ClinicalTrials.gg
RecruitingNCT03374826Updated Oct 31, 2023

PET-MRI for Axillary Staging in Node Negative Breast Cancer Patients

An interventional study of Dedicated axillary hybrid PET-MRI in Breast Cancer, Breast Neoplasms and Breast Diseases, sponsored by Maastricht University Medical Center. Recruiting at 2 sites in Netherlands. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-10-31.

Sponsored by Maastricht University Medical Center · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by Dec 2023, 2 years 11 months ago, but the record still lists the study as recruiting.
  • Started Feb 2018; still recruiting 8 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
125
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 24 studies in Breast Neoplasms by Maastricht University Medical Center — 7 open to participants now, 8 under way, none of them phase 3. Breast Neoplasms · Maastricht University Medical Center.

Planned enrollment
5th of 14
125 · median 71
Started
2018
the only one that year
No phase
11 of 24
4 open now
Registered
14th of 24
by date

Among the 24 studies in Breast Neoplasms by Maastricht University Medical Center, this one is the 5th largest by planned enrollment of the 14 interventional ones, is the only one that started in 2018, is one of 11 with no phase, and was the 14th registered.

By phase

24 studies; the count open now beside each. This study's row is marked.

No phasethis study11 · 4 open
Observational9 · 2 open
Phase 22 · 1 open
Phase 32 · 0 open

By the year they started

First in 2004; this study’s year is marked. 1 started in 2018.

Size and results

Median enrollment 71 across the 14 interventional studies, 86 across the 9 observational. Of the 15 that completed or were terminated, 0 (0%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 24 studies in Breast Neoplasms by Maastricht University Medical Center, or all of them as a file.
02

Study summary

Axillary lymph node status is an important prognostic factor for patients with breast cancer. After breast cancer diagnosis, current nodal staging consists of axillary ultrasound (US) combined with tissue sampling when deemed necessary. In case of positive axillary lymph nodes, patients will undergo axillary lymph node dissection (ALND). In case of no suspicious axillary lymph nodes (i.e. clinically node negative patients), patients will undergo sentinel lymph node biopsy (SLNB). This surgical nodal staging is accompanied by co-morbidity. In theory, if non-invasive imaging can evaluate the lymph node status accurately, a node negative patient would no longer have to undergo axillary surgery. Since MRI is suitable for soft tissue imaging and PET has the advantage of showing increased metabolic uptake in lymph node metastases, a combination of these techniques in hybrid PET/MRI would be highly desirable. If dedicated axillary hybrid PET/MRI is equally accurate to SLNB for the detection of negative axillary lymph nodes, work-up could be more efficient by bypassing SLNB. However, the accuracy of dedicated axillary hybrid PET/MRI needs to be compared with the pathological outcome of SLNB (gold standard) first.

03

Conditions studied

  • Breast Cancer
  • Breast Neoplasms
  • Breast Diseases
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Female patient with confirmed breast cancer and clinically confirmed negative lymph nodes in the axilla, scheduled to undergo SLNB
  2. Patients who are willing and able to undergo the study procedures
  3. The patient has provided personally written

Exclusion criteria

Exclusion Criteria:

  1. Patients treated with systemic therapy prior to axillary nodal staging
  2. Patients with clinically positive axillary lymph nodes
  3. Age \< 18 years
  4. Inability to provide
  5. Pregnancy
  6. Weight >100 kg (because of the format of the PET/MRI scanner)
  7. General for MRI (such as pacemaker, aneurysm clips, metallic device in their body, severe claustrophobia) or PET (i.e. known allergy to 18F-FDG)
  8. Hyperglycaemia (> 11 mmol/L) at the time of 18F-FDG injection
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
125 participants (estimated)

Study arms

  • Experimental
    Dedicated axillary hybrid PET-MRI axilla

    Diagnostic Test: Dedicated axillary hybrid PET-MRI

Interventions

  • Diagnostic testDedicated axillary hybrid PET-MRI

    All clinically node negative patients will undergo a hybrid PET-MRI axilla preoperatively, followed by breast surgery and SLNB.

06

What researchers measure

Primary outcomes

  1. Accuracy of dedicated hybrid PET/MRI

    Accuracy (sensitivity, negative predictive value (NPV) and false negative rate (FNR)) of dedicated axillary hybrid PET/MRI to exclude axillary lymph node metastases will be calculated.

    Time frame: Participants will be followed from the moment of first outpatient clinic visit until final breast surgery, an expected average of 4 weeks

Secondary outcomes

  1. Accuracy of T2w MRI, DWI and Hybrid PET/MRI

    Accuracy (sensitivity, negative predictive value (NPV) and false negative rate (FNR)) of three MRI sequences (T2w, DWI and hybrid PET/MRI) to exclude axillary lymph node metastases will be calculated separately as well.

    Time frame: Participants will be followed from the moment of first outpatient clinic visit until final breast surgery, an expected average of 4 weeks

07

Study locations

2 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2018 (actual). Primary completion is estimated for Dec 2023, 70 months after the start.

Of 2,661 non-industry interventional studies with no phase under Breast Neoplasms, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 66. This study's planned 70 months is above that.

Counting every sponsor, half of 2,771 studies reached it within 33 months; a quarter within 15 and three quarters within 66.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 28, 2017
First posted
Dec 15, 2017
StartActual
Feb 22, 2018
Primary completionEst.
Dec 2023
CompletionEst.
Dec 2023
Last update
Oct 31, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 31, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03374826
Responsible party
Sponsor
First posted
Dec 15, 2017
Start date
Feb 22, 2018
Primary completion
Dec 2023 (estimated)
Completion
Dec 2023 (estimated)
Last update
Oct 31, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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No contact was published for this record. The registry link below has the sponsor’s details.

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