SPIO-enhanced MRI in Oral Cancer for Sentinel Lymph Node Identification

NCT ID: NCT04803331

Last Updated: 2022-10-26

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

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-27

Study Completion Date

2023-07-01

Brief Summary

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To explore the feasibility of sentinel lymph node identification by SPIO injection followed by MRI in head-and-neck cancer patients.

Detailed Description

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Conditions

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Head and Neck Squamous Cell Carcinoma

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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cT1-2N0M0 oral cancer patients

Patients undergo routine sentinel lymph node procedure (99mTc injection, planar imaging, SPECT-CT and surgery) for clinical purposes. After 99mTc injections and imaging has been executed peritumoral SPIO injections are performed by a medical doctor. A T2\*-weighted iron sensitive MRI scan is made 1 hour later.

Group Type EXPERIMENTAL

SPIO-enhanced MRI

Intervention Type DIAGNOSTIC_TEST

SPIO is peritumorally injected. A T2\*-weighted iron sensitive MRI scan is performed 1 hour later to localize and assess the sentinel lymph nodes.

Interventions

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SPIO-enhanced MRI

SPIO is peritumorally injected. A T2\*-weighted iron sensitive MRI scan is performed 1 hour later to localize and assess the sentinel lymph nodes.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Male or female aged \>18 years.
* Patients with histopathologically proven cT1-2N0M0 squamous cell carcinoma of the oral cavity.
* Patients planned to undergo routine sentinel node biopsy with 99mTc-radioisotope and SPECT-CT.
* Patient provided written informed consent.

Exclusion Criteria

* Patients who underwent previous surgery or radiotherapy to the neck.
* Contra-indications to SPIO (Hypersensitivity to iron oxide or dextran compounds, Presence of iron overload disease (hereditary hemochromatosis, hemosiderosis, chronic hemolytic anemia (e.g. thalassemia, sickle cell anemia))
* Contra-indications to MRI: Epilepsy, Claustrophobia, Metallic splinters, Pacemaker, pacemaker wires or implanted defibrillator, Implanted magnets in jaw, Metallic Arterial clips (carotid arteries), Pregnancy, Auditory implant, neurogenic bladder stimulator, insulin pump, neurostimulator, baclofen pump, Metallic tissue expander after mastectomy, Cochlear implant, Metallic braces, Other foreign bodies implanted
* Unable to provide informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Radboud University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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J.H.A.M. Kaanders, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Radiation Oncology

Locations

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Radboudumc

Nijmegen, Gelderland, Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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D.A.J.J. Driessen, MD

Role: CONTACT

+31650008371

Facility Contacts

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Daphne Driessen, Msc

Role: primary

+31650008371

Other Identifiers

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MAG-NODE study

Identifier Type: -

Identifier Source: org_study_id

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