ClinicalTrials.gg
RecruitingNCT07803081APROOB CohortUpdated Sep 3, 2026

Radiotherapy and Long-term Outcomes in Early Breast Cancer With SLNB Omission

An observational study in Breast Cancer and Early-Stage Invasive Breast Carcinoma, sponsored by Samsung Medical Center. Recruiting at 1 site in South Korea. Open to female participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by Samsung Medical Center · Observational

From the registry’s dates

  • Started Aug 2026; still recruiting 3 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
Ages
19 Years and older
Sex
Female
01

Where this study stands

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

Among 46 studies in Breast Neoplasms by Samsung Medical Center — 13 open to participants now, 15 under way, 1 of them phase 3. Breast Neoplasms · Samsung Medical Center.

Planned enrollment
7th of 18
500 · median 375
Started
2026
with 1 other
Observational
18 of 46
6 open now
Primary completion
2036-08
later than 14 of 14 live
Registered
46th of 46
by date

Among the 46 studies in Breast Neoplasms by Samsung Medical Center, this one is the 7th largest by planned enrollment of the 18 observational ones that give a count, is one of 2 that started in 2026, is one of 18 observational ones, reaches primary completion later than 14 of the 14 other live ones, and was the 46th registered.

Breast Neoplasms

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

Browse Breast Neoplasms studies →

Open to participants now

13 of the 46 studies in Breast Neoplasms by Samsung Medical Center are open now, in 1 country. Recruiting first, the newest first:

7 more — sign in →

By country, each count listing its studies:

All 13 open studies →

Where they have run

Who these studies take

Of the 2,400 Breast Neoplasms studies recruiting now, 1,572 (66%) set no upper age limit and 591 (25%) stop at 75 or younger; 103 take children under 18; 214 take healthy volunteers.

This study: 19 Years and older · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 46 studies in Breast Neoplasms by Samsung Medical Center, or all of them as a file.
02

Study summary

This prospective, multicenter observational cohort study evaluates long-term outcomes in patients with early-stage invasive breast cancer who undergo breast-conserving surgery without sentinel lymph node biopsy or other axillary surgery and subsequently receive adjuvant radiotherapy.

The study will evaluate recurrence, survival, radiotherapy-related toxicities, and quality of life. Radiotherapy will be delivered according to routine clinical practice at each participating institution without protocol-mandated treatment assignment. Detailed radiotherapy characteristics, including treatment volume, technique, dose and fractionation, tumor-bed boost, and radiation dose to axillary lymph node levels I-III, will be prospectively collected to evaluate their associations with clinical outcomes.

Read the detailed description

Recent clinical trials have supported the omission of sentinel lymph node biopsy in selected patients with clinically node-negative early breast cancer. However, radiotherapy approaches after sentinel lymph node biopsy omission vary in routine clinical practice, and prospective data regarding the relationship between radiotherapy characteristics, radiation dose delivered to the axillary lymph nodes, and long-term clinical outcomes remain limited. Depending on patient and tumor characteristics and institutional practice, radiotherapy may include whole-breast or partial-breast irradiation with different treatment techniques, dose-fractionation schedules, and tumor-bed boost strategies. The APROOB Cohort is designed to prospectively characterize these variations and evaluate their associations with recurrence, survival, treatment-related toxicity, and quality of life following omission of sentinel lymph node biopsy. No radiotherapy technique, treatment volume, dose, or fractionation schedule is assigned by the study.

03

Conditions studied

  • Breast Cancer
  • Early-Stage Invasive Breast Carcinoma

Browse trials for

Keywords

  • Partial breast irradiation
  • Whole breast irradiation
  • Breast-conserving surgery
  • Sentinel lymph node biopsy omission
  • Radiotherapy de-escalation
  • Clinically node-negative breast cancer
  • Axillary radiation dose
04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with histologically confirmed early-stage invasive breast cancer who have undergone breast-conserving surgery without sentinel lymph node biopsy or other axillary lymph node surgery and are scheduled to receive adjuvant radiotherapy. Eligible patients will have no evidence of distant metastasis on preoperative clinical and imaging evaluation and will be prospectively enrolled at participating institutions. Treatment decisions, including radiotherapy approach and systemic therapy, will follow routine clinical practice and will not be assigned by the study.

