CClinicalTrials.gg
Active, not recruitingNCT05720039SP NSMUpdated Feb 24, 2026

Robotic vs. Open NSM for Early Stage Breast Cancer

An interventional study of Robotic NSM and Open NSM in Breast Cancer Female, Breast Cancer and Breast Cancer, Early-Onset, sponsored by Intuitive Surgical. Active, not recruiting at 15 sites in United States. Open to female participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2026-02-24.

Sponsored by Intuitive Surgical · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2026, 7 months ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
204
Allocation
Randomized
Ages
21 Years and older
Sex
Female
01

Study summary

This study evaluates the safety and effectiveness of the da Vinci SP Surgical System compared to Open NSM in Nipple Sparing Mastectomy procedures.

Read the detailed description

This study is a prospective, two-arm, multi-center, randomized controlled clinical investigation between RSNM and open NSM.

This study evaluates the safety and effectiveness of the da Vinci SP Surgical System compared to Open NSM in Nipple Sparing Mastectomy procedures.

02

Conditions studied

  • Breast Cancer Female
  • Breast Cancer
  • Breast Cancer, Early-Onset
  • Breast Disease
  • Breast

Keywords

  • robotic
  • NSM
  • Nipple sparing mastectomy
  • da Vinci
  • breast cancer
  • mastectomy
  • breast
  • USA
  • robot
  • SP System
  • Single-port
03

In context

Breast Neoplasms

12,547 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 204 is above the median of 72 across 9,305 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Intuitive Surgical is the lead sponsor of 62 studies on the registry; 7 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 1 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  • Female age 21 or older
  • BMI \< 30
  • Candidate for an NSM procedure with immediate reconstruction
  • Diagnosis of early stage brest cancer
  • Breast ptosis ≤ Grade 2.
  • Cup size ≤ C.

Exclusion criteria

Exclusion Criteria:

  • Previous breast surgery
  • Diagnosis of metastatic breast cancer
  • Prior radiation treatment to the chest
  • Current smokers
  • Contraindication for general anesthesia or surgery.
  • Known bleeding or clotting disorder.
  • Pregnant or suspected to be pregnant, or actively breastfeeding
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
204 participants (estimated)

Study arms

  • Experimental
    Robotic NSM with da Vinci SP

    Subjects randomized to this arm will undergo robotic NSM (RNSM) procedures

    Device: Robotic NSM

  • Active comparator
    Open NSM

    Subjects randomized to this arm will undergo conventional open NSM procedures

    Procedure: Open NSM

Interventions

  • DeviceRobotic NSM

    Robotic-assisted Nipple sparing mastectomy procedures

    Also known as: RNSM, SP NSM

  • ProcedureOpen NSM

    open nipple-sparing mastectomy procedures

06

What researchers measure

Primary outcomes

  1. Conversion rate

    Conversion is defined as conversion of da Vinci Xi robotic-assisted surgery to open surgery

    Time frame: Assessed during procedure

  2. Safety: Adverse event rates

    Incidence of intraoperative and post-operative procedure and device-related adverse events compared to open NSM

    Time frame: Up to 42 days post-operatively

  3. Safety: positive surgical margin rates

    Incidence of positive surgical margins compared to open NSM

    Time frame: Up to 42 days post-operatively

Secondary outcomes

  1. Oncological Outcomes (for cancer recurrence)

    Recurrence

    Time frame: Up to 5 years

  2. Oncological Outcomes (for disease-free survival)

    Disease-free survival

    Time frame: Up to 5 years

  3. Oncological Outcomes (for overall survival)

    Overall survival

    Time frame: Up to 5 years

  4. Patient-Report Outcomes (BREAST-Q)

    BREAST-Q

    Time frame: Up to 5 years

  5. Patient-Report Outcomes (NAC Questionnaire)

    NAC Questionnaire

    Time frame: Up to 5 years

  6. Patient-Report Outcomes (EQ-5D)

    EQ-5D

    Time frame: Up to 1 year

07

Study locations

15 sites
  • City of Hope
    Irvine, California 92618, United States
  • Cedars-Sinai
    Los Angeles, California 940048, United States
  • Mayo Clinic Florida
    Jacksonville, Florida 32224, United States
  • Emory University
    Atlanta, Georgia 30342, United States
  • Endeavor Health
    Evanston, Illinois 60201, United States
  • Corewell
    Detroit, Michigan 48073, United States
  • Mayo Clinic Rochester
    Rochester, Minnesota 55902, United States
  • Washington University, St. Louis
    St Louis, Missouri 63110, United States
  • Northwell Health
    Lake Success, New York 11042, United States
  • Duke University
    Durham, North Carolina 27710, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19107, United States
  • Vanderbilt
    Nashville, Tennessee 37232, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • University of Washington
    Seattle, Washington 98195, United States
  • Ascension St. Columbia Mary's
    Milwaukee, Wisconsin 53211, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05720039
Lead sponsor
Intuitive Surgical
Responsible party
Sponsor
First posted
Feb 9, 2023
Start date
May 8, 2023
Primary completion
Mar 2026 (estimated)
Completion
Mar 2031 (estimated)
Last update
Feb 24, 2026

Study contacts

Madhu Gorrepati
study director · Intuitive

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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