NIR Fluorescent Molecular Probe for the Identification of Breast Tissue

NCT ID: NCT05708144

Last Updated: 2024-01-02

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

COMPLETED

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-17

Study Completion Date

2023-10-30

Brief Summary

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Accurate evaluation of tumor boundaries in breast-conserving surgery is critical to reducing the second operation of patients. Near-infrared (NIR) fluorescence imaging using molecular agents has shown promise for in situ imaging during resection. However, very effective probes can be applied to clinical trials up to now, which limits the clinical application of fluorescence imaging. Here we developed a new technology that can quickly identify the tumor area of the resected breast tissue during the operation and distinguish the tumor boundary. In brief, the breast tissues were incubated with the probe immediately after intraoperative resection and imaged to identify the tumor area and distinguish the tumor boundary. The accuracy of fluorescence imaging was confirmed by pathological diagnosis.

Detailed Description

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After enrollment, the patients received surgical treatment according to clinical diagnosis and treatment. During the operation, the excised breast tissue was incubated, and the specific procedure was as follows.

1. Preparation of the incubation solution: The probe was dissolved in phosphate buffer saline(PBS) buffer as the incubation solution at room temperature in the dark.
2. In vitro incubation of fresh breast cancer tissues: The fresh excision breast cancer tissues were completely soaked in the incubation solution for about 10 minutes, followed by 5 minutes rinse with PBS buffer and drying with the use of absorbent paper.
3. Analysis of the images in the "Digital Precision Medicine(DPM)" NIR-II system. The DPM parameter was set up before scaling. Then fluorescence imaging was performed with the DPM NIR-II system. And the result was analyzed to identify the tumor area and distinguish the tumor boundary.
4. Confirmed the diagnosis by pathological examination.

Conditions

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Breast 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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Indocyanine green-Sacituzumab govitecan-hziy (ICG-SG)

The fresh excision breast cancer tissues were completely soaked in the ICG-SG incubation solution for about 10 minutes, followed by 5 minutes of rinsing with PBS buffer and drying with the use of absorbent paper. Then fluorescence imaging was performed with the DPM NIR-II system. And the result was analyzed to identify the tumor area and distinguish the tumor boundary.

Group Type EXPERIMENTAL

ICG-SG incubation solution

Intervention Type DIAGNOSTIC_TEST

The fresh excision breast cancer tissues were completely soaked in the incubation solution and performed fluorescence imaging.

Interventions

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ICG-SG incubation solution

The fresh excision breast cancer tissues were completely soaked in the incubation solution and performed fluorescence imaging.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Adult patients over 18 years of age; Female; Patients presenting with a breast nodule or mass presumed to be resectable on pre-operative assessment; Good operative candidate; Subject capable of giving informed consent and participating in the process of consent.

Exclusion Criteria

* Patients unable to participate in the consent process; Patients had contraindications to surgery, such as serious cardiopulmonary disease, coagulation dysfunction, etc; Other conditions that the researcher considers inappropriate to participate in the study.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Xiang'an Hospital of Xiamen University

OTHER

Sponsor Role lead

Responsible Party

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Weiling Chen,MD

attending doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Guojun Zhang, MD

Role: STUDY_DIRECTOR

Xiang'an Hospital of Xiamen University

Locations

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Xiamen Key Laboratory of Endocrine-Related Cancer Precision Medicine

Xiamen, Fujian, China

Site Status

Countries

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China

References

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Li C, Mi J, Wang Y, Zhang Z, Guo X, Zhou J, Hu Z, Tian J. New and effective EGFR-targeted fluorescence imaging technology for intraoperative rapid determination of lung cancer in freshly isolated tissue. Eur J Nucl Med Mol Imaging. 2023 Jan;50(2):494-507. doi: 10.1007/s00259-022-05975-7. Epub 2022 Oct 8.

Reference Type BACKGROUND
PMID: 36207638 (View on PubMed)

Related Links

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http://pubmed.ncbi.nlm.nih.gov/36207638/

A new fluorescence imaging technology for intraoperative rapid determination of lung cancer in freshly isolated tissue

Other Identifiers

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XianganHXiamenU

Identifier Type: -

Identifier Source: org_study_id

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