Sentinel Lymph Node in Early Ovarian Cancer (SENTOV)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The objective of this study is to describe the feasibility of performing the sentinel node technique (Detection rate) in patients with early stage ovarian cancer.
With this research study it will be evaluated the concordance of the result between two diagnostic tests: Sentinel node and Pelvic-para-aortic lymphadenectomy in patients with ovarian cancer.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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-
-
Valencia, Spain, 46026
- Hospital Universitario y Politécnico La Fe
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Informed consent signed previously to performing any procedure related to the clinical trial.
- Patients who are women 18 years of age or older at the moment of the randomization.
- Patients with anatomopathological diagnosis of malignant ovarian tumor in a deferred study proposals for staging surgery or patients with suspicious tumor of malignancy who are going to be subjected to exploratory lapaotomy or laparoscopy and operative biopsy, and in the case this is positive, surgery of staging will be performed .
Exclusion Criteria:
- Informed consent not obtained or withdraw.
- Benign result in extemporaneous study
- Previous history of vascular surgery in the aorta, cava or pelvic vessels
- Previous pelvic or para-aortic lymphadenectomy
- Previous lymphoma
- Previous abdomino-pelvic tumor
- Previous allergic reaction to indocyanine green
- Pregnancy / lactation
- Severe adherent syndrome
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Patients with ovarian cancer
Injection of a tracer in the stump of the infundibulo-pelvic ligament and uterus-ovary for sentinel node detection
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Injection of a tracer in the stump of the infundibulo-pelvic ligament and uterus-ovary for sentinel node detection.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Feasibility of performing the sentinel node technique (Detection rate)
Time Frame: Intraoperative (day 0)
|
The objective of this study is to describe the feasibility of performing the sentinel node technique (Detection rate) in patients with previous ovarian surgery injecting the tracer in the stump of the infundibulo-pelvic ligament and uterus-ovary for sentinel node detection.
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Intraoperative (day 0)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of realization of the technique
Time Frame: Intraoperative (day 0)
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Intraoperative (day 0)
|
|
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Rate of realization of the technique
Time Frame: After anatomopathological study (day 30)
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After anatomopathological study (day 30)
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|
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Anatomical location of the sentinel node(s)
Time Frame: Intraoperative (day 0)
|
Assessed by radiation (99Tc-nanocoloides) and staining with indocyanine green
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Intraoperative (day 0)
|
|
Anatomical location of the sentinel node(s)
Time Frame: After anatomopathological study (day 30)
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Assessed by the pathologist
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After anatomopathological study (day 30)
|
|
Number of detected sentinel nodes
Time Frame: Intraoperative (day 1)
|
Intraoperative (day 1)
|
|
|
Number of detected sentinel nodes
Time Frame: After anatomopathological study (day 30)
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After anatomopathological study (day 30)
|
|
|
Characterization of the sample by collecting baseline characteristics
Time Frame: Screening (day 0)
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Age (years)
|
Screening (day 0)
|
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Characterization of the sample by collecting baseline characteristics
Time Frame: Screening (day 0)
|
Weight (kilograms)
|
Screening (day 0)
|
|
Characterization of the sample by collecting baseline characteristics
Time Frame: Screening (day 0)
|
Height (centimeters)
|
Screening (day 0)
|
|
Characterization of the sample by collecting baseline characteristics
Time Frame: Screening (day 0)
|
BMI (kg/m^2)
|
Screening (day 0)
|
|
Characterization of the sample by collecting baseline characteristics
Time Frame: Screening (day 0)
|
Previous gynecological surgery and previous pathological anatomy
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Screening (day 0)
|
|
Characterization of the sample by collecting tumor markers
Time Frame: Day 0
|
Ca 125 and Ca 19.9.
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Day 0
|
|
Characterization of the sample by collecting intraoperative findings
Time Frame: Day 0
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Ascites (milliliters)
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Day 0
|
|
Characterization of the sample by collecting intraoperative findings
Time Frame: Day 0
|
Tumor size (centimeters) of: right ovary, left ovary, right tube, left tube, uterus, pelvic nodes, para-aortic nodes, and tumor in upper hemiabdomen.
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Day 0
|
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Characterization of the sample by collecting surgical procedures
Time Frame: Day 0
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Hysterectomy, adnexectomy, appendectomy, peritonectomy / peritoneal biopsy, omentectomy, lymphadenectomy and blood transfusion (Realized or Unrealized)
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Day 0
|
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Characterization of the sample by collecting surgical procedures
Time Frame: Day 0
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Intraoperative complications
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Day 0
|
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Characterization of the sample by collecting surgical procedures
Time Frame: Day 0
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Result of intraoperative biopsy (unrealized, malignant, benign)
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Day 0
|
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Characterization of the sample by collecting surgical procedures
Time Frame: Day 0
|
Estimated blood loss (milliliters)
|
Day 0
|
|
Characterization of the sample by collecting surgical procedures
Time Frame: Day 0
|
Surgical time (minutes)
|
Day 0
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Victor Lago, Instituto de Investigacion Sanitaria La Fe
Publications and helpful links
General Publications
- Lago V, Montero B, Lopez S, Padilla-Iserte P, Matute L, Marina T, Gurrea M, Montoliu G, Bello P, Domingo S. Ultrastaging protocol in sentinel lymph node for apparent early stage ovarian cancer. Gynecol Oncol. 2021 May;161(2):408-413. doi: 10.1016/j.ygyno.2021.03.001. Epub 2021 Mar 10.
- Lago V, Bello P, Montero B, Matute L, Padilla-Iserte P, Lopez S, Marina T, Agudelo M, Domingo S. Sentinel lymph node technique in early-stage ovarian cancer (SENTOV): a phase II clinical trial. Int J Gynecol Cancer. 2020 Sep;30(9):1390-1396. doi: 10.1136/ijgc-2020-001289. Epub 2020 May 23.
- Lago V, Bello P, Matute L, Padilla-Iserte P, Marina T, Agudelo M, Domingo S. Sentinel Lymph Node Technique in Apparent Early Ovarian Cancer: Laparoscopic Technique. J Minim Invasive Gynecol. 2020 Jul-Aug;27(5):1019-1020. doi: 10.1016/j.jmig.2019.09.790. Epub 2019 Oct 16.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Genital Neoplasms, Female
- Endocrine System Diseases
- Ovarian Diseases
- Adnexal Diseases
- Gonadal Disorders
- Endocrine Gland Neoplasms
- Ovarian Neoplasms
- Carcinoma, Ovarian Epithelial
Other Study ID Numbers
Other Study ID Numbers
- SENTOV
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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