Intraoperative Evaluation of Axillary Lymphatics

NCT ID: NCT05094102

Last Updated: 2024-11-13

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-05

Study Completion Date

2023-04-27

Brief Summary

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This study will assess the feasibility of using the OnLume Imaging System for fluorescence-guided surgery along with indocyanine green (ICG) dye in the operating room for the axillary reverse mapping (ARM) procedure in women with breast cancer scheduled to have axillary dissection (AD) or sentinel lymph node (SLN) biopsy.

Detailed Description

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Lymphatic drainage from the upper arm is often different from that of the breast, allowing safe removal of only the lymphatics of the breast and protection of the lymphatic channels draining the upper extremity during axillary dissection (AD) or sentinel lymph node (SLN) biopsy, thereby reducing the risk of arm lymphedema.

In this prospective study, breast cancer patients undergoing SLN biopsy (n=0-20) or axillary lymph node dissection (n=0-15) will be enrolled to undergo axillary reverse mapping (ARM) using isosulfan blue dye. Participants will also receive ICG injection with visualization through the OnLume Imaging System to allow comparison of blue dye versus ICG lymphatic identification.

The standard of care (blue dye) will be used for clinical care while the OnLume Imaging System is being used to determine feasibility of the product.

Conditions

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Lymphedema Surgery Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Axillary Surgery

Breast cancer patients undergoing SLN biopsy (n=0-20) or axillary lymph node dissection (n=0-15) will be enrolled to undergo standard of care axillary reverse mapping (ARM) using isosulfan blue dye. Participants will also receive ICG injection with visualization through the OnLume Imaging System to allow comparison of blue dye versus ICG lymphatic identification.

Group Type EXPERIMENTAL

OnLume Imaging System

Intervention Type DEVICE

for fluorescence-guided surgery with ICG dye

Indocyanine green

Intervention Type DRUG

Indocyanine green is a cyanine dye used in medical diagnostics

Interventions

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OnLume Imaging System

for fluorescence-guided surgery with ICG dye

Intervention Type DEVICE

Indocyanine green

Indocyanine green is a cyanine dye used in medical diagnostics

Intervention Type DRUG

Other Intervention Names

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ICG

Eligibility Criteria

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Inclusion Criteria

* ≥ 18 years of age
* Diagnosis of breast cancer requiring surgical lymph node evaluation either by sentinel lymph node biopsy or axillary lymph node dissection
* Surgery at University of Wisconsin Hospital and Clinic

Exclusion Criteria

* Pregnant or breast feeding
* Unable to provide informed consent
* Allergy to indocyanine green
* Patients with clinically positive lymph nodes undergoing sentinel lymph node biopsy, with or without axillary lymph node dissection, after neoadjuvant chemotherapy
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

OnLume Inc.

INDUSTRY

Sponsor Role collaborator

National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

University of Wisconsin, Madison

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Heather B Neuman, MD, MS, FACS

Role: PRINCIPAL_INVESTIGATOR

University of Wisconsin, Madison

Locations

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University of Wisconsin School of Medicine and Public Health

Madison, Wisconsin, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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2020-0939

Identifier Type: OTHER

Identifier Source: secondary_id

A539713

Identifier Type: OTHER

Identifier Source: secondary_id

SMPH/SURGERY/SURG ONC

Identifier Type: OTHER

Identifier Source: secondary_id

Protocol Version 11/3/2022

Identifier Type: OTHER

Identifier Source: secondary_id

2R44CA206754-02A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

UW20058

Identifier Type: -

Identifier Source: org_study_id

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