AzTrials
AzTrials

Breast CancerMINIMAXNCT04486495

Minimal Invasive Axillary Staging and Treatment After Neoadjuvant Systemic Therapy in Node Positive Breast Cancer

An observational study of Breast Cancer and Neoadjuvant Therapy, run by Maastricht University Medical Center at 35 sites in Netherlands.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Today, the majority of clinically node positive (cN+) breast cancer patients is treated with neoadjuvant systemic therapy (NST). Axillary staging and treatment after NST in cN+ patients are areas of controversy. Read more about this study

Who is it for?
Ages 18 years and older, women only
How many people
549 participants
Where
35 sitesNetherlands
Study dates
16 Jul 2020to 1 Jul 2027
How long will I take part?
5 Years
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Study population: Female patients with unilateral invasive breast cancer and cN1-3, with a minimum of one pathologically proven positive axillary lymph node, treatment with neoadjuvant chemotherapy (± immunotherapy), followed by staging and treatment of the breast and axilla.

Who may be able to join

  • Female patient with unilateral invasive breast cancer and cN1-3
  • Pathologically proven positive axillary lymph node
  • Planned to undergo neoadjuvant chemotherapy (± immunotherapy), followed by staging and treatment of the breast and axilla

Who cannot join

  • Clinically node negative breast cancer before NST
  • Bilateral invasive breast cancer
  • Neoadjuvant endocrine therapy
  • Distant metastases (including oligometastatic disease)
  • History of invasive breast cancer
  • Other malignancies, except for basal/squamous cell skin cancer, and in situ carcinoma of the cervix or breast
  • Axillary surgery or radiotherapy before NST (this includes SLNB prior to NST)

Trial locations and contacts

35 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Janine Simons, MD, PhD contact

j.simons@maastrichtuniversity.nl

35 sites in 1 country

Netherlands35 sites, 35 recruiting
  • Jeroen Bosch Hospital

    's-Hertogenbosch

    Recruiting
  • Northwest Clinics

    Alkmaar

    Recruiting
  • The Netherlands Cancer Institute

    Amsterdam

    Recruiting
  • Gelre Hospital

    Apeldoorn

    Recruiting
  • Rijnstate Hospital

    Arnhem

    Recruiting
  • Red Cross Hospital

    Beverwijk

    Recruiting
  • Alexander Monro Hospital

    Bilthoven

    Recruiting
  • Amphia Hospital

    Breda

    Recruiting
  • Van Weel-Bethesda

    Dirksland

    Recruiting
  • Slingeland Hospital

    Doetinchem

    Recruiting
  • Albert Schweitzer Hospital

    Dordrecht

    Recruiting
  • Gelderse Vallei Hospital

    Ede

    Recruiting
  • Catharina Hospital

    Eindhoven

    Recruiting
  • Máxima Medical Center

    Eindhoven

    Recruiting
  • Medisch Spectrum Twente

    Enschede

    Recruiting
  • Martini Hospital

    Groningen

    Recruiting
  • Saxenburgh Medical Center

    Hardenberg

    Recruiting
  • Ziekenhuisgroep Twente

    Hengelo

    Recruiting
  • Tergooi Hospital

    Hilversum

    Recruiting
  • Spaarne Gasthuis

    Hoofddorp

    Recruiting
  • Dijklander Hospital

    Hoorn

    Recruiting
  • Medical Center Leeuwarden

    Leeuwarden

    Recruiting
  • Leiden University Medical Center

    Leiden

    Recruiting
  • Alrijne Hospital

    Leiderdorp

    Recruiting
  • Haaglanden Medical Center

    Leidschendam

    Recruiting
  • Maastricht University Medical Center

    Maastricht

    Recruiting
  • Canisius Wilhelmina Hospital

    Nijmegen

    Recruiting
  • Erasmus Medical Center

    Rotterdam

    Recruiting
  • Franciscus Gasthuis

    Rotterdam

    Recruiting
  • Ikazia Hospital

    Rotterdam

    Recruiting
  • Maasstad Hospital

    Rotterdam

    Recruiting
  • Spijkenisse Medical Center

    Spijkenisse

    Recruiting
  • ZorgSaam Hospital

    Terneuzen

    Recruiting
  • Diakonessenhuis

    Utrecht

    Recruiting
  • Isala Hospital

    Zwolle

    Recruiting

Other trials in Netherlands

About this study

Official title: Minimal Invasive Axillary Staging and Treatment After Neoadjuvant Systemic Therapy in Node Positive Breast Cancer (MINIMAX): a Dutch Multicenter Observational Study to Gain Insight in Less and More Invasive Axillary Staging and Treatment in Relation to Oncologic Safety and Quality of Life to Develop Evidence-based Guidelines.

