AzTrials
AzTrials

Breast CancerLUCASNCT06903429

Using LUminoMark vs Coventional Practice for Targeted Axillary Surgery

A study testing Targeting of axillary lymph nodes using LuminoMark and Targeting of axillary lymph nodes using conventional method in people with Breast Cancer and Axillary Lymph Nodes, run by Kyungpook National University Chilgok Hospital.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The purpose of this study was to compare the use of LuminoMarkTM as a method of targeting axillary lymph nodes with other existing methods used in each institution, such as charcoal staining, needle targeting, and ultrasound-guided skin marking, in patients with breast cancer clinically suspected of metastasis, with… Read more about this study

Who is it for?
Ages 20 to 70 years
Conditions the study is for
Breast Cancer, Axillary Lymph Nodes, Target Lesion
What is being tested?
Targeting of axillary lymph nodes using LuminoMark and Targeting of axillary lymph nodes using conventional method
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
330 participants
Where
No sites listed yet
Study dates
1 May 2025to 31 Dec 2027
Phase
Interventional
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 20 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients aged 20 to 70 years
  • Women diagnosed with primary invasive breast cancer through biopsy
  • Patients with clinically and imaging-suspected axillary lymph node metastasis, confirmed pathologically (aspiration cytology or needle biopsy)
  • Clinically staged T1-T4, N1-3
  • Patients who have fully understood the clinical trial content (if possible) and signed the informed consent form

Who cannot join

  • Patients with inadequate radiological evaluation of the axilla before surgery
  • Recurrent breast cancer or inflammatory breast cancer
  • Breast cancer with distant metastasis (Stage 4)
  • Patients with a history of hypersensitivity to the components of the investigational drug
  • Patients scheduled for axillary dissection that does not require targeting of the target lesion
  • Patients with active connective tissue disease (e.g., scleroderma, lupus) that has invaded the skin
Show all 12Show fewer
  • Patients with locally advanced breast cancer or inflammatory locally advanced breast cancer that is not amenable to surgery
  • Patients with a history of hypersensitivity to the main component or excipients of the investigational drug
  • Female subjects who may become pregnant during the clinical trial period and do not agree to use a highly effective non-hormonal contraception method (e.g., sterilization, intrauterine device, complete abstinence, vasectomy partner) from the time of investigational drug injection until the follow-up visit
  • Pregnant or lactating women
  • Patients who have participated in another clinical trial within 12 weeks before enrollment in this clinical trial
  • Patients deemed unsuitable for participation by the investigator for any other reason

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Jeeyeon Lee, Associate professor in Kyungpook National University, MD, PhD contact

82-53-200-2707

j.lee@knu.ac.kr

Joon Suk Moon, Clinical assistant professor, MD contact

82-53-200-7281

joonsukm@gmail.com

About this study

Official title: A Comparative Study to Evaluate Targeting Methods for Axillary Surgery in Patients With Clinically Node-positive Breast Cancer: A Prospective Multicenter Pilot Study

The purpose of this study was to compare the use of LuminoMarkTM as a method of targeting axillary lymph nodes with other existing methods used in each institution, such as charcoal staining, needle targeting, and ultrasound-guided skin marking, in patients with breast cancer clinically suspected of metastasis, with or without clipping at the time of diagnosis, regardless of the presence or absence of neoadjuvant chemotherapy. By doing so, the investigators aimed to confirm the safety and usefulness of LuminoMarkTM as a targeting method.

Read the detailed description

In breast cancer patients, lymph node targeting plays an important role in determining the stage and setting the treatment policy, and the existing methods for this purpose include charcoal staining, needle targeting, and ultrasound-guided skin marking. However, these methods have limitations in terms of detection rate and accuracy, and a new targeting method, LuminoMarkTM, shows the potential to replace them. The purpose of this study is to evaluate the detection rate and safety of lymph node targeting using LuminoMarkTM in breast cancer patients and to verify its effectiveness by comparing it with existing targeting methods. The study was designed as a prospective comparative study, and patients diagnosed with breast cancer and requiring lymph node targeting were divided into the LuminoMarkTM group and the existing method group. The existing method group selects a standard method among charcoal staining, needle targeting, and ultrasound-guided skin marking to perform targeting, and the lymph node detection rate, procedure time, complication rate, and patient satisfaction are the main evaluation indicators in both groups. After targeting, the suitability of the detected lymph nodes is confirmed through pathological analysis, and appropriate statistical analysis is performed to compare the difference in detection rates of each method. Through this study, the investigators evaluate whether LuminoMarkTM provides superior detection rates and safety compared to existing lymph node targeting methods, and based on this, the investigators aim to suggest a more effective and reliable targeting method for breast cancer patients.

