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Unilateral Breast NeoplasmsPRE-ACT-01NCT07187726

Arm Swelling Occurence in Breast Cancer Patients With Nodal Radiotherapy: Impact of Informing Them of AI-predicted Risk

A study testing XAINET AI tool in people with Unilateral Breast Neoplasms, run by UNICANCER at 27 sites in 2 countries.

Recruiting

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

Sites and contacts
Official record
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Trial summary

Radiotherapy after breast cancer surgery can lead to side effects like arm lymphedema (arm swelling). Lymphedema can cause long-term discomfort and affect quality of life. The goal of this clinical investigation is to determine whether using an artificial intelligence (AI) tool to predict the risk of developing arm… Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Unilateral Breast Neoplasms
What is being tested?
XAINET AI tool
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
724 participants
Where
27 sitesin 2 countries
Study dates
7 Oct 2025to 31 Jan 2029
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 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient must have signed a written informed consent form prior to inclusion visit and to any study specific procedures
  • Women ≥ 18 years
  • Patients with unilateral invasive breast cancer, cT1-4, cN0-N3, M0 who had undergone radical surgery defined as mastectomy or breast conservation surgery with negative margins +/- (neo)-adjuvant systemic treatment. The patient can be included no matter the status of estrogen and progesterone receptors, malignancy grade, and HER2 status
  • Axillary lymph node staging (by axillary dissection or sentinel lymph node biopsy and/or marked lymph node biopsy [Marking Axillary lymph nodes with Radioactive Iodine seeds (MARI) procedure/ (Targeted Axillary Dissection (TAD) procedure] in case of neo-adjuvant systemic treatment) defining the indication for regional nodal irradiation to levels I+/- II+/- III+/- IV+/- interpectoral nodes (Rotter) +/- the IMC(Internal Mammary Chain)
  • ECOG performance status 0-2
  • Patient must be randomized within the recommended time period from last surgery or the last series of chemotherapy whichever comes last as per national or institutional guidelines in order not to delay radiotherapy treatment start
Show all 9Show fewer
  • Women of childbearing potential must agree to use adequate contraception for the duration of study participation and up to 3 months following completion of radiotherapy
  • Patient is willing and able to comply with the protocol for the duration of the clinical investigation including undergoing treatment and scheduled visits, and examinations including follow-up
  • Patient affiliated to or a beneficiary of the local social security system, health service or other local regulatory requirements

Who cannot join

  • Previous breast cancer or Ductal Carcinoma in Situ (DCIS) of the ipsilateral breast
  • Bilateral breast cancer
  • Patient with previous non-breast malignancy, with the exception of cancer in complete remission for over 5 years and low risk of recurrence. Patients with the following diseases can be accepted despite less than 5 years disease free interval: carcinoma in situ of the cervix, melanoma in situ, basal cell carcinoma of the skin, squamous cell carcinoma of the skin
  • Patient who has an indication for boost to one or more regional nodes
  • Previous radiation therapy to the chest region
  • Patients having arm swelling requiring arm sleeve prescription at baseline
Show all 11Show fewer
  • Any condition that prevents the patient from wearing a compression sleeve for 8h/day from the first day of radiation therapy until 3 months after the initiation of adjuvant radiotherapy
  • Pregnant or breastfeeding women
  • Patient already included in another therapeutic study involving radiotherapy dose/regimen/technique and/or arm lymphedema risk
  • Person deprived of their liberty or under protective custody or guardianship
  • Presence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule

