Complete Lymph Node Dissection vs Watchful Waiting in Patients With Malignant Melanoma (Thickness of 1,0mm+ and Evidence of Metastases in the Sentinel Node) (DeCOG-SLT)

December 16, 2022 updated by: University Hospital Tuebingen

Controlled and Prospective Randomised Study to Compare Complete Lymph Node Dissection Versus Watchful Waiting in Patients With Malignant Melanoma With a Tumour Thickness of 1,0mm+ and Evidence of Metastases in the Sentinel Node

Sentinel lymph node biopsy (SLNB) is considered as standard diagnostic procedure in melanoma patients carrying a reasonable risk for metastases. In numerous studies the prognostic role of micro metastases in the sentinel node (SN) was described. However, the prognostic value of a complete lymph node dissection in patients with a positive SN is still unclear.

This study was planned to analyse the survival outcome of patients with a positive SN receiving complete lymphadenectomy versus watchful waiting.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
483

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Germany
      • Berlin, Germany, 10117
        • Humboldt-Universität Berlin Charité
      • Berlin, Germany, 12351
        • Krankenhaus Neukölln
      • Bochum, Germany, 44791
        • Universtitäts-Hautklinik Bochum
      • Bremen, Germany, 28205
        • Zentralkrankenhaus
      • Cottbus, Germany, 03048
        • Carl-Thiem Klinikum
      • Darmstadt, Germany, 64297
        • Städtische Kliniken Darmstadt
      • Dessau, Germany, 06847
        • Städtische Kliniken Dessau
      • Dresden, Germany, 01307
        • Universitätsklinikum Carl Gustav Carus
      • Dresden, Germany, 01067
        • Städtisches Klinikum Friedrichsstadt
      • Düsseldorf, Germany, 40225
        • Heinrich Heine Universitat
      • Erfurt, Germany, 99089
        • Klinikum Erfurt GmbH
      • Erlangen, Germany, 91052
        • Universitatsklinikum Erlangen
      • Essen, Germany, 45122
        • Universitatsklinikum Essen
      • Frankfurt/Main, Germany, 60590
        • Klinkum der J. W. Goethe Universität
      • Freiburg, Germany, 79104
        • Klinikum der Albert-Ludwigs-Universität
      • Giessen, Germany, 35385
        • Justus-Liebig-Universitat
      • Göttingen, Germany, 37075
        • Georg-August Universität
      • Hamburg, Germany, 20099
        • Allgemeines Krankenhaus St. Georg
      • Heidelberg, Germany, 69115
        • Klinikum de Ruprecht-Karls-Universität
      • Homburg/Saar, Germany, 66421
        • Universitätsklinikum des Saarlandes
      • Jena, Germany, 07740
        • Klinikum der Friedrich Schiller Universität
      • Karlsruhe, Germany, 76133
        • Städtische Hautklinik Karlsruhe
      • Kassel, Germany, 34125
        • Städtische Kliniken Kassel
      • Köln, Germany, 50924
        • Universität Köln
      • Leipzig, Germany, 04103
        • Universität Leipzig
      • Lemgo, Germany, 32657
        • Klinkum Lippe-Lemgo GmbH
      • Lübeck, Germany, 23538
        • Universitätsklinikum Lübeck
      • Magdeburg, Germany, 39120
        • Otto-von-Guericke-Universität
      • Marburg, Germany, 35033
        • Klinik der Philipps-Universität
      • Minden, Germany, 32429
        • Johannes Wesling Klinikum Minden
      • Munich, Germany, 80337
        • Ludwig-Maximilians-Universität
      • Munich, Germany, 80802
        • Technische Universität
      • Munich, Germany, 80804
        • Städt. Krankenhaus München-Schwabing
      • Münster, Germany, 48149
        • Universitätsklinkum Münster
      • Oldenburg, Germany, 26133
        • Städtische Kliniken Oldenburg
      • Regensburg, Germany, 93053
        • Klinkum der Universität
      • Tübingen, Germany, 72076
        • Eberhard-Karls Universität
      • Ulm, Germany, 89081
        • Universitatsklinikum Ulm
      • Unna, Germany, 59423
        • Katholisches Krankenhaus
      • Wuppertal, Germany, 42117
        • Klinkum Wuppertal GmbH
      • Würzburg, Germany, 97080
        • Universitätsklinik und Poliklinik

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

14 years to 71 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Cutaneous melanoma with a tumour thickness of at least 1,00mm
  • Positive sentinel node with micro metastases of max. 2mm in diameter

Exclusion Criteria:

  • Mucosal or ocular melanoma
  • Cutaneous melanoma located in the head/neck region
  • Evidence of satellite, in transit or local metastases / recurrences
  • Macro metastases of the SN or micro metastases of >2mm in diameter
  • Additional immune-suppressive therapy
  • Pregnant of lactating women

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: Completion Lymphadenectomy
Completion Lymphadenectomy and monitoring afterwards
Procedure: Completion Lymphadenectomy
Experimental: Clinical Monitoring (Palpation and node ultrasound)
Monitoring only
Procedure: Clinical Monitoring (Palpation and node ultrasound)

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Time Frame
Distant metastases free survival
Time Frame: 3 Years
3 Years

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Time Frame
Distant metastases free survival
Time Frame: 5 Years
5 Years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
University Hospital Tuebingen

Investigators

Investigators

A researcher involved in a clinical study. Related terms include site principal investigator, site sub-investigator, study chair, study director, and study principal investigator.
  • Study Director: Claus Garbe, MD, University Hopsital Tübingen
  • Study Chair: Rudolf Stadler, MD, Johannes Wesling Klinikum Minden

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
December 1, 2005

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
December 1, 2017

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
December 1, 2017

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
April 2, 2015

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
April 29, 2015

First Posted (Estimate)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
May 5, 2015

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
December 21, 2022

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
December 16, 2022

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
May 1, 2017

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • V1410112004

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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