Being tested
Targeting of axillary lymph nodes using LuminoMark, Targeting of axillary lymph nodes using conventional method
Keywords
Targeting, Axillary lymph node, breast cancer
Medical subject headings
Breast Neoplasms, Erythema Multiforme

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Targeting of axillary lymph nodes using LuminoMarkProcedure or surgery

    This group used LuminoMark as a targeting method for axillary lymph nodes in breast cancer patients with suspected metastasis, comparing it to existing methods (charcoal staining, needle targeting, ultrasound-guided skin marking) to assess its safety and effectiveness, with procedural differences based on neoadjuvant chemotherapy status.

  • Targeting of axillary lymph nodes using conventional methodProcedure or surgery

    This group used conventional method (charcoal staining, needle targeting, ultrasound-guided skin marking) as a targeting method for axillary lymph nodes in breast cancer patients with suspected metastasis, with procedural differences based on neoadjuvant chemotherapy status.

Study groups in NCT06903429
Study groupRoleWhat they receive
LuminoMarkTM groupExperimentalLuminoMarkTM using group for targeting of axillary lymph node
Receives: Procedure: Targeting of axillary lymph nodes using LuminoMark
Conventional groupActive comparatorConventional method using group for targeting of axillary lymph node
Receives: Procedure: Targeting of axillary lymph nodes using conventional method

What is being measured

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

  1. Accuracy of the axillary lymph node targeting method

    The outcome will be assessed by determining whether the preoperatively marked (targeted) lymph node is successfully identified and retrieved during surgery, and confirmed by postoperative pathological examination.

    Success (match): The retrieved lymph node is matched with targeted lymph node.

    Failure (not match): The retrieved lymph node is not matched with targeted lymph node.

    Measured: From enrollment to the end of observation at 3 weeks

  2. Comparison the accuracy rate between LuminoMark group and conventional group

    Compare the rate at which the lymph nodes are accurately detected using charcoal staining, needle targeting, ultrasound-guided marking, etc., with the rate at which they are detected using LuminoMark.

    Measured: At the end of the trial (up to 1 year)

Secondary outcomes (4)
  1. Comparion of surgical time between two group

    Comparison of time from skin incision to detection of marked axillary lymph nodes Comparison of total axillary surgical time

    Measured: During surgery

  2. Comparison of complications between two groups

    Compare the postoperative complications after surgery

    Measured: From enrollment to the end of observation at 3 weeks

  3. Adverse drug reactions

    Compare the incidence of adverse drug reactions between two groups

    Measured: From enrollment to the end of observation at 3 weeks

  4. Concordance rate between sentinel lymph node and targeted lymph node in both group

    Concordance rate between sentinel lymph node and targeted lymph node in both group

    Measured: From enrollment to the end of observation at 3 weeks

Timeline

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

  1. First posted30 Mar 2025
  2. Study start1 May 2025 (estimated)
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 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
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
330 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06903429
Sponsor's protocol ID
KBCSG 36
Acronym
LUCAS
Status last verified
Mar 2025
First submitted
11 Mar 2025
Last updated
30 Mar 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Takemoto N, Koyanagi A, Yasuda M, Yamamoto H. Comparison of the indocyanine green dye method versus the combined method of indigo carmine blue dye with indocyanine green fluorescence imaging for sentinel lymph node biopsy in breast conservative therapy for stage </=IIA breast cancer. BMC Womens Health. 2018 Sep 18;18(1):151. doi: 10.1186/s12905-018-0646-5.

    PubMed 30227837
  • Lee J, Kang B, Jung JH, Kim HJ, Kim WH, Yang JD, Lee JS, Chae YS, Lee SJ, Lee IH, Park JY, Park NJ, Park HY. Feasibility of an indocyanine green-hyaluronic acid mixture (LuminoMark) for targeting suspicious axillary lymph nodes in patients with breast cancer. BMC Cancer. 2024 Dec 30;24(1):1588. doi: 10.1186/s12885-024-13175-9.

