跳至主要内容
临床试验/ACTRN12614000721606
ACTRN12614000721606进行中(未招募)3 期

Inguinal or Ilio-inguinal Lymphadenectomy for patients with metastatic melanoma to groin lymph nodes and no evidence of pelvic disease on PET/CT Scan - A randomised phase III trial to evaluate survival, morbidity, and quality of life ( 01.12 EAGLE FM Trial)

Melanoma and Skin Cancer Trial0 个研究点目标入组 101 人开始时间: 2014年7月8日最近更新:
适应症

试验速览

阶段
3 期
状态
进行中(未招募)
发起方
入组人数
101

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomised controlled trial
主要目的
Treatment
盲法
Open (masking not used)

入排标准

年龄范围
15 Years 至 o limit(—)
性别
All

入选标准

  • Patients may be included in the study only if they meet all of the following criteria:
  • 1. Must be 15 and above.
  • 2. Have primary cutaneous melanoma or if the patient presents with stage III melanoma with no known primary tumour then a thorough search for the primary should be documented (including perineal and perianal areas)
  • 3. Life expectancy of at least 10 years from the time of diagnosis, not considering the melanoma in question, as determined by the PI
  • 4. Must have one or multiple inguinal node(s) involved, histologically or cytologically proven as metastatic melanoma. This can can be detected:
  • a. At the time of diagnosis;
  • b. Or by Ultrasound detection;
  • c. Or later after relapse when no Sentinel Node Biopsy (SNB) was performed at the time of primary tumour management;
  • d. Or as a result of SNB;
  • e. Or at the time of regional recurrence after false negative” SNB;
  • f. Absent distant disease clinically and on PET/CT scan. (Patients must have NO further distant disease or visceral metastases)
  • 6. ECOG performance status must be between 0 to 2 at randomisation
  • 7. Whole body PET/CT scan, specifically stating there is NO evidence of pelvic lymph node involvement prior to randomisation and a CT Brain or MRI Brain scan. Scans must be performed within 6 weeks prior to randomisation.
  • 8. Able to provide written, informed consent
  • 9. Willing to return to the centre for follow up examinations and procedures, as outlined in the protocol.
  • 10. All patients must be randomised and undergo lymphadenectomy surgery no more than 120 days following diagnosis of inguinal LN involvement

排除标准

  • Patients will be excluded from the study for any of the following reasons:
  • 1. Distant metastatic disease on clinical examination or staging imaging (CT/MRI brain or whole body PET/CT scan). Scans must be performed within 6 weeks prior to randomisation
  • 2. Pelvic LN involvement on SNB or PET/CT scan suggestive of metastatic disease in the pelvis – criteria for diagnosis include normal size or enlarged lymph nodes (> 1 cm) with increased FDG activity on PET (SUV >3). If there are enlarged, necrotic lymph nodes FDG activity on PET is not required to be present. If unsure central review should be sought.
  • 3. Bilateral inguinal lymph node involvement
  • 4. Patients with a history of major pelvic surgery and / or regional radiotherapy at any time in the past
  • 5. Requiring planned radiotherapy following surgery due to macroscopic, bulky and matted nodes.
  • 6. Unfit for General Anaesthesia
  • 7. Melanoma-related operative procedures not corresponding to criteria described in the protocol
  • 8. Patients with prior cancers, except:
  • a. those with a thin <=1 mm, regionally unrelated melanoma > 5 years ago
  • b. Those with a good prognosis regionally unrelated cancer (>90% probability of 10 years disease specific survival)
  • c. Other cancers diagnosed more than five years ago with no evidence of disease recurrence within this time
  • d. Successfully treated basal cell and squamous cell skin carcinoma
  • e. Carcinoma in-situ of the cervix
  • f. 1 episode of in transit melanoma > 3 years ago
  • 9. A medical or psychiatric condition that compromises ability to give informed consent or complete the protocol
  • 10. Positive urine pregnancy test for women of childbearing potential (+/-7 days of randomisation onto the trial)

研究者

发起方
Melanoma and Skin Cancer Trial

相似试验