NCT04185337

Brief Summary

This early phase I trial studies how well ultrasound-guided photoacoustic imaging works in telling the difference between healthy and cancerous inguinal (groin) lymph nodes and how well it can detect certain features of lymph nodes, including size and shape in patients with cancer. Ultrasound-guided photoacoustic is a non-invasive imaging method that can detect and display characteristics of lymph nodes based on the level of oxygen in the cells. This imaging method may provide more accurate tumor staging and prevent unnecessary surgical interventions.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
23

participants targeted

Target at P25-P50 for early_phase_1

Timeline
Completed

Started Jan 2021

Longer than P75 for early_phase_1

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

December 2, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 4, 2019

Completed
1.1 years until next milestone

Study Start

First participant enrolled

January 26, 2021

Completed
4.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 25, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 25, 2025

Completed
Last Updated

February 27, 2025

Status Verified

February 1, 2025

Enrollment Period

4.1 years

First QC Date

December 2, 2019

Last Update Submit

February 26, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Difference between background oxygen saturation (%sO2) and nodal %sO2

    For each suspicious lymph node, a %sO2 throughout the entire lymph node volume will be obtained. The %sO2 from the tissue immediately surrounding each lymph node will also be calculated to account for variations in background %sO2. The tumor status will be confirmed with ex vivo histopathology. Will scan normal lymph nodes in the same or contralateral inguinal region and will use as controls. Data will be analyzed once the benignities of these lymph nodes are determined.

    Up to 3 months

Study Arms (1)

Diagnostic (ultrasound, ultrasound-guided PAI, FNA, biopsy)

EXPERIMENTAL

Patients undergo standard of care ultrasound of the lymph nodes, then undergo ultrasound-guided PAI over 3-5 minutes. Patients then undergo standard of care ultrasound-guided FNA or biopsy a suspicious lymph node.

Procedure: Fine-Needle AspirationProcedure: Lymph Node BiopsyProcedure: Photoacoustic ImagingProcedure: UltrasoundDevice: Multispectral optoacoustic tomography (MSOT) acuity instrument

Interventions

Undergo ultrasound-guided FNA

Also known as: Aspirate, Fine Needle, Fine Needle Aspiration, fine-needle aspiration biopsy, FNA, FNA biopsy
Diagnostic (ultrasound, ultrasound-guided PAI, FNA, biopsy)

Undergo ultrasound-guided lymph node biopsy

Also known as: Biopsy of Lymph Node
Diagnostic (ultrasound, ultrasound-guided PAI, FNA, biopsy)

Undergo ultrasound-guided PAI

Diagnostic (ultrasound, ultrasound-guided PAI, FNA, biopsy)
UltrasoundPROCEDURE

Undergo ultrasound

Diagnostic (ultrasound, ultrasound-guided PAI, FNA, biopsy)

Use multispectral optoacoustic tomography (MSOT) acuity instrument

Diagnostic (ultrasound, ultrasound-guided PAI, FNA, biopsy)

Eligibility Criteria

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

You may qualify if:

  • Pathologically proven primary malignancy
  • Suspicious inguinal lymph nodes for metastasis on a conventional imaging modality
  • Scheduled to undergo ultrasound-guided fine needle aspiration cytology or biopsy

You may not qualify if:

  • Melanoma patients, since the melanocytes may have a "masking effect"
  • The deeper inguinal lymph nodes (3-5 cm deep) and smaller (\< 1 cm in short axis) in dimensions will be excluded from the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

M D Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Related Links

MeSH Terms

Conditions

Neoplasms

Interventions

Biopsy, Fine-NeedleSentinel Lymph Node BiopsyHigh-Energy Shock Waves

Intervention Hierarchy (Ancestors)

Biopsy, NeedleBiopsyCytodiagnosisCytological TechniquesClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisSpecimen HandlingDiagnostic Techniques, SurgicalSurgical Procedures, OperativePuncturesInvestigative TechniquesLymph Node ExcisionUltrasonic WavesSoundRadiation, NonionizingRadiationPhysical Phenomena

Study Officials

  • Priya R Bhosale

    M.D. Anderson Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 2, 2019

First Posted

December 4, 2019

Study Start

January 26, 2021

Primary Completion

February 25, 2025

Study Completion

February 25, 2025

Last Updated

February 27, 2025

Record last verified: 2025-02

Locations