    PubMed 39736609
  • Bang YJ, Choi HJ, Kim I, Lee MH, Lee S, Shin HJ, Nam SJ, Lee JE, Chae BJ, Lee SK, Ryu JM, Kim SW. The efficacy and safety of an indocyanine green-hyaluronic acid mixture (LuminoMark) for localization in patients with non-palpable breast lesions: A multicenter, randomized, open-label, parallel phase 3 clinical trial. Front Oncol. 2023 Mar 24;13:1039670. doi: 10.3389/fonc.2023.1039670. eCollection 2023.

    PubMed 37035212
  • Kitzman JV, Martin JF, Holley JH, Huber WG. Determination of antipyrine in catfish plasma by high-performance liquid chromatography. J Chromatogr. 1988 Mar 11;437(1):306-10. doi: 10.1016/s0021-9673(00)90399-6. No abstract available.

    PubMed 3372671
  • Lin J, Lin LS, Chen DR, Lin KJ, Wang YF, Chang YJ. Indocyanine green fluorescence method for sentinel lymph node biopsy in breast cancer. Asian J Surg. 2020 Dec;43(12):1149-1153. doi: 10.1016/j.asjsur.2020.02.003. Epub 2020 Mar 3.

    PubMed 32143963
  • White KP, Sinagra D, Dip F, Rosenthal RJ, Mueller EA, Lo Menzo E, Rancati A. Indocyanine green fluorescence versus blue dye, technetium-99M, and the dual-marker combination of technetium-99M + blue dye for sentinel lymph node detection in early breast cancer-meta-analysis including consistency analysis. Surgery. 2024 Apr;175(4):963-973. doi: 10.1016/j.surg.2023.10.021. Epub 2023 Dec 13.

    PubMed 38097484
  • Bargon CA, Huibers A, Young-Afat DA, Jansen BAM, Borel-Rinkes IHM, Lavalaye J, van Slooten HJ, Verkooijen HM, van Swol CFP, Doeksen A. Sentinel Lymph Node Mapping in Breast Cancer Patients Through Fluorescent Imaging Using Indocyanine Green: The INFLUENCE Trial. Ann Surg. 2022 Nov 1;276(5):913-920. doi: 10.1097/SLA.0000000000005633. Epub 2022 Jul 27.

    PubMed 35894448
  • Kim WH, Kim HJ, Jung JH, Park HY, Lee J, Kim WW, Park JY, Chae YS, Lee SJ. Ultrasound-Guided Restaging and Localization of Axillary Lymph Nodes After Neoadjuvant Chemotherapy for Guidance of Axillary Surgery in Breast Cancer Patients: Experience with Activated Charcoal. Ann Surg Oncol. 2018 Feb;25(2):494-500. doi: 10.1245/s10434-017-6250-3. Epub 2017 Nov 13.

    PubMed 29134374
  • Kim WH, Kim HJ, Jung JH, Park HY, Lee J, Kim WW, Park JY, Cheon H, Lee SM, Cho SH, Shin KM, Kim GC. Ultrasound-Guided Fine-Needle Aspiration of Non-palpable and Suspicious Axillary Lymph Nodes with Subsequent Removal after Tattooing: False-Negative Results and Concordance with Sentinel Lymph Nodes. Ultrasound Med Biol. 2017 Nov;43(11):2576-2581. doi: 10.1016/j.ultrasmedbio.2017.07.011. Epub 2017 Aug 19.

    PubMed 28830644
  • Lee J, Jung JH, Kim WW, Lee RK, Kim HJ, Kim WH, Park JY, Jeong JY, Chae YS, Lee SJ, Park SH, Kim MY, Yang JD, Lee JW, Lee JS, Park HY. 5-year oncological outcomes of targeted axillary sampling in pT1-2N1 breast cancer. Asian J Surg. 2019 Jun;42(6):681-687. doi: 10.1016/j.asjsur.2018.10.004. Epub 2018 Nov 22.

    PubMed 30470459

Questions about this trial

What is this clinical trial studying?

A study testing Targeting of axillary lymph nodes using LuminoMark and Targeting of axillary lymph nodes using conventional method in people with Breast Cancer and Axillary Lymph Nodes, run by Kyungpook National University Chilgok Hospital.

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 5 inclusion and 12 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: opening soon, as of the sponsor's last update on 30 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

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 Jeeyeon Lee, Associate professor in Kyungpook National University, MD, PhD (82-53-200-2707, j.lee@knu.ac.kr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Accuracy of the axillary lymph node targeting method (time frame: From enrollment to the end of observation at 3 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06903429, which also lists 10 linked publications.

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 30 Mar 2025.

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