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RecruitingNCT07441733INFLUENCE IIUpdated May 11, 2026

Evaluate the Implementation of Using Indocyanine Green for Sentinel Lymph Node Mapping in Breast Cancer Patients

An interventional study of ICG used as a tracer for sentinel lymph node and technetium 99 used as a tracer for sentinel lymph node in Breast Cancer, sponsored by Casa di Cura Dott. Pederzoli. Recruiting at 1 site in Italy. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-11.

Sponsored by Casa di Cura Dott. Pederzoli · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 1 year 3 months after the study started (first participant enrolled Nov 2024, registered Feb 2026).
  • Started Nov 2024; still recruiting 2 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This single-institution pilot study uses a pre- and post-implementation design to evaluate the implementation of ICG fluorescent imaging for sentinel lymph node biopsy (SLNB) in an Italian hospital.

Read the detailed description

Pre-implementation: standard sentinel node procedure using 99mTc-nanocolloid, which implies 99mTc injection the day or the morning before surgery. Transition period: participating surgeons will receive on-site training, proctoring, and ongoing guidance from experienced surgeons and early adopters of the ICG method from St. Antonius Hospital, Utrecht, The Netherlands until they achieve confidence and proficiency in using ICG for SLNB. Post-implementation: 5 mg (2 ml) ICG will be injected periareolar after administration of general anesthesia and before incision. The SLN will be visualized by fluorescent imaging using a fluorescence camera.

Main study endpoints: Primary endpoint is the identification rate of SLNs achieved by 99mTc-nanocolloid or the fluorescent signal of ICG. Secondary endpoints are total number of LNs removed, detection time, total operative time, complications and (serious) adverse events, loco regional recurrence after 1 year follow-up, pre-implementation expectations regarding ICG, post-implementation experiences regarding ICG including barriers and success factors.

02

Conditions studied

  • Breast Cancer

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Keywords

  • breast cancer
  • lymph node
  • 99mTc
  • ICG
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 40 is below the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Casa di Cura Dott. Pederzoli is the lead sponsor of 15 studies on the registry; 13 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

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

  • Clinically node-negative, DCIS or invasive stage T1-T3 breast cancer confirmed by
  • Preoperative axillary ultrasound to confirm clinical node-negative status
  • Indication for breast cancer surgery with SLNB via axillar incision
  • Written according to national regulations

Exclusion criteria

Exclusion Criteria:

  • Patients \< 18 years old.
  • Indication for breast cancer surgery with SLNB via mastectomy incision
  • Known allergy for ICG, intravenous contrast or iodine
  • History of axillary lymph node dissection
  • Pregnancy or breast-feeding
  • Psychological, familial, sociological or geographical factors that could potentially hamper compliance with the study protocol
Terms in these criteria, in plain language(2)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Active comparator
    99mTc

    radioisotope technetium technique will be used for sentinel lymph node localization(99mTc)

    Procedure: technetium 99 used as a tracer for sentinel lymph node

  • Experimental
    ICG

    indocyanine green fluorescent imaging technique will be used for sentinel lymph node localization (ICG)

    Procedure: ICG used as a tracer for sentinel lymph node

Interventions

  • ProcedureICG used as a tracer for sentinel lymph node

    ICG used as a tracer for sentinel lymph node instead of technetium 99

  • Proceduretechnetium 99 used as a tracer for sentinel lymph node

    technetium 99 used as a tracer for sentinel lymph node instead of ICG

06

What researchers measure

Primary outcomes

  1. Identification rate of SLNs achieved by 99mTc-nanocolloid or the fluorescent signal of ICG

    measure the percentage of sentinel lymph nodes identified by the 99mTc nanocolloid or the ICG fluorescent signal (%)

    Time frame: through study completion, an average of 1 year

Secondary outcomes

  1. Percentage of SLNs that has 99mTc uptake/ is fluorescent

    Percentage of sentinel lymph nodes that have an absorption of 99mTc and are fluorescent (%)

    Time frame: through study completion, an average of 1 year

  2. Detection time

    Detection time is defined as time between skin incision and SLN resection in minutes (min)

    Time frame: through study completion, an average of 1 year

  3. Total operative time

    Registration of the duration of the total surgical procedure including the SN-procedure (min or h)

    Time frame: through study completion, an average of 1 year

  4. Number of complications and (serious) adverse events

    registration of the number of serious adverse events and complications, including seroma, wound infection and bleeding

    Time frame: through study completion, an average of 1 year

  5. loco regional recurrence after 1 year follow-up

    number of regional loco recurrences assessed through clinical examinations

    Time frame: through study completion, an average of 1 year

  6. The pathology of SLNs identified

    number of micro and macro metastases and isolated tumor cells (ITCs)

    Time frame: through study completion, an average of 1 year

07

Study locations

1 of 1 sites recruiting
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 May 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07441733
Lead sponsor
Casa di Cura Dott. Pederzoli
Responsible party
Sponsor
First posted
Mar 2, 2026
Start date
Nov 7, 2024
Primary completion
Mar 31, 2025
Completion
Oct 2026 (estimated)
Last update
May 11, 2026

Oversight

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

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