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Trial Title: Can ILR Reduce the Risk of Arm Lymphedema?

NCT ID: NCT05742945

Condition: Breast Cancer Lymphedema

Conditions: Official terms:
Breast Neoplasms
Lymphedema
Breast Cancer Lymphedema

Study type: Interventional

Study phase: N/A

Overall status: Active, not recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Prevention

Masking: Double (Participant, Outcomes Assessor)

Intervention:

Intervention type: Procedure
Intervention name: Immediate lymphatic reconstruction
Description: Breast cancer patients receive axillary lymph node dissection and immediate lymphatic reconstruction
Arm group label: ILR

Summary: Breast cancer-related lymphedema (BCRL) is a debilitating, usually lifelong burden for breast cancer survivors. For the breast cancer patients receiving axillary lymph node dissection (ALND), the likelihood of BCRL is about 20%. Lymphatico-venous anastomosis (LVA) has been accepted as a method of treating extremity lymphedema. A few studies have mentioned the prophylactic effect of LVA on BCRL. However, there is still lack of a large-scale randomized controlled trial to corroborate its efficacy. Therefore, the goal of this study is to conduct a prospective randomized controlled trial to evaluate if immediate lymphatic reconstruction (ILR) with LVA could have a clinically significant effect on the reduction of BCRL occurrence.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Female patients with unilateral breast cancer 2. Going to receive axillary lymph node dissection, or sentinel lymph node biopsy but being highly suspected of axillary metastasis preoperatively Exclusion Criteria: 1. Had received axillary lymph node dissection 2. Going to receive bilateral axillary lymph node dissections 3. Already have arm lymphedema 4. Allergy to the dye used intraoperatively

Gender: Female

Minimum age: 20 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: National Taiwan University Hospital

Address:
City: Taipei
Country: Taiwan

Start date: February 14, 2023

Completion date: August 2028

Lead sponsor:
Agency: National Taiwan University Hospital
Agency class: Other

Source: National Taiwan University Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05742945

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