Feasibility Study of Sentinel Navigation Surgery in Early Gastric Cancer Using Fluorescence (SENORITA4)

NCT ID: NCT05978882

Last Updated: 2023-08-07

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

NA

Total Enrollment

203 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-17

Study Completion Date

2030-12-31

Brief Summary

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SENORITA 1 trial showed laparoscopic sentinel lymph node biopsy and stomach preserving surgery in early gastric cancer can increase the quality of life. (Ryu KW et al. JCO 2022) The radioactive isotope is difficult to use because of the hazard of radiation and shortage of materials. The aim of this study is to investigate whether laparoscopic sentinel lymph node biopsy and stomach-preserving surgery using only fluorescence is feasible.

Detailed Description

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1. Injection of Indocyanine Green (ICG)

* Endoscopic injection of 0.25mg/ml of ICG on 4 sites around gastric cancer
* Identification of sentinel basin using fluorescence laparoscopy
* Laparoscopic sentinel basin dissection and identification of sentinel node at the back table
2. Surgical considerations

* Conventional gastrectomy is performed if positive sentinel nodes are diagnosed in the frozen section.
* If micrometastasis or isolated tumor cells in sentinel basin lymph nodes were diagnosed in permanent pathology, re-operation of conventional gastrectomy is not performed.
* However, re-operation of conventional gastrectomy should be performed in case of macrometastasis, deep and lateral margin positive, more than pT2 lesion in the permanent pathology.

Conditions

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Early Gastric 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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Laparoscopic sentinel navigation surgery

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Group Type EXPERIMENTAL

Laparoscopic sentinel navigation surgery using fluorescence

Intervention Type PROCEDURE

If the frozen biopsy of sentinel lymph nodes are all negative using fluorescence, stomach-preserving surgery is performed

Interventions

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Laparoscopic sentinel navigation surgery using fluorescence

If the frozen biopsy of sentinel lymph nodes are all negative using fluorescence, stomach-preserving surgery is performed

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* single lesion of adenocarcinoma in preoperative endoscopic biopsy clinical stage T1N0 in the preoperative evaluation of endoscopy and computed tomography
* tumor size: less than 3cm
* location: 2cm far from the pylorus or cardia
* aged 20 to 80
* ECOG 0 or 1
* patient who signed the agreement
* patient who is suspected to underwent laparoscopic or robotic gastrectomy

Exclusion Criteria

* indication of endoscopic submucosal resection
* inoperable due to poor cardiac, and pulmonary function
* pregnant
* having allergic reaction, previous upper abdominal surgery except laparoscopic cholecystectomy, previous radiation therapy to upper abdomen
* diagnosed as malignancy within 5 years except carcinoma in situ of cervix cancer and thyroid cancer
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ajou University School of Medicine

OTHER

Sponsor Role collaborator

Chonnam National University Hospital

OTHER

Sponsor Role collaborator

Dongnam Institute of Radiological & Medical Sciences

OTHER

Sponsor Role collaborator

Gyeongsang National University Hospital

OTHER

Sponsor Role collaborator

Gyeongsang National University Changwon Hospital

OTHER

Sponsor Role collaborator

Samsung Medical Center

OTHER

Sponsor Role collaborator

Severance Hospital

OTHER

Sponsor Role collaborator

Soon Chun Hyang University

OTHER

Sponsor Role collaborator

National Cancer Center, Korea

OTHER_GOV

Sponsor Role lead

Responsible Party

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Hong Man Yoon

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Dongnam Inst. of Radiological & Medical Science

Busan, Gijang-gun, South Korea

Site Status

Gyeongsang National University Hospital

Gyeongsang, Gingu-si, South Korea

Site Status

Sevrance Hospital

Seoul, Sinchon, South Korea

Site Status

Ajou University Medical Center

Gyeonggi-do, Suwon-si, South Korea

Site Status

Gyeongsang National University Changwon Hospital

Changwon, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Soon Chun Hyang University Hospital Bucheon

Seoul, , South Korea

Site Status

Countries

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South Korea

Central Contacts

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Hong Man Yoon, MD

Role: CONTACT

+82-31-920-1710

Facility Contacts

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Ji Yeong An

Role: primary

In Jo

Role: primary

Other Identifiers

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NCC2023-0145

Identifier Type: -

Identifier Source: org_study_id

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