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| Name | Class |
|---|---|
| Uppsala University | OTHER |
| Region Västmanland | OTHER |
| University Hospital, Linkoeping | OTHER |
| Baylor College of Medicine |
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Magnetic tracer injected before preoperative chemotherapy in breast cancer patients for sentinel lymph node detection. Also, magnetic tracer in combination with magnetic clip for index node identification.
This is an interventional single arm study. The aim is to see if sentinel lymph nodes marked with a magnetic tracer injected before preoperative chemotherapy can be detected at surgery three to six moths later. The investigators also want to see if they can find the same nodes with a tracer injected before chemotherapy as with a tracer injected after chemotherapy. The hypothesis is that the chemotherapy might affect the lymph drainage and the nodes marked before the chemotherapy are the true sentinel lymph nodes.
Furthermore, in patients with known lymph node metastases before chemotherapy one metastasis is marked with a magnetic clip before the chemotherapy. This is a well known method but it has not been done in combination with the magnetic tracer. We will show that this is feasible.
All patients included in the study will receive their treatments according to the current standard national guidelines as both the magnetic tracer and the routinely used radioactive tracer are used in parallel. The magnetic clip is also used at several sites in Sweden today.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Node negative | Clinically node negative before neoadjuvant chemotherapy |
| |
| Node positive | Clinically node positive before neoadjuvant chemotherapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Magtrace | Device | Sentinel lymph node tracer and metastatic lymph node clip |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sentinel lymph node detection rate | per patient | Perioperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Number of sentinel lymph nodes detected per tracer | per node | Perioperatively |
| Concordance of nodes per tracer | Ratio | Perioperatively |
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Inclusion criteria:
Patients 18 years of age or older.
Patients with breast cancer planned to undergo NACT with
breast surgery after NACT.
Exclusion Criteria:
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All patients planned for preoperative chemotherapy before breast surgery.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fredrik AM Warnberg, prof | Contact | +46706146251 | fredrik.warnberg@vgregion.se | |
| Kian AM Chin, MD | Contact | +46702316011 | kian.chin@vgregion.se |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sahlgrenska University Hospital | Recruiting | Gothenburg | 413 45 | Sweden |
ON request. Pseudoanonymised data.
2 months
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| OTHER |
| The University of Hong Kong-Shenzhen Hospital | OTHER |
| Royal Marsden NHS Foundation Trust | OTHER |
| University of Athens | OTHER |
| University College Dublin | OTHER |
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| D017437 |
| Skin and Connective Tissue Diseases |