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

  • Female patients aged 19 years or older with confirmed invasive breast cancer
  • Patients who have undergone breast-conserving surgery with curative intent
  • Patients who did not undergo axillary lymph node surgery, including sentinel lymph node , at the time of breast cancer surgery
  • No evidence of distant on clinical and imaging evaluation before surgery
  • Planned to receive radiotherapy after breast-conserving surgery
  • Ability and willingness to provide written before study participation

Exclusion criteria

Exclusion Criteria:

  • Patients initially diagnosed with breast carcinoma in situ before surgery who did not undergo sentinel lymph node but were subsequently found to have invasive breast cancer on final surgical pathology
  • Receipt of systemic therapy before breast cancer surgery
  • History of a other than breast cancer within 5 years before study enrollment, except adequately treated non-melanoma skin cancer or carcinoma in situ other than breast carcinoma in situ
  • Recurrent breast cancer
  • Bilateral breast cancer or inflammatory breast cancer
  • Prior radiotherapy to the ipsilateral breast or chest region
  • Patients considered by the investigator to be unsuitable for study participation or long-term follow-up
Terms in these criteria, in plain language(6)

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.

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500 participants (estimated)
Target follow-up
5 Years
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • APROOB Cohort

    Patients with early-stage invasive breast cancer who undergo breast-conserving surgery without sentinel lymph node biopsy or other axillary surgery and subsequently receive adjuvant radiotherapy according to routine clinical practice. Radiotherapy may include whole-breast or partial-breast irradiation, with treatment characteristics determined by the treating physician and participating institution.

    Radiation: Adjuvant Breast Radiotherapy

Interventions

  • RadiationAdjuvant Breast Radiotherapy

    Adjuvant radiotherapy is delivered after breast-conserving surgery according to routine clinical practice at each participating institution. Radiotherapy may include whole-breast irradiation or partial-breast irradiation, with treatment technique, dose, fractionation, and tumor-bed boost determined by the treating physician. The study does not assign or mandate a specific radiotherapy regimen.

06

What researchers measure

Primary outcomes

  1. 5-Year Recurrence-Free Survival Rate

    Recurrence-free survival is defined as the time from study enrollment to the first occurrence of ipsilateral invasive breast recurrence, ipsilateral regional lymph node recurrence, distant metastasis, or breast cancer death. The 5-year recurrence-free survival rate will be estimated using the Kaplan-Meier method.

    Time frame: From study enrollment to 5 years

Secondary outcomes

  1. 5-Year Axillary Recurrence Rate

    Axillary recurrence is defined as newly diagnosed breast cancer recurrence in the ipsilateral axillary lymph nodes after study enrollment. The 5-year cumulative incidence of axillary recurrence will be estimated.

    Time frame: From study enrollment to 5 years

  2. 5-Year Locoregional Recurrence Rate

    Locoregional recurrence is defined as the first occurrence of one or more of the following after study enrollment: ipsilateral invasive breast recurrence; ipsilateral axillary lymph node recurrence; ipsilateral supraclavicular or infraclavicular lymph node recurrence; or ipsilateral internal mammary lymph node recurrence. The 5-year cumulative incidence will be estimated.

    Time frame: From study enrollment to 5 years

  3. 5-Year Distant Metastasis Rate

    Distant metastasis is defined as breast cancer metastasis occurring in organs or non-regional lymph nodes outside the ipsilateral breast and ipsilateral regional lymph node regions. The 5-year cumulative incidence of the first distant metastasis after study enrollment will be estimated

    Time frame: From study enrollment to 5 years

  4. 5-Year Overall Survival Rate

    Overall survival is defined as the time from study enrollment to death from any cause. The 5-year overall survival rate will be estimated using the Kaplan-Meier method.