Trial locations and contacts

27 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

27 sites in 2 countries

France26 sites, 26 recruiting
  • Centre Marie Curie

    Arras

    Alexandre HENNI, MD

    Recruiting
  • Centre Pierre Curie

    Beuvry

    Laurent BASSON, MD

    Recruiting
  • Clinique Tivoli Ducos

    Bordeaux

    Pauline REGNAULT DE LA MOTHE, Md

    Recruiting
  • Centre François Baclesse

    Caen

    Adeline MOREL, MD

    Recruiting
  • ROC 37

    Chambray-lès-Tours

    Guillemette BERNADOU, MD

    Recruiting
  • Centre Jean Perrin

    Clermont-Ferrand

    Aurélie BELLIERE, MD

    Recruiting
  • CHI Créteil

    Créteil

    Soumia ANANE ABROUS, MD

    Recruiting
  • Centre Léonard de Vinci

    Dechy

    Alexandre ESCANDE, MD

    Recruiting
  • Centre Georges François Leclerc

    Dijon

    Karine PEIGNAUX-CASASNOVAS, MD

    Recruiting
  • CHD Vendée

    La Roche-sur-Yon

    Florence LEGOUTÉ, MD

    Recruiting
  • Centre Guillaume Le Conquérant

    Le Havre

    Romain MALLET, MD

    Recruiting
  • Clinique Victor Hugo

    Le Mans

    Amandine RUFFIER LOUBIERE, MD

    Recruiting
  • Centre Oscar Lambret

    Lille

    David PASQUIER, MD

    Recruiting
  • Centre Léon Bérard

    Lyon

    Séverine RACADOT, MD

    Recruiting
  • Centre de Radiothérapie de Seine-et-Marne

    Melun

    Louisa ABBASSI, MD

    Recruiting
  • Centre Antoine Lacassagne

    Nice

    Recruiting
  • CH Lyon Sud

    Oullins

    Ionela CARAIVAN, MD

    Recruiting
  • Institut Godinot

    Reims

    Philippe GUILBERT, MD

    Recruiting
  • Centre Henri Becquerel

    Rouen

    Ahmed BENYOUCEF, MD

    Recruiting
  • ICO Nantes Saint Herblain

    Saint-Herblain

    Augustin MERVOYER, MD

    Recruiting
  • Clinique Mutualiste de l'Estuaire

    Saint-Nazaire

    Benoit SAMAIN, MD

    Recruiting
  • CHU Sud La Réunion

    Saint-Pierre

    Shakeel SUMODHEE, MD

    Recruiting
  • CH de Saint Quentin

    Saint-Quentin

    Hanene OUESLATI, MD

    Recruiting
  • Centre Paul Strauss

    Strasbourg

    Jean-Baptiste CLAVIER, MD, PhD

    Recruiting
  • Institut de Cancérologie de Lorraine

    Vandœuvre-lès-Nancy

    Marie BRUAND, MD

    Recruiting
  • Gustave Roussy

    Villejuif

    Sofia RIVERA, MD, PhD

    Recruiting

Other trials in France

Netherlands1 site, 1 recruiting
  • Maastro

    Maastricht

    Karolien Verhoeven, MD

    Recruiting

Other trials in Netherlands

About this study

Official title: Multicenter Randomized Pivotal Stage Clinical Investigation Assessing the Communication of an Individualized AI-based Risk Prediction of Arm Lymphedema to Breast Cancer Patients With an Indication for Regional Lymph Node Irradiation and Their Physician as Part of Treatment Shared-decision

Radiotherapy after breast cancer surgery can lead to side effects like arm lymphedema (arm swelling). Lymphedema can cause long-term discomfort and affect quality of life.

The goal of this clinical investigation is to determine whether using an artificial intelligence (AI) tool to predict the risk of developing arm lymphedema after breast cancer radiotherapy can help patients and physicians make better treatment decisions.

Read more

This AI tool has been developed to determine each patient's personalized risk of developing lymphedema. The risk is shown using a web app that explains the factors involved and offers suggestions like using a compression sleeve to reduce the risk.

Women (≥18 years) with breast cancer (cT1-4, cN0-N3, M0) requiring regional lymph node irradiation post-mastectomy or breast-conserving surgery are eligible, regardless of hormone receptor status, tumor grade, or HER2 status.

Patients will be randomly divided into two groups:

  • Experimental group: Patients and physicians will see the AI-predicted risk and use it to guide treatment choices.
  • Control group: The risk is not shown.

The radiotherapy treatment will be exactly the same as the treatment that you would have received if you had not taken part in this clinical investigation. The only intervention will be whether or not the risk you are informed of the risk of developing lymphedema.

All patients will be followed for two years to monitor:

  • How risk communication influences radiotherapy treatment choices
  • The occurrence of side effects
  • The predictive performance of the AI tool
  • Patients' quality of life
  • Compliance with compression sleeve use
  • Loco-regional recurrence-free survival, distant disease-free survival, and overall survival
Being tested
XAINET AI tool
Keywords
Arm lymphedema, Individualized AI-based risk prediction
Medical subject headings
Unilateral Breast Neoplasms

What participants receive

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

  • XAINET AI toolDevice

    The AI-based prediction of arm lymphedema risk is communicated to the patient and treating physician.

Study groups in NCT07187726
Study groupRoleWhat they receive
Communication of the AI-based risk prediction to patient and physician.ExperimentalNot described
Receives: Device: XAINET AI tool
No communication of the AI-based risk prediction to patient and physician.No interventionNot described

What is being measured

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

  1. Arm lymphedema

    Cumulative incidence of arm lymphedema on the treated side 2 years after adjuvant radiotherapy. The definition of arm lymphedema is ≥5% increased arm circumference measured 15 cm proximal and/or 10 cm distal of the olecranon of the treated side from baseline, compared to the contralateral side circumference and to its baseline value

    Measured: At 2 years

Secondary outcomes (12)
  1. Impact of communicating the risk prediction for arm lymphedema on the choice of radiotherapy modality, fractionation, technique and nodal levels irradiated

    Radiotherapy modalities: technique used, fractionation (use of moderately and ultra-hypofractionated), and lymph node levels treated will be compared in both arms

    Measured: Up to 3 months from randomization.

  2. Acute and late toxicity during the study

    The National Cancer Institute-Common Terminology Criteria for Adverse Events version 5 (NCI-CTCAE v5) is widely accepted in the community of oncology research as the leading rating scale for adverse events. This scale, divided into 5 grades (1 = "mild", 2 = "moderate", 3 = "severe", 4 = "life-threatening", and 5 = "death") determined by the investigator, will make it possible to assess the severity of the disorders

    Measured: Throughout study completion, up to 2 years.

