- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01856452
Comparison Study of Sentinel Lymph Node Biopsy by Multimodal Method in Breast Cancer
Phase II Study of Comparison of Sentinel Lymph Node Biopsy Guided by The Multimodal Method of Indocyanine Green Fluorescence, Radioisotope and Blue Dye Versus the Radioisotope in Breast Cancer
Sentinel lymph node biopsy (SLNB) has become a mainstay surgery method in breast cancer. It provides the surgeon the evidence of axillary lymph node metastasis, which determines the extent of surgery. Because effective SLNB can decrease the extent of axillary lymph node dissection, it is increasingly important. In general, radioactive colloid has been used for SLNB. In order to pursue more precise SLNB, the investigators developed a multimodal method enabling visual guidance with the mixture of indocyanine green, blue dye and radioisotope.
In this study, our hypotheses are as following:
- Multimodal method enables to increase identification rate of SLNB
- blue dye and indocyanine green provide the surgeon visual guidance to ensure better outcome
- Multimodal method alleviates the shortcomings of indocyanine green and blue dye as an identification strategy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Indocyanine green Advantages: provides visualization of sentinel lymph node without incision
Blue dye Advantages: easy to employ; no toxicity Disadvantages: diffusion; absorption and disappearance of the marking within minutes
Radioisotope Advantages: can be used for lesions not accessible to Ultrasound; ideal for selective uptake to sentinel lymph node Disadvantages: not able to use palpation and visualization, confirms by gamma-probe only
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Gyeonggi-do
-
Goyang-si, Gyeonggi-do, Korea, Republic of, 410-769
- National Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- clinically lymph node negative breast cancer patients
- consented patients with more than 20 years
Exclusion Criteria:
- history of breast cancer
- locally advanced breast cancer and metastatic breast cancer
- proven axillary lymph node metastasis
- history of axillary excisional or incisional biopsy, or dissection
- history of neoadjuvant chemotherapy
- pregnancy
- non-consented patients
- younger than 20 years old
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: radioisotope
sentinel lymph node operation using radioisotope in the breast cancer patients
|
Sentinel lymph node biopsy using gamma probe detector for radioisotope during operation
|
Experimental: the mixture including indocyanine green
sentinel lymph node operation using the mixture of indocyanine green, blue dye and radioisotope in the breast cancer patients
|
Sentinel lymph node biopsy using near-infrared imaging system and gamma probe detector for the mixture of indocyanine green, blue dye, and radioisotope during operation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to sentinel lymph node biopsy
Time Frame: up to 6 months
|
From the date of randomization, skin necrosis and dye staining are assessed up to 6 months after the operation (post op 3 mon and 6 mon follow-up).
|
up to 6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Identification rate of sentinel lymph node biopsy
Time Frame: 13 months
|
The number of participants with sentinel lymph node detection is assessed up to 13 months.
|
13 months
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- NCC-1110212-2
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