    Time frame: From study enrollment to 5 years

  5. Incidence of Acute Grade 2 or Higher Radiotherapy-Related Toxicity

    The proportion of participants experiencing at least one grade 2 or higher acute radiotherapy-related adverse event will be assessed using the Common Terminology Criteria for Adverse Events (CTCAE), version 6.0. CTCAE grades range from 1 to 5, with higher grades indicating greater severity. Acute toxicity is defined as toxicity occurring from the start of radiotherapy through 90 days after completion of radiotherapy.

    Time frame: From the start of radiotherapy through 90 days after completion of radiotherapy

  6. Incidence of Late Grade 2 or Higher Radiotherapy-Related Toxicity

    The proportion of participants experiencing at least one grade 2 or higher late radiotherapy-related adverse event will be assessed using the Common Terminology Criteria for Adverse Events (CTCAE), version 6.0. CTCAE grades range from 1 to 5, with higher grades indicating greater severity. Late toxicity is defined as toxicity newly occurring or persisting more than 90 days after completion of radiotherapy.

    Time frame: From more than 90 days after completion of radiotherapy to 5 years after radiotherapy

  7. Change From Baseline in Global Health Status/Quality of Life Score Assessed by the EORTC QLQ-C30

    Global health status and quality of life will be assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30). The Global Health Status/Quality of Life scale is transformed to a score ranging from 0 to 100. A higher score indicates better global health status and quality of life. The change from baseline will be evaluated at each scheduled follow-up assessment.

    Time frame: Baseline and up to 5 years after radiotherapy

  8. Change From Baseline in Breast Symptoms Score Assessed by the EORTC QLQ-BR23

    Breast symptoms will be assessed using the Breast Symptoms scale of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Breast Cancer Module 23 (EORTC QLQ-BR23). The score is transformed to a scale ranging from 0 to 100. A higher score indicates more severe breast symptoms and therefore a worse outcome. The change from baseline will be evaluated at each scheduled follow-up assessment.

    Time frame: Baseline and up to 5 years after radiotherapy

  9. Change From Baseline in Arm Symptoms Score Assessed by the EORTC QLQ-BR23

    Arm symptoms will be assessed using the Arm Symptoms scale of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Breast Cancer Module 23 (EORTC QLQ-BR23). The score is transformed to a scale ranging from 0 to 100. A higher score indicates more severe arm symptoms and therefore a worse outcome. The change from baseline will be evaluated at each scheduled follow-up assessment.

    Time frame: Baseline and up to 5 years after radiotherapy

  10. Change From Baseline in Body Image Score Assessed by the EORTC QLQ-BR23

    Body image will be assessed using the Body Image scale of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Breast Cancer Module 23 (EORTC QLQ-BR23). The score is transformed to a scale ranging from 0 to 100. A higher score indicates better body image and therefore a better outcome. The change from baseline will be evaluated at each scheduled follow-up assessment.

    Time frame: Baseline and up to 5 years after radiotherapy

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — Individual participant data are not planned to be publicly shared. Any future use or sharing of de-identified study data for additional research will be subject to applicable regulations, participant consent, and approval by the relevant institutional review boards.

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 Aug 2026 (actual). Primary completion is estimated for Aug 2036, 119 months after the start.

Of 1,191 non-industry observational studies under Breast Neoplasms, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 139. This study's planned 119 months is above that.

Counting every sponsor, half of 1,380 studies reached it within 55 months; a quarter within 25 and three quarters within 126.

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

Registered
Aug 28, 2026
First posted
Sep 3, 2026
StartActual
Aug 6, 2026
Primary completionEst.
Aug 5, 2036
CompletionEst.
Aug 5, 2036
Last update
Sep 3, 2026
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 Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07803081
Responsible party
Haeyoung Kim (Professor, Samsung Medical Center) — Principal investigator
First posted
Sep 3, 2026
Start date
Aug 6, 2026
Primary completion
Aug 5, 2036 (estimated)
Completion
Aug 5, 2036 (estimated)
Last update
Sep 3, 2026

Study contacts

Haeyoung Kim
Contact
haeyoung0131.kim@samsung.com
+82234102612

Oversight

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

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