Fluorescence for Sentinel Lymph Node Identification in Cancer Surgery

NCT ID: NCT02997553

Last Updated: 2023-01-09

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

PHASE3

Total Enrollment

744 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-29

Study Completion Date

2022-10-12

Brief Summary

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This is a single-center prospective clinical trial to evaluate non-inferiority of indocyanine green guided sentinel lymph node biopsy compared with the gold standard Technecium99 guided sentinel lymph node biopsy in patients with cancers and subjected to surgery.

The diagnostic performance and the tolerance of indocyanine green (ICG) to the radio-isotope (Techniciun99) in the detection of sentinel lymph nodes will be assess using an "Optonuclear" probe (EURORAD S.A.) and QUEST camera

Detailed Description

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Conditions

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Breast Carcinoma Head and Neck Cancer Melanoma (Skin) Squamous Cell Carcinoma, Skin Cervix Cancer Endometrium Cancer Ovary Cancer Vulva Cancer Anus Cancer Rectum Cancer

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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sentinel lymph node detection

Each patient receive both injections of Technetium99 (standard care) and indocyanine green.

The detection of sentinel lymph node will be conducted by an optonuclear probe able to detect the radioactive and the fluorescence signal during surgery.

Group Type EXPERIMENTAL

Indocyanine green

Intervention Type DRUG

Each patient receive injection of indocyanine green just before surgery Specify total dose : 2.5 mg/ml (Intravenous use)

Technetium99

Intervention Type DRUG

Each patient receives injection of Technetium 99 ( injected in subcutaneously) before surgery.

Lymphoscintigraphy is performed to identify the sentinel node

Optonuclear probe

Intervention Type DEVICE

The detection of sentinel lymph node will be conducted by an optonuclear probe able to detect the radioactive and the fluorescence signal during surgery.

Quest Camera

Intervention Type DEVICE

The detection of sentinel lymph node will be conducted by a camera able to determine imagery of fluorescence during surgery.

Interventions

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Indocyanine green

Each patient receive injection of indocyanine green just before surgery Specify total dose : 2.5 mg/ml (Intravenous use)

Intervention Type DRUG

Technetium99

Each patient receives injection of Technetium 99 ( injected in subcutaneously) before surgery.

Lymphoscintigraphy is performed to identify the sentinel node

Intervention Type DRUG

Optonuclear probe

The detection of sentinel lymph node will be conducted by an optonuclear probe able to detect the radioactive and the fluorescence signal during surgery.

Intervention Type DEVICE

Quest Camera

The detection of sentinel lymph node will be conducted by a camera able to determine imagery of fluorescence during surgery.

Intervention Type DEVICE

Other Intervention Names

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Infracyanine NANOCIS

Eligibility Criteria

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Inclusion Criteria

* age \>18 years
* cancer histologically proved
* patient eligible for sentinel node detection
* contraceptive methods for men and women of childbearing age
* signed informed consent form
* patient affiliated to the social security system

Exclusion Criteria

* neoadjuvant chemotherapy or hormone therapy
* adenopathy (s) clinically suspicious or positively cytopenic
* women who are pregnant or breast-feeding
* associated pathology that may prevent patient of receive indocyanine green
* ongoing participation in another clinical trial with an investigational drug
* patients deprived of liberty or under supervision
* impossibility to undergo medical follow-up of the trial for geographical, social or psychological reasons
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut de Cancérologie de Lorraine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MARCHAL FREDERIC, MD, PU-PH

Role: PRINCIPAL_INVESTIGATOR

Institut de Cancérologie de Lorraine

Locations

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Institut de Cancérologie de Lorraine

Vandœuvre-lès-Nancy, , France

Site Status

Countries

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France

Other Identifiers

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2016-A00799-42

Identifier Type: -

Identifier Source: org_study_id

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