Sienna+® Injection Time Study 4 Arms

NCT ID: NCT02612870

Last Updated: 2015-11-24

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2016-06-30

Brief Summary

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Patients with breast cancer normally undergo a labelling with radioactive tracer typically 1 day before surgery, which enables the surgeon to localize the sentinel lymph node during surgery. This pilot study uses the magnetic Sentimag technique to mark the lymph nodes either 1 or 4-6 days before surgery to investigate the concordance with the standard technique.

Detailed Description

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Sienna+® is injected either 1 day or 4-6 days before surgery, either retro-mamillary or peri-tumorally:

* Sienna+® retro-mamillary 1 day before surgery: 10 patients
* Sienna+® peri-tumorally 1 day before surgery: 10 patients
* Sienna+® retro-mamillary 4-6 days before surgery: 10 patients
* Sienna+® peri-tumorally 4-6 days before surgery: 10 patients In each case, Technetium as standard technique is employed according to the gold standard protocol one day before surgery.

The Sentimag device is used during surgery to detect the lymph nodes in parallel to the standard technique.

Conditions

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Breast Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Sienna+ retro and Technetium 1

Sienna+® is administered retro-mamillary 1 day before surgery for sentinel node marking.

Technetium as standard technique is employed according to the gold standard protocol one day before surgery.

The Sentimag device is used during surgery to detect the lymph nodes in parallel to the standard technique.

Group Type ACTIVE_COMPARATOR

Sienna+ retro

Intervention Type DEVICE

Sentinel node marking with Sienna+ retro-mamillary 1 day before surgery

Technetium 1

Intervention Type DEVICE

Sentinel node marking with Technetium 1 day before surgery

Sienna+ peri and Technetium 1

Sienna+® is administered peri-tumorally 1 day before surgery for sentinel node marking.

Technetium as standard technique is employed according to the gold standard protocol one day before surgery.

The Sentimag device is used during surgery to detect the lymph nodes in parallel to the standard technique.

Group Type ACTIVE_COMPARATOR

Sienna+ peri

Intervention Type DEVICE

Sentinel node marking with Sienna+ peri-tumorally 1 day before surgery

Technetium 1

Intervention Type DEVICE

Sentinel node marking with Technetium 1 day before surgery

Sienna+ retro 4-6 and Technetium 1

Sienna+® is administered retro-mamillary 4-6 days before surgery for sentinel node marking.

Technetium as standard technique is employed according to the gold standard protocol one day before surgery.

The Sentimag device is used during surgery to detect the lymph nodes in parallel to the standard technique.

Group Type ACTIVE_COMPARATOR

Sienna+ retro 4-6

Intervention Type DEVICE

Sentinel node marking with Sienna+ retro-mamillary 4-6 days before surgery

Technetium 1

Intervention Type DEVICE

Sentinel node marking with Technetium 1 day before surgery

Sienna+ peri 4-6 and Technetium 1

Sienna+® is administered peri-tumorally 4-6 days before surgery for sentinel node marking.

Technetium as standard technique is employed according to the gold standard protocol one day before surgery.

The Sentimag device is used during surgery to detect the lymph nodes in parallel to the standard technique.

Group Type ACTIVE_COMPARATOR

Sienna+ peri 4-6

Intervention Type DEVICE

Sentinel node marking with Sienna+ peri-tumorally 4-6 days before surgery

Technetium 1

Intervention Type DEVICE

Sentinel node marking with Technetium 1 day before surgery

Interventions

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Sienna+ retro

Sentinel node marking with Sienna+ retro-mamillary 1 day before surgery

Intervention Type DEVICE

Sienna+ peri

Sentinel node marking with Sienna+ peri-tumorally 1 day before surgery

Intervention Type DEVICE

Sienna+ retro 4-6

Sentinel node marking with Sienna+ retro-mamillary 4-6 days before surgery

Intervention Type DEVICE

Sienna+ peri 4-6

Sentinel node marking with Sienna+ peri-tumorally 4-6 days before surgery

Intervention Type DEVICE

Technetium 1

Sentinel node marking with Technetium 1 day before surgery

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject has a diagnosis of primary breast cancer
* Subject has been scheduled for surgery with a sentinel lymph node biopsy procedure
* Subject is ≥18 years old at time of consent
* Subject has an ECOG performance status of Grade 0-2
* Subject has a clinical negative node status
* Subject is available for the follow-up

Exclusion Criteria

* Subject is pregnant or lactating
* Subject has a radiological evidence of metastatic cancer
* Subject has had previous axilla surgery or reduction mammoplasty
* Subject has impaired lymphatic function
* Subject has had a preoperative radiation therapy
* Subject has iron overload disease or iron/dextran intolerance
* Subject has a pacemaker
* Subject is under guardianship
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Insel Gruppe AG, University Hospital Bern

OTHER

Sponsor Role collaborator

Kantonsspital Baden

OTHER

Sponsor Role lead

Responsible Party

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Nik Hauser

Director Department of Gynecology and Obstetrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nik Hauser, PD Dr.

Role: PRINCIPAL_INVESTIGATOR

Kantonsspital Baden

Locations

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Kantonsspital Baden

Baden, , Switzerland

Site Status

Inselspital Bern, Universitätsklinik für Frauen.

Bern, , Switzerland

Site Status

Countries

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Switzerland

Central Contacts

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Nik Hauser, PD Dr.

Role: CONTACT

+41 56 486 36 36

Cornelia Leo, PD Dr. med.

Role: CONTACT

+41 56 486 36 36

Facility Contacts

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Nik Hauser, PD Dr.

Role: primary

+41 56 486 36 36

Patrizia Sager, Dr. med.

Role: primary

+41 31 632 18 40

References

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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 RESULT
PMID: 24484967 (View on PubMed)

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 RESULT
PMID: 24322530 (View on PubMed)

Ghilli M, Carretta E, Di Filippo F, Battaglia C, Fustaino L, Galanou I, Di Filippo S, Rucci P, Fantini MP, Roncella M. The superparamagnetic iron oxide tracer: a valid alternative in sentinel node biopsy for breast cancer treatment. Eur J Cancer Care (Engl). 2017 Jul;26(4). doi: 10.1111/ecc.12385. Epub 2015 Sep 14.

Reference Type RESULT
PMID: 26365441 (View on PubMed)

Rubio IT, Diaz-Botero S, Esgueva A, Rodriguez R, Cortadellas T, Cordoba O, Espinosa-Bravo M. The superparamagnetic iron oxide is equivalent to the Tc99 radiotracer method for identifying the sentinel lymph node in breast cancer. Eur J Surg Oncol. 2015 Jan;41(1):46-51. doi: 10.1016/j.ejso.2014.11.006. Epub 2014 Nov 15.

Reference Type RESULT
PMID: 25466980 (View on PubMed)

Other Identifiers

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Baden201512

Identifier Type: -

Identifier Source: org_study_id