Study of Lymphatic Drainage Mapping in Oropharyngeal Cancers
A Feasibility Trial of Lymphatic Mapping With SPECT-CT for Evaluating Contralateral Disease in Lateralized Oropharynx Cancer Using 99m-Technetium Sulfur Colloid
2 other identifiers
interventional
12
1 country
4
Brief Summary
The purpose of the study is to see how practical it is to inject a radiotracer called 99m-Technetium Sulfur Colloid around the tumors for the imaging of patients with oropharyngeal cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Sep 2021
Typical duration for not_applicable
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 13, 2021
CompletedFirst Submitted
Initial submission to the registry
September 14, 2021
CompletedFirst Posted
Study publicly available on registry
September 24, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 23, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2023
CompletedDecember 3, 2025
November 1, 2025
2.1 years
September 14, 2021
November 25, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (9)
Proportion of patients injected with radiotracer.
1 year
Proportion of patients requiring general anesthetic over local anesthetic.
1 year
Proportion of patients with images that failed radiotracer migration to either side of the neck.
1 year
Proportion of patients completing 30 minute scan.
1 year
Proportion of patients completing 3 hour scan.
1 year
Proportion of patients with radiotracer uptake into a radiographically positive lymph node.
1 year
Proportion of patients with injections site locations that are compliant with protocol specific map of injection locations.
1 year
Average time from start to finish of injection of procedure.
1 year
Proportion of patients with complications associated with injection.
1 year
Study Arms (1)
Lymphatic drainage mapping in patients with oropharynx cancer
EXPERIMENTALParticipants will be given 4 to 6 injections of the radiotracer 99m-Technetium Sulfur Colloid by a needle into one of the veins of the radiotracer around the tumour. Participants will then have at least 1 or possibly 2 SPECT-CT scans (a special x-ray scan of the body from many angles that are turned into 3-dimensional pictures on a screen).
Interventions
99m-Technetium Sulfur Colloid will be injected prior to the scan.
Eligibility Criteria
You may qualify if:
- Patient has lateralized oropharyngeal carcinoma (tonsil or tongue base) not involving midline
- Has squamous cell carcinoma, T1-3 tumours, with no contralateral nodes on clinical exam or axial imaging
- Human papillomavirus (HPV) positive or negative
- Patient should have normal organ function as per Investigator judgement
- Patient is planned for definitive or adjuvant radiotherapy (RT) or chemo radiotherapy (CRT) with bilateral neck RT, or surgery
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1
You may not qualify if:
- T4 tumours
- Contralateral/bilateral nodal disease or node(s) \> 6cm on clinical exam or axial imaging or positron emission tomography (PET)
- Primary tumour involving or crossing midline
- Soft palate or posterior pharyngeal wall tumour subsites
- Previous head and neck cancer
- Previous radiotherapy (RT) to the head and neck
- Previous neck dissection
- Distant metastases
- Prior invasive malignancy (except non-melanoma skin cancer) unless disease free for 3 years
- Prior radiotracer allergy
- Multiple primary head and neck cancers
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
St. Joseph's Healthcare Hamilton
Hamilton, Ontario, L8N 4A6, Canada
London Health Sciences Centre
London, Ontario, N6A 5W9, Canada
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5, Canada
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9, Canada
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
John de Almeida, M.D.
University Health Network, Toronto
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 14, 2021
First Posted
September 24, 2021
Study Start
September 13, 2021
Primary Completion
October 23, 2023
Study Completion
October 31, 2023
Last Updated
December 3, 2025
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share