Ex-vivo Examination of Excisions of Skin Tumors by Confocal Optical Coherence Tomography (LC-OCT) With Integrated Dermoscopy and Comparison With Histology (DERMOCTAV)

NCT ID: NCT05340543

Last Updated: 2022-04-22

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

Total Enrollment

150 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-12-16

Study Completion Date

2022-06-16

Brief Summary

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This project aims to validate ex vivo the use of the OCTAV® prototype integrating the "dermoscope" function before an in vivo application, by comparing images obtained by the OCTAV® prototype integrating the "dermoscope" function with the histological sections of a skin tumor excision corresponding to them exactly, at the same level.

Detailed Description

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There are mainly 3 types of skin cancer: melanoma, basal cell carcinoma and squamous cell carcinoma. The diagnosis of skin cancers is now based on anatomo-pathological evidence. However, given the progress made, imaging is a technique that now has a full role in the diagnosis of these pathologies. This is particularly the case of confocal optical coherence tomography (LC-OCT), which is a recent imaging technique that has proven itself in ophthalmology with the obtaining of precise images of the retina.

LC-OCT can be applied in dermatology according to the following principle: the low intensity laser beam delivered by the LC-OCT device interferes with the melanin, is reflected and makes it possible to instantly acquire a 3D cross-sectional image of the skin, with a resolution of the order of a micrometer. It is finally an "optical echography", the light allowing a tissue definition much higher than the ultrasonic waves. It is therefore possible to obtain sections of histological resolution, and to scan the entire area studied.

Based on this principle, DAMAE has created OCTAV®, a class 1 medical device intended to allow "an in-depth study of skin pathologies", which is currently being evaluated in vivo as part of a clinical trial ( OCTAV - NCT03731247).

The device evaluated in the OCTAV trial does not include the "dermoscope" function. However, coupled with an image capture and processing system, it would increase the magnification obtained from 10 times to 20 or 30 times, allowing precise targeting of the lesion. As a result, a new prototype of OCTAV® has been developed which integrates the "dermoscope" function.

In this context, this project aims to validate ex vivo the use of the OCTAV® prototype integrating the "dermoscope" function before an in vivo application, by comparing images obtained by the OCTAV® prototype integrating the "dermoscope" function with the histological sections of a skin tumor excision corresponding to them exactly, at the same level.

Conditions

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Cutaneous Tumor Optical Coherence Tomography Basal Cell Carcinoma Squamous Cell Carcinoma Melanoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patient with basal cell carcinoma

\- CBC: Presence of lobule of basal cells with "palisading" on the edges, stromal reaction and dilated horizontal vessels.

Confocal optical coherence tomography - OCTAVE

Intervention Type PROCEDURE

An ex vivo examination of cutaneous resection with the OCTAV® prototype integrating the "dermoscope" function

Patient with squamous cell carcinoma

\- CSC: Proliferation of keratinocytes presenting cellular atypia, crossing the JDE (invasive CSC versus in situ), glomerular vessels

Confocal optical coherence tomography - OCTAVE

Intervention Type PROCEDURE

An ex vivo examination of cutaneous resection with the OCTAV® prototype integrating the "dermoscope" function

Patient with melanoma

Melanoma: Destructured dermal-epidermal junction (DEJ), presence of pagetoid cells, clusters of atypical melanocytes, dendritic cells

Confocal optical coherence tomography - OCTAVE

Intervention Type PROCEDURE

An ex vivo examination of cutaneous resection with the OCTAV® prototype integrating the "dermoscope" function

Interventions

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Confocal optical coherence tomography - OCTAVE

An ex vivo examination of cutaneous resection with the OCTAV® prototype integrating the "dermoscope" function

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patient, male or female, at least 18 years old
* Patient with a skin lesion suspected of a cancerous pathology (basal cell carcinoma - BCC, squamous cell carcinoma - SCC and melanoma) and for whom surgery is planned at Antony Hospital
* Affiliated patient or beneficiary of a social security scheme
* Patient having signed the free and informed consent

Exclusion Criteria

* Protected patient: adult under guardianship, curatorship or other legal protection, deprived of liberty by judicial or administrative decision
* Pregnant or breastfeeding women
* Patient hospitalized without consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Clinical Trial Experts Network

OTHER

Sponsor Role collaborator

Ramsay Générale de Santé

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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DRE RAMSAYGDS

Role: STUDY_CHAIR

Ramsay Générale de Santé

Locations

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Hôpital Privé d'Antony Antony

Antony, IDF, France

Site Status RECRUITING

Countries

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France

Central Contacts

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Jean francois OUDET

Role: CONTACT

0683346567

Marie-Hélène Barba

Role: CONTACT

Facility Contacts

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Pierre-André BECHEREL, Dr

Role: primary

+33668645429

Marie Barba

Role: backup

+330664888704 ext. +330664888704

Other Identifiers

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2019-A02609-48

Identifier Type: -

Identifier Source: org_study_id

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