CClinicalTrials.gg
Active, not recruitingNCT07428720Updated Feb 24, 2026

Axillary Lymph Node Changes After Neoadjuvant Therapy In Breast Cancer

An interventional study of Ultrasound Elastography in Breast Cancer and Axillary Lymph Node Metastasis, sponsored by Institute of Oncology Ljubljana. Active, not recruiting at 1 site in Slovenia. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-24.

Sponsored by Institute of Oncology Ljubljana · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 3 years 5 months after the study started (first participant enrolled Sep 2022, registered Feb 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
97
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Study summary

The purpose of this study is to improve regional surgical treatment in breast cancer patients with axillary lymph node metastases (cN+) who received neoadjuvant systemic treatment (NAST) by using ultrasound elastography.

Read the detailed description

This study aims to optimize regional surgical treatment in breast cancer patients with axillary lymph node metastases (cN+) after neoadjuvant systemic treatment (NAST). Ultrasound elastography will be validated as a method for identifying metastases or regressive posttreatment changes in removed axillary lymph nodes.

02

Conditions studied

  • Breast Cancer
  • Axillary Lymph Node Metastasis

Browse trials for

Keywords

  • Ultrasound Elastography
  • Axillary Lymph Nodes
  • Neoadjuvant Systemic Treatment
03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 97 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Institute of Oncology Ljubljana is the lead sponsor of 88 studies on the registry; 28 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Female patients aged 18 years or older
  • Histologically confirmed breast cancer
  • Clinically positive axillary lymph nodes before neoadjuvant systemic treatment (cN+)
  • Completed neoadjuvant systemic treatment (NAST)
  • Planned axillary surgery (sentinel lymph node biopsy and/or axillary lymph node dissection)
  • Ability to provide written informed consent

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years
  • Male patients
  • Metastatic disease at diagnosis
  • Inflammatory breast cancer
  • New primary breast cancer
  • Bilateral breast cancer
  • Pregnancy
  • Previous breast or axillary surgery
05

Study design

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

Study arms

  • Experimental
    Ultrasound Elastography Assessment

    Breast cancer patients with axillary lymph node metastases (cN+) after neoadjuvant systemic treatment undergo ultrasound elastography assessment to identify metastases or regressive changes in axillary lymph nodes.

    Device: Ultrasound Elastography

Interventions

  • DeviceUltrasound Elastography

    Ultrasound elastography is used to assess axillary lymph nodes in order to identify metastases or regressive posttreatment changes after neoadjuvant systemic treatment.

06

What researchers measure

Primary outcomes

  1. Diagnostic Accuracy of Intraoperative Ultrasound Elastography for Detection of Residual Axillary Lymph Node Metastasis After NAST

    Diagnostic accuracy of intraoperative ultrasound elastography performed on excised axillary lymph nodes for detection of residual metastatic disease after neoadjuvant systemic treatment (NAST), using histopathological examination of excised lymph nodes as the reference standard. Diagnostic performance will be reported as sensitivity (%), specificity (%), positive predictive value (PPV, %), and negative predictive value (NPV, %).

    Time frame: Intraoperative (during surgery) after completion of neoadjuvant systemic treatment (NAST).

Secondary outcomes

  1. Diagnostic Accuracy of Intraoperative Ultrasound Elastography for Detection of Regressive Posttreatment Changes in Axillary Lymph Nodes After NAST

    Diagnostic accuracy of intraoperative ultrasound elastography performed on excised axillary lymph nodes for detection of regressive posttreatment changes after neoadjuvant systemic treatment (NAST), using histopathological examination as the reference standard. Diagnostic performance will be reported as sensitivity (%), specificity (%), PPV (%), and NPV (%).

    Time frame: Intraoperative (during surgery) after completion of neoadjuvant systemic treatment (NAST).

07

Study locations

1 site
  • Institute of Oncology Ljubljana
    Ljubljana, 1000, Slovenia
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
NCT07428720
Lead sponsor
Institute of Oncology Ljubljana
Responsible party
Sponsor
First posted
Feb 24, 2026
Start date
Sep 1, 2022
Primary completion
Mar 1, 2023
Completion
Dec 31, 2027 (estimated)
Last update
Feb 24, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion