Minimally INvasive Colon Cancer Surgery Through IMmunomics and Optical Mapping of the Sentinel Lymph Node.

NCT ID: NCT03779009

Last Updated: 2024-09-19

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

RECRUITING

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-01

Study Completion Date

2025-12-31

Brief Summary

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The project investigates the feasibility of laparoscopic fluorescent imaging for the intraoperative detection of the sentinel lymph node (SLN) in colon cancer patients. In addition, the topology of immunological and microenvironmental changes in normal and invaded lymph nodes (LN's) will be correlated to the LN location (anatomical mapping).

Detailed Description

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Conditions

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Colon Cancer Sentinel Lymph Node

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Tracer injection

Group Type EXPERIMENTAL

ICG-nanocoll (indocyanine green coupled to the human albumin colloidal particle nanocoll)

Intervention Type OTHER

Under laparoscopic control, 2.0 ml of ICG-nanocoll will be injected into the subserosa at four quadrants around the tumor. Directly after injection, near infrared (NIR) fluorescence images (Olympus, Tokyo, Japan) will be acquired. SLNs will be identified and marked.

Interventions

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ICG-nanocoll (indocyanine green coupled to the human albumin colloidal particle nanocoll)

Under laparoscopic control, 2.0 ml of ICG-nanocoll will be injected into the subserosa at four quadrants around the tumor. Directly after injection, near infrared (NIR) fluorescence images (Olympus, Tokyo, Japan) will be acquired. SLNs will be identified and marked.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Tumor type: proven adenocarcinoma of the colon
* Extent of disease (AJCC 7th edition): clinically node negative (stage II) non-metastatic colon cancer
* Locally resectable disease
* Adequate mental faculty, allowing to understand the proposed treatment protocol and provide informed consent
* Laboratory data

* Serum creatinine ≤ 1.5 mg/dl or a calculated GFR ≥ 60 mL/min/1.73 m2
* Serum total bilirubin ≤ 1.5 mg/dl, except for known Gilbert's disease
* Platelet count \> 100,000/µl
* Hemoglobin \> 9g/dl
* Neutrophil granulocytes \> 1,500/ml
* International Normalized Ratio (INR) ≤ 2
* Absence of alcohol and/or drug abuse
* No inclusion in other clinical trials interfering with the study protocol
* No concurrent chronic systemic immune therapy, chemotherapy, or hormone therapy
* Absence of any severe organ insufficiency
* No pregnancy or breast feeding
* Adequate contraception in fertile patients
* Written informed consent

Exclusion Criteria

* Node positive and/or metastatic disease
* Locally unresectable disease
* Medically unfit patients (Karnofsky index \< 70%)
* Allergies to any of the procedural substances (allergy to iodides, hypersensitivity to products containing human albumin)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kom Op Tegen Kanker

OTHER

Sponsor Role collaborator

University Hospital, Ghent

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Ghent University Hospital

Ghent, , Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Wim Ceelen

Role: CONTACT

+32(0)93326251

Sarah Cosyns

Role: CONTACT

+32(0)93321562

Facility Contacts

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Wim Ceelen

Role: primary

+32(0)93326251

Sarah Cosyns

Role: backup

Other Identifiers

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EC/2017/1356

Identifier Type: -

Identifier Source: org_study_id

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