Magnetic Particle-ICG Lymph Node Mapping in Colorectal Cancer

NCT ID: NCT05092750

Last Updated: 2023-09-28

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

WITHDRAWN

Clinical Phase

PHASE1/PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-15

Study Completion Date

2023-08-29

Brief Summary

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Study to determine the feasibility of Sentinel Lymph Node (SLN) mapping using novel magnetic tracers (FerroTrace) and indocyanine green (ICG) for colorectal cancer; and to evaluate safety by assessing short term toxicity associated with colonoscopic peritumoral injection of novel magnetic nanoparticles (FerroTrace) and ICG for colorectal cancer.

Detailed Description

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PRIMARY:

1. To determine the feasibility of Sentinel Lymph Node (SLN) mapping using novel magnetic tracers (FerroTrace) and indocyanine green (ICG) for colorectal cancer.
2. To evaluate safety by assessing short term toxicity associated with colonoscopic peritumoral injection of novel magnetic nanoparticles (FerroTrace) and ICG for colorectal cancer.

SECONDARY:

1\. To determine the additional positive diagnostic value of adding sentinel lymph node mapping to lymphadenectomy by assessing the SLNs with detailed immunochemistry versus the normal H\&E staining pathology tests.

PRIMARY END POINTS:

1. Feasibility: Number of registered patients who complete all study procedures with at least one sentinel node identified.
2. Safety: Rate of any grade III or greater toxicity attributable to FerroTrace injection, evaluated using the Common Terminology Criteria for Adverse Events (CTCAE) v. 5.0. Adverse events according to general peri-operative complications.

SECONDARY ENDPOINTS:

1. The identification rate and number of FerroTrace-positive lymph nodes for each patient.
2. Incidence of pathological upstaging of LN metastasis status by the addition of (non-routine) serial H\&E and immunohistochemistry in the pathological assessment of identified FerroTrace-positive lymph nodes.

Conditions

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Colorectal 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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FerroTraceTM (magnetic tracer)

a special type of fluorescent dye called indocyanine green (ICG) during surgery can help surgeons find the lymph nodes that the cancer is most likely to have spread to in colorectal cancer patients.

Group Type EXPERIMENTAL

FerroTraceTM

Intervention Type DEVICE

A magnetic

indocyanine green (ICG)

Intervention Type DRUG

Given by SC injection

Interventions

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FerroTraceTM

A magnetic

Intervention Type DEVICE

indocyanine green (ICG)

Given by SC injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18 or older
* Willing to provide informed consent
* Biopsy proven colon or rectal cancer
* No distant metastases

Exclusion Criteria

* Serious medical comorbidities or other contraindications to surgery +/- adjuvant therapy as determined by the treatment team
* Previous pelvic radiotherapy or radiotherapy planned prior to surgery
* Allergy or intolerance to iron oxide compounds
* Iron overload disorder
* Allergy or intolerance to iodides
* Pregnant or lactating women\*
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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George Chang

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Related Links

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http://www.mdanderson.org

M D Anderson Cancer Center

Other Identifiers

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2021-0479

Identifier Type: -

Identifier Source: org_study_id

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