and will complete BCTOS-13 and FINANCIAL TOXICITY questionnaires at baseline and 2 years. An axillary ultrasound is required before radiation if not done pre-operatively. Eligible patients are clinically node-negative, have tumor size less than 3 cm, and are suitable for partial breast radiotherapy with ECOG 0-2; male, transgender, or those with mastectomy or metastatic disease are excluded.

Why it matters

Potential benefit: If successful, partial breast irradiation could offer a less extensive treatment approach with potential similar control for eligible women.

How similar studies have gone: Prior studies in partial breast irradiation show promise in selected patients, but this specific approach without SLNB/ALND is exploratory.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Individuals assigned Female at birth, age 40 and older
* Breast conserving surgery without SLNB or ALND
* All patients should be capable of giving informed consent,
* Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures.
* Histologically confirmed invasive ductal carcinoma
* Individuals with pathologic tumor size \<3cm
* Patients in whom partial breast is deemed technically not possible due to breast size will be considered screen failures and excluded from the trial.
* Clinically and radiologically node-negative (no palpable nodes, negative axillary imaging)
* Electrocorticography (ECOG) performance status 0-2

Exclusion Criteria:

* Male
* Transgender or non-binary individuals.
* Mastectomy
* Metastatic disease
* History of ipsilateral or contralateral breast cancer.
* Obstacles to obtaining informed consent or undergoing regular follow-up

Where it's running

  • NYU Langone Health
    New York, New York, 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.