  3. Range of shoulder motion (ROM) of the arms

    The range of shoulder motion (ROM) of the arms (flexion/abduction) will be reported by the radiation oncologist according to a circular scale

    Measured: Throughout study completion, up to 2 years.

  4. Breast cosmetic result

    The global cosmetic result after breast conservation surgery will be based on Harris 4-point scale (4-point Likert scale: Excellent, Good, Fair, Poor)

    Measured: Throughout study completion, up to 2 years.

  5. Performance of the arm lymphedema risk prediction model

    The performance will be assessed by the discrimination and the calibration of the model in the control arm. The discrimination refers to how well the model differentiates patients at higher risk of having an event from those at lower risk. For assessing discrimination at fixed time point of occurrence of event of interest, the area under the receiver operating characteristic curve (AUC) will be calculated. The calibration expresses the agreement between the observed and predicted outcome values. To assess whether the observed event rate equals the predicted risk in different groups of predicted risks, calibration curve will be created.

    Measured: At 2 years

  6. Quality of life questionnaire - Core 30 (QLQ-C30)

    Developed by the EORTC, this self-reported questionnaire assesses the health-related quality of life of cancer patients in clinical trials The questionnaire includes five functional scales (physical, everyday activity, cognitive, emotional, and social), three symptom scales (fatigue, pain, nausea and vomiting), a health/quality of life overall scale, and a number of additional elements assessing common symptoms (including dyspnea, loss of appetite, insomnia, constipation, and diarrhea), as well as, the perceived financial impact of the disease All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level

    Measured: At baseline, end of treatment visit, 1 year and 2 years

  7. Quality of Life Questionnaire - Breast cancer module (QLQ-BR23)

    This EORTC breast cancer specific questionnaire is intended to supplement the QLQ-C30.

    The QLQ-BR23 contains 23 items incorporating five multi-item scales to assess systemic therapy side effects, arm symptoms, breast symptoms, body image and sexual functioning. In addition, single items assess sexual enjoyment, hair loss and future perspective. All items are rated on a four-point Likert-type scale (1 = "not at all", 2 = "a little", 3 = "quite a bit", and 4 = "very much"), and are linearly transformed to a 0-100 scale. For all items but sexual functioning and sexual enjoyment, higher scores indicate more severe symptoms

    Measured: At baseline, end of treatment visit, 1 year and 2 years

  8. The Developed 5-level version of EQ-5D (EQ-5D-5L) questionnaire

    Developed by the EuroQol group, the self-reported questionnaire assesses the health-related quality of life of cancer patients in clinical trials consists of a descriptive system and a visual analogue scale (VAS) The EQ-5D-5L descriptive system comprises five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each dimension has 5 levels (1 = "no problems", 2 = "slight problems", 3 = "moderate problems", 4 = "severe problems", and 5 = "extreme problems"). This questionnaire provide a 5-digit score which generate a health state profile. The VAS records the patient's self-rated health on a vertical visual analogue scale where the score range from 0 (The best health you can image) to 100 (The worst health you can image). The VAS is used as a quantitative measure of health outcome that reflects the patient's own judgement

    Measured: At baseline, end of treatment visit, 1 year and 2 years

  9. Compliance with compression arm sleeve use

    Compliance with the use of the compression arm sleeve will be measured by the frequency with which the patient wears it according to the patient

    Measured: At end of treatment visit, 3-month after starting radiotherapy, at 1 year and 2 years

  10. Loco-regional relapse-free survival (RFS)

    Locoregional recurrence-free survival is the time from randomisation until locoregional recurrence (as the first recurrence event) or death

    Measured: From randomization until the first invasive ipsilateral breast tumor recurrence, loco regional invasive recurrence, ipsilateral DCIS or death from any cause up to 2 years

  11. Distant disease-free survival (DDFS)

    Distant disease-free survival is defined as the time from randomization until the recurrence of disease (first, occurrence of metastasis or distant relapse) or death from any cause using DATECAN definitions of breast-cancer related endpoints

    Measured: From randomization until the recurrence of disease or death from any cause up to 2 years

  12. Overall survival (OS)

    The overall survival is the length of time from randomization that patients enrolled in the study are still alive

    Measured: From randomization to death from any cause, up to 2 years

Timeline

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

  1. First posted23 Sep 2025
  2. Study start7 Oct 2025
  3. Primary completion31 Jan 2029 (estimated)
  4. Study completion31 Jan 2029 (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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
724 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07187726
Sponsor's protocol ID
UC-RAD-2407
Acronym
PRE-ACT-01
Status last verified
Nov 2025
First submitted
21 Jun 2025
Last updated
19 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing XAINET AI tool in people with Unilateral Breast Neoplasms, run by UNICANCER at 27 sites in 2 countries.

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 9 inclusion and 11 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 19 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in France, 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 Marie Bergeaud, PhD (+33 (0) 6 28 68 47 15, m-bergeaud@unicancer.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Arm lymphedema (time frame: At 2 years). 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 19 May 2026.

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