Complete Lymph Node Dissection vs Watchful Waiting in Patients With Malignant Melanoma (Thickness of 1,0mm+ and Evidence of Metastases in the Sentinel Node)

NCT ID: NCT02434107

Last Updated: 2022-12-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

483 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-12-31

Study Completion Date

2017-12-31

Brief Summary

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Sentinel lymph node biopsy (SLNB) is considered as standard diagnostic procedure in melanoma patients carrying a reasonable risk for metastases. In numerous studies the prognostic role of micro metastases in the sentinel node (SN) was described. However, the prognostic value of a complete lymph node dissection in patients with a positive SN is still unclear.

This study was planned to analyse the survival outcome of patients with a positive SN receiving complete lymphadenectomy versus watchful waiting.

Detailed Description

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Conditions

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Melanoma

Keywords

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Sentinel Lymph Node Biopsy Lymph Node Excision

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Completion Lymphadenectomy

Completion Lymphadenectomy and monitoring afterwards

Group Type EXPERIMENTAL

Completion Lymphadenectomy

Intervention Type PROCEDURE

Clinical Monitoring (Palpation and node ultrasound)

Monitoring only

Group Type EXPERIMENTAL

Clinical Monitoring (Palpation and node ultrasound)

Intervention Type PROCEDURE

Interventions

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Completion Lymphadenectomy

Intervention Type PROCEDURE

Clinical Monitoring (Palpation and node ultrasound)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Cutaneous melanoma with a tumour thickness of at least 1,00mm
* Positive sentinel node with micro metastases of max. 2mm in diameter

Exclusion Criteria

* Mucosal or ocular melanoma
* Cutaneous melanoma located in the head/neck region
* Evidence of satellite, in transit or local metastases / recurrences
* Macro metastases of the SN or micro metastases of \>2mm in diameter
* Additional immune-suppressive therapy
* Pregnant of lactating women
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital Tuebingen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Claus Garbe, MD

Role: STUDY_DIRECTOR

University Hopsital Tübingen

Rudolf Stadler, MD

Role: STUDY_CHAIR

Johannes Wesling Klinikum Minden

Locations

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Humboldt-Universität Berlin Charité

Berlin, , Germany

Site Status

Krankenhaus Neukölln

Berlin, , Germany

Site Status

Universtitäts-Hautklinik Bochum

Bochum, , Germany

Site Status

Zentralkrankenhaus

Bremen, , Germany

Site Status

Universität Köln

Cologne, , Germany

Site Status

Carl-Thiem Klinikum

Cottbus, , Germany

Site Status

Städtische Kliniken Darmstadt

Darmstadt, , Germany

Site Status

Städtische Kliniken Dessau

Dessau, , Germany

Site Status

Städtisches Klinikum Friedrichsstadt

Dresden, , Germany

Site Status

Universitätsklinikum Carl Gustav Carus

Dresden, , Germany

Site Status

Heinrich Heine Universität

Düsseldorf, , Germany

Site Status

Klinikum Erfurt GmbH

Erfurt, , Germany

Site Status

Universitätsklinikum Erlangen

Erlangen, , Germany

Site Status

Universitätsklinikum Essen

Essen, , Germany

Site Status

Klinkum der J. W. Goethe Universität

Frankfurt am Main, , Germany

Site Status

Klinikum der Albert-Ludwigs-Universität

Freiburg im Breisgau, , Germany

Site Status

Justus-Liebig-Universität

Giessen, , Germany

Site Status

Georg-August Universität

Göttingen, , Germany

Site Status

Allgemeines Krankenhaus St. Georg

Hamburg, , Germany

Site Status

Klinikum de Ruprecht-Karls-Universität

Heidelberg, , Germany

Site Status

Universitätsklinikum des Saarlandes

Homburg/Saar, , Germany

Site Status

Klinikum der Friedrich Schiller Universität

Jena, , Germany

Site Status

Städtische Hautklinik Karlsruhe

Karlsruhe, , Germany

Site Status

Städtische Kliniken Kassel

Kassel, , Germany

Site Status

Universität Leipzig

Leipzig, , Germany

Site Status

Klinkum Lippe-Lemgo GmbH

Lemgo, , Germany

Site Status

Universitätsklinikum Lübeck

Lübeck, , Germany

Site Status

Otto-von-Guericke-Universität

Magdeburg, , Germany

Site Status

Klinik der Philipps-Universität

Marburg, , Germany

Site Status

Johannes Wesling Klinikum Minden

Minden, , Germany

Site Status

Ludwig-Maximilians-Universität

Munich, , Germany

Site Status

Technische Universität

Munich, , Germany

Site Status

Städt. Krankenhaus München-Schwabing

Munich, , Germany

Site Status

Universitätsklinkum Münster

Münster, , Germany

Site Status

Städtische Kliniken Oldenburg

Oldenburg, , Germany

Site Status

Klinkum der Universität

Regensburg, , Germany

Site Status

Eberhard-Karls Universität

Tübingen, , Germany

Site Status

Universitätsklinikum Ulm

Ulm, , Germany

Site Status

Katholisches Krankenhaus

Unna, , Germany

Site Status

Klinkum Wuppertal GmbH

Wuppertal, , Germany

Site Status

Universitätsklinik und Poliklinik

Würzburg, , Germany

Site Status

Countries

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Germany

References

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Leiter U, Stadler R, Mauch C, Hohenberger W, Brockmeyer NH, Berking C, Sunderkotter C, Kaatz M, Schatton K, Lehmann P, Vogt T, Ulrich J, Herbst R, Gehring W, Simon JC, Keim U, Verver D, Martus P, Garbe C; German Dermatologic Cooperative Oncology Group. Final Analysis of DeCOG-SLT Trial: No Survival Benefit for Complete Lymph Node Dissection in Patients With Melanoma With Positive Sentinel Node. J Clin Oncol. 2019 Nov 10;37(32):3000-3008. doi: 10.1200/JCO.18.02306. Epub 2019 Sep 26.

Reference Type DERIVED
PMID: 31557067 (View on PubMed)

Leiter U, Stadler R, Mauch C, Hohenberger W, Brockmeyer N, Berking C, Sunderkotter C, Kaatz M, Schulte KW, Lehmann P, Vogt T, Ulrich J, Herbst R, Gehring W, Simon JC, Keim U, Martus P, Garbe C; German Dermatologic Cooperative Oncology Group (DeCOG). Complete lymph node dissection versus no dissection in patients with sentinel lymph node biopsy positive melanoma (DeCOG-SLT): a multicentre, randomised, phase 3 trial. Lancet Oncol. 2016 Jun;17(6):757-767. doi: 10.1016/S1470-2045(16)00141-8. Epub 2016 May 5.

Reference Type DERIVED
PMID: 27161539 (View on PubMed)

Other Identifiers

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V1410112004

Identifier Type: -

Identifier Source: org_study_id