ICG-Enabled Mapping of Ovarian Sentinel Lymph Nodes: A Feasibility Study

NCT ID: NCT04051502

Last Updated: 2025-12-17

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

EARLY_PHASE1

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-05

Study Completion Date

2025-12-08

Brief Summary

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The purpose of this study is to find out how well ovarian sentinel lymph nodes (SLNs) can be identified with indocyanine green (ICG) dye during risk-reducing ovarian surgery.

Detailed Description

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Conditions

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Ovarian Cancer Adnexal Mass

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Group 1

First group of 10 participants enrolled

Group Type EXPERIMENTAL

Method 1: Indocyanine green dye

Intervention Type DRUG

Injection 4 mL of ICG dye directly into the fallopian tube (1 or more places is acceptable) only to the side where the adnexal mass is located

Group 2

Second group of 10 participants enrolled

Group Type EXPERIMENTAL

Method 2: Indocyanine green dye

Intervention Type DRUG

1mL of ICG injected at each of the four sites: only to the side where the adnexal mass is located

* Dorsal side of the IP ligament
* Ventral side of the IP ligament
* Dorsal side of the utero-ovarian ligament
* Ventral side of the utero-ovarian ligament

Group 3

Third group of 10 participants enrolled

Group Type EXPERIMENTAL

Method 3: Indocyanine green dye

Intervention Type DRUG

Injection of 2mL of ICG dye into the IP ligament pedicle after the adnexal mass has been removed. Only to the side where the adnexal mass is located

Group 4

Fourth group of 10 participants enrolled

Group Type EXPERIMENTAL

Method 3: Indocyanine green dye

Intervention Type DRUG

Injection of 2mL of ICG dye into the IP ligament pedicle before the adnexal mass is removed.

Interventions

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Method 2: Indocyanine green dye

1mL of ICG injected at each of the four sites: only to the side where the adnexal mass is located

* Dorsal side of the IP ligament
* Ventral side of the IP ligament
* Dorsal side of the utero-ovarian ligament
* Ventral side of the utero-ovarian ligament

Intervention Type DRUG

Method 3: Indocyanine green dye

Injection of 2mL of ICG dye into the IP ligament pedicle after the adnexal mass has been removed. Only to the side where the adnexal mass is located

Intervention Type DRUG

Method 3: Indocyanine green dye

Injection of 2mL of ICG dye into the IP ligament pedicle before the adnexal mass is removed.

Intervention Type DRUG

Method 1: Indocyanine green dye

Injection 4 mL of ICG dye directly into the fallopian tube (1 or more places is acceptable) only to the side where the adnexal mass is located

Intervention Type DRUG

Other Intervention Names

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ICG dye ICG dye ICG dye

Eligibility Criteria

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Inclusion Criteria

* Women undergoing surgery with the Gynecology Service at MSK.
* Women undergoing surgery for an adnexal mass without pre-operative suspicion of high stage disease, with or without a hysterectomy

°For this protocol, "suspected high stage disease" will be defined as any patient with radiologic or clinical evidence of ovarian cancer which has spread outside of the ovary. Thus, only patients with an adnexal mass, or bilateral adnexal masses, are eligible.
* Women in whom MIS surgery is converted to a laparotomy will not be excluded as both surgical approaches, MIS and open, will be utilized.
* Women \>/= 18 years of age
* Able to provide informed consent
* Albumin levels within normal range

Exclusion Criteria

* Current non-GYN primary malignancy
* Prior or current history of uterine, cervical, peritoneal, or vulvovaginal malignancy
* Ongoing anticancer therapy
* Prior bilateral oophorectomy
* Known severe anaphylactic iodide allergy
* Known history of cirrhosis or other chronic liver disease, or women with hepatic dysfunction.
* Elevated transaminases (ALT, AST) and/or Alk Phos will be evaluated by the treating physician on a case by case basis.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ginger Gardner, MD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Memorial Sloan Kettering Basking Ridge (Consent only)

Basking Ridge, New Jersey, United States

Site Status

Memorial Sloan Kettering Monmouth (Consent only)

Middletown, New Jersey, United States

Site Status

Memorial Sloan Kettering Bergen (Consent only )

Montvale, New Jersey, United States

Site Status

Memorial Sloan Kettering Commack (Consent only)

Commack, New York, United States

Site Status

Memorial Sloan Kettering Westchester (Consent only)

Harrison, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Memorial Sloan Kettering Nassau (Consent only)

Uniondale, New York, United States

Site Status

Countries

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United States

Related Links

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http://www.mskcc.org

Memorial Sloan Kettering Cancer Center

Other Identifiers

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19-271

Identifier Type: -

Identifier Source: org_study_id