Anatomical Relationship of Level IB Lymph Nodes to the Submandibular Gland in Cancer Patients
Prospective Study to Assess the Anatomical Relationship of Level IB Lymph Nodes to the Submandibular Gland in Patients With Carcinoma of the Upper Aerodigestive Tract
1 other identifier
interventional
22
1 country
1
Brief Summary
Hypothesis
- 1.The submandibular gland is not a lymphatic organ and usually remains uninvolved with head and neck cancer despite the presence of metastatic disease in the lymph nodes that surround it.
- 2.All the lymph nodes in the submandibular triangle can be removed without resection of the submandibular gland.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started May 2008
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2008
CompletedFirst Submitted
Initial submission to the registry
July 31, 2008
CompletedFirst Posted
Study publicly available on registry
August 5, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2010
CompletedResults Posted
Study results publicly available
July 29, 2013
CompletedJanuary 5, 2015
December 1, 2014
1.7 years
July 31, 2008
May 29, 2013
December 12, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
the Number of Lymph Nodes: 1. Identified Within Each Lymph Node Group, 2.Located Within the Submandibular Gland, and 3. Within the Fibrofatty Contents Lying Deep to the Submandibular Gland.
The number of head/ neck lymph nodes in pre-defined groups: Preglandular, Prevascular, Retrovascular, and Retroglandular as well as the number of nodes within the submandibular gland and within the fibrofatty contents lying deep to the submandibular gland.
Post Surgical Time point
Secondary Outcomes (1)
The Presence or Absence of Carcinoma Within Each of the Assessed Nodes Will be Documented, as Well as Extracapsular Spread.
Post surgical time point
Study Arms (1)
A
EXPERIMENTALA neck dissection of at least the ipsilateral sub-level 1B will be performed in all patients
Interventions
neck dissection of at least the ipsilateral sub-level 1B
Eligibility Criteria
You may qualify if:
- Patients must have histologically or cytologically confirmed carcinoma of the oral cavity, oropharynx, larynx or hypopharynx
- Treatment of the regional lymph nodes to include neck dissection performed as the primary modality
- No previous treatment to the neck
- No previous treatment for the index cancer (surgery, chemotherapy, radiation or biological therapy)
- No known distant metastatic disease
- Age \>/= 18
- The ability to understand and willingness to sign a study-specific written informed consent form
- Protocol treatment must begin \</= 8 weeks of diagnostic biopsy
You may not qualify if:
- Previous or concurrent head and neck primaries
- Prior surgery to study site other than biopsy
- Patients receiving any other treatment for cancer within 30 days previously
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia or psychiatric illness/social situations that would limit compliance with study requirements
- Known allergy to Lymphazurin®
- Pregnant or breast feeding females
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
SIU School of Medicine
Springfield, Illinois, 62702, United States
Related Publications (1)
Robbins KT, Clayman G, Levine PA, Medina J, Sessions R, Shaha A, Som P, Wolf GT; American Head and Neck Society; American Academy of Otolaryngology--Head and Neck Surgery. Neck dissection classification update: revisions proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery. Arch Otolaryngol Head Neck Surg. 2002 Jul;128(7):751-8. doi: 10.1001/archotol.128.7.751. No abstract available.
PMID: 12117328BACKGROUND
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Director of Clinical Trials
- Organization
- Simmons Cancer Institute at Southern Illinois University School of Medicine
Study Officials
- PRINCIPAL INVESTIGATOR
Thomas Robbins, M.D.
SIU School of Medicine
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 31, 2008
First Posted
August 5, 2008
Study Start
May 1, 2008
Primary Completion
January 1, 2010
Study Completion
June 1, 2010
Last Updated
January 5, 2015
Results First Posted
July 29, 2013
Record last verified: 2014-12