Today, the majority of clinically node positive (cN+) breast cancer patients is treated with neoadjuvant systemic therapy (NST). Axillary staging and treatment after NST in cN+ patients are areas of controversy. Patients with a pathological complete response (pCR) of the axillary lymph nodes are not expected to benefit from axillary lymph node dissection (ALND). Hence, less invasive axillary staging procedures are being introduced to avoid unnecessary ALND. However, evidence supporting the safety of replacing ALND by less invasive techniques in terms of oncologic safety and impact on quality of life (QoL) is lacking.

Read the detailed description

The MINIMAX is a multicenter registry study that includes node positive breast cancer patients, who are treated with NST (chemotherapy and ± immunotherapy), in order to gain insight in the oncologic safety and impact on QoL of less and more invasive axillary staging and treatment strategies.

Patients who are included in this study will complete Patient Reported Outcome Measures (PROMs) at baseline (time of diagnosis), and 1 and 5 years after diagnosis to assess impact on QoL.

A database will be built by the Netherlands Cancer Registry. Data on patient-, tumor-, pre-NST staging-, post-NST staging- and treatment-characteristics will be retrieved from patients' records by trained data registrars of the Netherlands Comprehensive Cancer Organisation (IKNL) using electronic case report forms (eCRFs). Five-year survival and recurrence will be evaluated to determine oncologic safety.

The results will be incorporated in the national guidelines. In case of an equilibrium between less and more invasive strategies, the data of this study will at least be extremely suitable to be used in the shared decision making process.

Medical subject headings
Breast Neoplasms, Lymphatic Metastasis

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Disease free survival (DFS)

    DFS is defined as the time interval between the date of diagnosis until the date that a patient survives without any signs or symptoms of the disease.

    Measured: 5 years

  2. Breast cancer specific survival (BCSS)

    BCSS is defined as the time interval between the date of diagnosis until death from the disease.

    Measured: 5 years

  3. Overall survival (OS)

    OS is defined as the time interval between the date of diagnosis until death from any cause.

    Measured: 5 years

  4. Axillary recurrence rate (ARR)

    ARR is defined as tumor recurrence and as residual tumor that became clinically apparent in the ipsilateral axillary lymph nodes (pathologically proven).

    Measured: 5 years

  5. Quality of life, as measured by EQ-5D-5L

    The EQ-5D-5L comprises a descriptive system questionnaire and a visual analogue scale (VAS). The descriptive system consists of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. For each dimension, participants choose one of 5 levels that best describes their health on that day (from 'no problem'= 1 to 'unable/extreme'= 5). The numbers chosen for the five dimensions are combined to give a 5 digit score (minimum score = 11111 maximum score = 55555). The VAS provides participant's rating of their health on a scale from 0 ('the worst health you can imagine') to 100 ('the best health you can imagine').

    Measured: Baseline, and 1 and 5 years after baseline

  6. Quality of life, as measured by Quality of Life Questionnaire Core 30 Items (QLQ-C30) and QLQ-BR23

    These questionnaires contain functional domains, global health status, and symptom scales. For functional domains and global health status, scores range from 0 to 100 with higher scores representing a better level of functioning. For symptoms scales, scores range from 0 to 100 with higher scores representing a greater degree of symptoms.

    Measured: Baseline, and 1 and 5 years after baseline

  7. Quality of life, as measured by BREAST-Q, which includes the following domains: satisfaction with breasts, psychosocial well being, physical well being, sexual well being.

    All domains are scored 0 to 100 points. Higher points represent a better outcome.

    Measured: Baseline, and 1 and 5 years after baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jul 2020
  2. Study start16 Jul 2020
  3. Primary completion1 Jul 2027 (estimated)
  4. Study completion1 Jul 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
549 participants (estimated)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT04486495
Sponsor's protocol ID
2020-12518
Acronym
MINIMAX
Status last verified
Aug 2022
First submitted
7 Jul 2020
Last updated
24 Aug 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Breast Cancer and Neoadjuvant Therapy, run by Maastricht University Medical Center at 35 sites in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 24 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Sabine de Wild, MD (+31433881574, s.dewild@maastrichtuniversity.nl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Disease free survival (DFS) (time frame: 5 years). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Aug 2022; AzTrials last refreshed its copy on 6 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in