NCT02509598

Brief Summary

Open label, non-randomized, multi-center, within-subject comparative study to evaluate the tolerability and the diagnostic utility of Lymphoseek with optional comparison to VBD in pediatric subjects with melanoma, rhabdomyosarcoma, or other solid tumor. Subject age will range from neonatal through 17 years.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
24

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Aug 2015

Typical duration for phase_2

Geographic Reach
1 country

6 active sites

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

July 24, 2015

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 28, 2015

Completed
4 days until next milestone

Study Start

First participant enrolled

August 1, 2015

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 6, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 6, 2019

Completed
5.3 years until next milestone

Results Posted

Study results publicly available

June 28, 2024

Completed
Last Updated

June 28, 2024

Status Verified

June 1, 2024

Enrollment Period

3.6 years

First QC Date

July 24, 2015

Results QC Date

May 8, 2024

Last Update Submit

June 26, 2024

Conditions

Outcome Measures

Primary Outcomes (2)

  • Average Number of Lymph Nodes Identified Intraoperatively Per Subject

    1 Day

  • Subject Localization Rates

    The proportion of subjects with Lymphoseek-identified lymph nodes

    1 Day

Secondary Outcomes (10)

  • Proportion of Subjects Who Underwent Preoperative SPECT or SPECT/CT

    1 Day

  • Proportion of Subjects With a Lymph Node Identified Preoperatively Using SPECT or SPECT/CT

    1 day

  • Average Number of Lymph Nodes Identified Preoperatively Using SPECT or SPECT/CT Per Subject

    1 Day

  • Agreement of the Number of Nodes Identified by Preoperative SPECT or SPECT/CT to Intraoperative Localization

    1 Day

  • Upstaging

    1 Day

  • +5 more secondary outcomes

Study Arms (1)

Tc99m tilmanocept and Vital Blue Dye (optional)

EXPERIMENTAL

0.5 mCi, 50 ug of Tc99m tilmanocept single administration. Optionally, 1-3 mL of vital blue dye, single administration (per institution's standard of care).

Drug: Tc99m tilmanoceptDrug: Vital Blue Dye (optional)Procedure: Lymph Node Mapping

Interventions

A single dose of 0.5 mCi and 50 ug of Tc99m tilmanocept administered intradermally, peritumorally approximately 15 minutes to 8 hours before surgery

Also known as: Lymphoseek
Tc99m tilmanocept and Vital Blue Dye (optional)

A single dose 1-3 mL of vital blue dye (1%) administered intradermally at the start of or during surgery (optional, per institution's standard of care).

Also known as: Lymphazurin, Isosulfan Blue
Tc99m tilmanocept and Vital Blue Dye (optional)

Intraoperative lymph node mapping will occur 15 minutes to 8 hours after Tc99m tilmanocept injection

Tc99m tilmanocept and Vital Blue Dye (optional)

Eligibility Criteria

AgeUp to 17 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • The subject's parent(s)/legal guardian(s) understand(s) and voluntarily signed an informed consent document prior to any study-related assessments/procedures being conducted. Where locally applicable, the subject also understands and voluntarily provides his/her assent prior to any study-related assessments/procedures being conducted
  • Subject has been diagnosed with melanoma, rhabdomyosarcoma, or other tumor where tumor resection or biopsy is planned and lymph node mapping is appropriate
  • The subject is clinically node negative (cN0) at the time of screening
  • Age \< 18 years
  • Male subjects of childbearing potential must be willing to use a condom during sexual intercourse and shall not father a child during the course of the study or will practice complete abstinence while on study
  • Female subjects of childbearing potential must agree to the use of two physician-approved contraceptive methods simultaneously or practice complete abstinence while on study

You may not qualify if:

  • The subject has had preoperative radiation therapy
  • Has had previous surgery or radiation to node basins that would be involved in the intraoperative lymph node mapping (ILM) procedure
  • Has a known allergy to dextran or VBD (if intended to be used)
  • Has a history of alcohol abuse or alcohol dependency in the 3 years before study entry, or is an alcoholic or drug addict, as determined by the investigator
  • Before the administration of Lymphoseek, has received any radiopharmaceutical within 7 radioactive half-lives of that radiopharmaceutical

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Nemours Children's Specialty Care

Jacksonville, Florida, 32207, United States

Location

Nemours Children's Hopsital

Orlando, Florida, 32827, United States

Location

Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

Nationwide Children's Hospital

Columbus, Ohio, 43205, United States

Location

Children's Hospital of Pittsburgh

Pittsburgh, Pennsylvania, 15224, United States

Location

The University of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

MeSH Terms

Conditions

RhabdomyosarcomaMelanoma

Interventions

technetium-diethylenetriaminepentaacetic acid-mannosyl-dextraniso-sulfan blue

Condition Hierarchy (Ancestors)

MyosarcomaNeoplasms, Muscle TissueNeoplasms, Connective and Soft TissueNeoplasms by Histologic TypeNeoplasmsSarcomaNeuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsNeoplasms by SiteSkin DiseasesSkin and Connective Tissue Diseases

Results Point of Contact

Title
Director, Regulatory & Medical Affairs
Organization
Cardinal Health 414, LLC

Study Officials

  • Michael Blue, MD

    Cardinal Health 414, LLC

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 24, 2015

First Posted

July 28, 2015

Study Start

August 1, 2015

Primary Completion

March 6, 2019

Study Completion

March 6, 2019

Last Updated

June 28, 2024

Results First Posted

June 28, 2024

Record last verified: 2024-06

Data Sharing

IPD Sharing
Will not share

Locations