NCT02167087

Brief Summary

This study is a clinical feasibility trial that will contribute to the clarification of whether sentinel node mapping with indocyanine green (ICG) provides a better basis for staging of colorectal cancer.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Mar 2015

Geographic Reach
1 country

1 active site

Status
completed

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

First Submitted

Initial submission to the registry

June 6, 2014

Completed
12 days until next milestone

First Posted

Study publicly available on registry

June 18, 2014

Completed
9 months until next milestone

Study Start

First participant enrolled

March 1, 2015

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2016

Completed
Last Updated

February 17, 2016

Status Verified

February 1, 2016

Enrollment Period

11 months

First QC Date

June 6, 2014

Last Update Submit

February 15, 2016

Conditions

Keywords

Sentinel node mappinglymphatic mappinglymphatic metastasisAberrant lymphatic drainageindocyanine greenICGnear infraredcolon cancerlaparoscopic surgery

Outcome Measures

Primary Outcomes (1)

  • Number of procedures with successful identification of sentinel nodes

    Sentinel nodes is defined as the lymph node, first in line, draining from the cancer.

    day 1

Secondary Outcomes (13)

  • Number of sentinel nodes identified during surgery and their localization

    day 1

  • Number of sentinel nodes identified by ex vivo sentinel node mapping

    week 1

  • Malignant status of the sentinel node(s)

    week 1

  • Malignant status of the lymph nodes

    week 1

  • Number of cases with negative sentinel node, but positive non-sentinel node

    week 1

  • +8 more secondary outcomes

Study Arms (1)

Sentinel node mapping

EXPERIMENTAL

Sentinel node mapping with indocyanine green injected orally and anally to the tumor.

Procedure: Sentinel node mapping

Interventions

Through transabdominal access via laparoscopic ports indocyanine green solution is injected around the tumor (25 mg indocyanine green dissolved in 9 ml sterile water and 1 ml 20% human albumin). This is done by the construction of two small boluses of 0.5 mL each into the colonic wall just orally and anally to the tumor margin, but not within the tumor itself. When the bolus is injected the fluorescence is controlled and after 20 minutes the surgeon looks for sentinel nodes in a standardized manner.

Also known as: Karl Storz ICG system, to visualize the fluorescence, Indocyanine green, PULSION medical systems., Single use aspiration needle, NA-220H-8025 from Olympus.
Sentinel node mapping

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male and female patients above 18 years of age scheduled for laparoscopic colon cancer surgery in the department of Surgery, Herlev Hospital or Roskilde Hospital.

You may not qualify if:

  • iodine allergy
  • Poor kidney function (as it imply an increased risk of allergic reaction), estimated glomerular filtration rate should be above 40 ml/min.
  • Liver cirrhosis, Child-Pugh-score B and C \[14\]
  • Pregnancy and lactation
  • Previous anaphylactic reaction to a dye injection
  • Previous abdominal surgery

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Herlev Hospital

Herlev, Herlev, 2730, Denmark

Location

MeSH Terms

Conditions

Colonic NeoplasmsLymphatic Metastasis

Interventions

Indocyanine Green

Condition Hierarchy (Ancestors)

Colorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesNeoplasm MetastasisNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

IndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Officials

  • Ismail Gögenur, Professor

    Professor at University Hospital Køge

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Professor, DMSc, MD

Study Record Dates

First Submitted

June 6, 2014

First Posted

June 18, 2014

Study Start

March 1, 2015

Primary Completion

February 1, 2016

Study Completion

February 1, 2016

Last Updated

February 17, 2016

Record last verified: 2016-02

Locations