Magnetic Sentinel Lymph Node Mapping in Gastric Cancer

NCT ID: NCT05038098

Last Updated: 2025-09-05

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

NOT_YET_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-03-31

Study Completion Date

2027-02-02

Brief Summary

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This phase I finds out the possible benefits and/or side effects of using magnetic tracer FerroTrace and the fluorescent dye indocyanine green to identify the lymph nodes that cancer is most likely to have spread to in patients with gastric cancer that are undergoing gastrectomy. Using FerroTrace in combination with the indocyanine green dye may help researchers better detect the disease.

Detailed Description

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PRIMARY OBJECTIVE:

I. To assess safety by assessing short term toxicity associated with the gastric injection of the novel magnetic tracer.

SECONDARY OBJECTIVES:

I. To determine the feasibility of sentinel lymph node (SLN) imaging and mapping using novel magnetic nanoparticles (iron conjugated polymers in saline suspension \[FerroTrace\]) for gastric cancer, and to determine whether pre-operative injection, intra-operative injection, or both are feasible.

II. To test the validity of this procedure by correlating sentinel lymph nodes (SLN) to predict pathologic Lymph node (LN)-positive status i.e., will a negative SLN accurately predict the negativity of the other LNs? III. To determine the diagnostic value of additional hematoxylin and eosin (H\&E) sections and immunohistochemistry to assess sentinel lymph nodes compared to routine assessment with one H\&E stain alone.

OUTLINE: Patients are assigned to 1 of 2 cohorts.

COHORT I (PREOPERATIVE INJECTION): Patients receive FerroTrace peritumorally within days 1-21. Patients then undergo gastrectomy and receive indocyanine green (ICG) peritumorally.

COHORT II (INTRAOPERATIVE INJECTION): Patients undergo gastrectomy and receive FerroTrace and ICG peritumorally during surgery.

Conditions

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Gastric Adenocarcinoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Cohort I (preoperative injection)

Patients receive FerroTrace peritumorally within days 1-21. Patients then undergo gastrectomy and receive ICG peritumorally.

Group Type EXPERIMENTAL

Gastrectomy

Intervention Type PROCEDURE

Undergo surgery

Indocyanine Green

Intervention Type DRUG

Given peritumorally

Iron Conjugated Polymers in Saline Suspension

Intervention Type OTHER

Given peritumorally

Cohort II (intraoperative)

Patients undergo gastrectomy and receive FerroTrace and ICG peritumorally during surgery.

Group Type EXPERIMENTAL

Gastrectomy

Intervention Type PROCEDURE

Undergo surgery

Indocyanine Green

Intervention Type DRUG

Given peritumorally

Iron Conjugated Polymers in Saline Suspension

Intervention Type OTHER

Given peritumorally

Interventions

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Gastrectomy

Undergo surgery

Intervention Type PROCEDURE

Indocyanine Green

Given peritumorally

Intervention Type DRUG

Iron Conjugated Polymers in Saline Suspension

Given peritumorally

Intervention Type OTHER

Other Intervention Names

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Gastric Resection ICG FerroTrace

Eligibility Criteria

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Inclusion Criteria

* Age 18 or older
* Willing to provide informed consent
* Biopsy proven gastric cancer, undergoing curative-intent gastrectomy
* No distant metastases
* Pathologic diagnosis of gastric adenocarcinoma
* Pre-treatment endoscopic measurement of less than or equal to 4 cm in diameter of the gastric cancer

Exclusion Criteria

* Contraindications to surgery +/- adjuvant therapy
* Allergy or intolerance to iron oxide compounds
* Allergy or intolerance to iodides
* Iron overload disorder
* Pregnant or lactating women\*

* Use of contraception is required for females during the study. Male patients who are sexually active with a female of childbearing potential are allowed for study enrollment and will not require use of contraception
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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M.D. Anderson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Naruhiko Ikoma

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

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M D Anderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

Central Contacts

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Naruhiko Ikoma, MD

Role: CONTACT

832-729-2675

Facility Contacts

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Naruhiko Ikoma

Role: primary

713-792-6940

Related Links

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http://www.mdanderson.org

M D Anderson Cancer Center

Other Identifiers

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NCI-2021-08919

Identifier Type: REGISTRY

Identifier Source: secondary_id

2021-0410

Identifier Type: OTHER

Identifier Source: secondary_id

2021-0410

Identifier Type: -

Identifier Source: org_study_id

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