OPBC-10/ NOAX

About this trial

The primary hypothesis is that the combination of TAS and ART improves arm-specific Quality of life and reduces lymphedema rates within the 24 months after surgery compared to ALND in patients with clinically node-positive breast cancer (cN+ BC) undergoing upfront surgery.

Patient Profile

This trial may be suitable for people with breast cancer that has spread to lymph nodes in the armpit and who are having surgery as their first treatment.

It compares standard lymph node surgery with a more targeted operation followed by radiotherapy. Researchers want to see whether the targeted approach can reduce arm swelling and improve quality of life.

Where’s this trial being run?

University Hospital Galway

Can I join this study / trial?

The first step we recommend is to talk to your doctor or the cancer trials team at your hospital. You can find contact details for cancer trials research units in Ireland here.

It’s also a good idea to print this page and bring it with you to your appointment. It can help guide the conversation and remind you of what to ask. You may also want to talk to your family or friends about your options, as they can offer support as you make decisions.

For more detailed information

Questions?

Here’s a list of questions you may have for your doctor or local cancer research team.


Summary Data

Name: OPBC-10/ NOAX
Number: 25-72
Full Title:

OPBC-10/ NOAX Axillary radiotherapy or axillary lymph node dissection in patients with clinically node-positive breast cancer undergoing upfront tailored axillary surgery: An international, randomized superiority trial

Principal Investigator: National PI: Prof Frances Duane, Dr Michael Boland
Type: Collaborative
Sponsor:

University Hospital Basel, Cancer Trials Ireland

Recruitment Started: Global: Jan 2026
Ireland: Jul 2026
Global Recruitment Target: 295
Ireland Recruitment Target: 75