SentiMag® Intraoperative Comparison in Breast Cancer

NCT ID: NCT02336737

Last Updated: 2020-11-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2015-12-31

Brief Summary

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The purpose of this pivotal study is to provide prospective evidence that the SentiMag®/SiennaXP® is safe and non-inferior to the current standard of care for lymph node localization in patients with breast cancer as part of a sentinel lymph node biopsy (SLNB) procedure and to summarize measures of product safety and performance.

Detailed Description

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This is a pivotal, prospective, open label, multicenter, paired comparison of the SentiMag® and SiennaXP® magnetic sentinel node localization system with the standard of care (radioisotope with blue dye) for lymph node localization in the detection of lymph nodes in patients with breast cancer undergoing a sentinel lymph node biopsy. The trial is designed to provide powered evidence that the lymph node detection rate of the SentiMag® and SiennaXP® system is non-inferior to the standard of care in patients with breast cancer.

Conditions

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Breast Cancer

Keywords

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breast cancer sentinel lymph node biopsy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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SiennaXP injection

Single injection of SiennaXP in addition to comparator single dose of radioisotope (Technetium Tc99m Sulfur Colloid) and single dose of isosulfan blue dye.

Lymph node localization using the SentiMag handheld intraoperative localization system in addition to localization with standard of care handheld gamma probe.

Group Type EXPERIMENTAL

SiennaXP

Intervention Type DEVICE

Sub-cutaneous injection of SiennaXP magnetic marker, followed by lymph node localization using the SentiMag handheld magnetic probe

Technetium Tc99m Sulfur Colloid

Intervention Type DRUG

Injection of a single dose of radioisotope (Technetium Tc99m Sulfur Colloid)

Isosulfan blue dye

Intervention Type DRUG

Injection of a single dose of isosulfan blue dye

Interventions

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SiennaXP

Sub-cutaneous injection of SiennaXP magnetic marker, followed by lymph node localization using the SentiMag handheld magnetic probe

Intervention Type DEVICE

Technetium Tc99m Sulfur Colloid

Injection of a single dose of radioisotope (Technetium Tc99m Sulfur Colloid)

Intervention Type DRUG

Isosulfan blue dye

Injection of a single dose of isosulfan blue dye

Intervention Type DRUG

Other Intervention Names

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Radioisotope Blue dye

Eligibility Criteria

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Inclusion Criteria

* Subjects with a diagnosis of primary breast cancer or subjects with pure ductal carcinoma in situ (DCIS).
* Subjects scheduled for surgical intervention, with a sentinel lymph node biopsy procedure being a part of the surgical plan.
* Subjects aged 18 years or more at the time of consent.
* Subjects with an ECOG (Eastern Cooperative Oncology Group) performance status of Grade 0 - 2.
* Subject has a clinical negative node status (i.e. T0-3, N0, M0).

Exclusion Criteria

* The subject is pregnant or lactating.
* The subject has clinical or radiological evidence of metastatic cancer including palpably abnormal or enlarged lymph nodes.
* The subject has a known hypersensitivity to Isosulfan Blue Dye.
* The subject has participated in another investigational drug study within 30 days of scheduled surgery.
* Subject has had either a) previous axilla surgery, b) reduction mammoplasty, or c) lymphatic function that is impaired in the surgeon's judgment.
* Subject has had preoperative radiation therapy to the affected breast or axilla.
* Subject has received a Feraheme® (ferumoxytol) Injection within the past 6 months.
* Subject has intolerance or hypersensitivity to iron or dextran compounds or to SiennaXP.
* Subject has an iron overload disease.
* Subject has pacemaker or other implantable device in the chest wall.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regulatory and Clinical Research Institute Inc

OTHER

Sponsor Role collaborator

Endomagnetics Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael D Alvarado, MD

Role: PRINCIPAL_INVESTIGATOR

University of CA, San Francisco Carol Franc Buck Breast Care, Dept of Surgery

Locations

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University of California San Diego Moores Cancer Center

La Jolla, California, United States

Site Status

University of California Davis Comprehensive Cancer Center

Sacramento, California, United States

Site Status

UCSF Carol Franc Buck Breast Care Center

San Francisco, California, United States

Site Status

Coordinated Health Breast Care Specialists

Allentown, Pennsylvania, United States

Site Status

Dallas Surgical Group

Dallas, Texas, United States

Site Status

University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

References

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Douek M, Klaase J, Monypenny I, Kothari A, Zechmeister K, Brown D, Wyld L, Drew P, Garmo H, Agbaje O, Pankhurst Q, Anninga B, Grootendorst M, Ten Haken B, Hall-Craggs MA, Purushotham A, Pinder S; SentiMAG Trialists Group. Sentinel node biopsy using a magnetic tracer versus standard technique: the SentiMAG Multicentre Trial. Ann Surg Oncol. 2014 Apr;21(4):1237-45. doi: 10.1245/s10434-013-3379-6. Epub 2013 Dec 10.

Reference Type BACKGROUND
PMID: 24322530 (View on PubMed)

Thill M, Kurylcio A, Welter R, van Haasteren V, Grosse B, Berclaz G, Polkowski W, Hauser N. The Central-European SentiMag study: sentinel lymph node biopsy with superparamagnetic iron oxide (SPIO) vs. radioisotope. Breast. 2014 Apr;23(2):175-9. doi: 10.1016/j.breast.2014.01.004. Epub 2014 Jan 29.

Reference Type BACKGROUND
PMID: 24484967 (View on PubMed)

Other Identifiers

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US-001

Identifier Type: -

Identifier Source: org_study_id