NCT01614184
Withdrawn
Phase 1
Fluorescein for Lymphatic Mapping and Sentinel Lymph Node Biopsy in Patients With Operable Breast Cancer
Overview
- Phase
- Phase 1
- Intervention
- Fluorescein
- Conditions
- Breast Cancer
- Sponsor
- University of Utah
- Primary Endpoint
- Sentinel Lymph node (SLN) detection
- Status
- Withdrawn
- Last Updated
- 12 years ago
Overview
Brief Summary
The study goal is to develop a new method of intraoperative lymphatic mapping with fluorescent contrast agents to improve the outcome of therapeutic breast cancer surgery.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Female patient
- •Ability to provide informed consent and have signed an approved consent form that conforms to federal and institutional guidelines.
- •Between 18 and 90 years of age.
- •Have been diagnosed with invasive adenocarcinoma, or high-grade ductal carcinoma in-situ. If a core or open biopsy is done, it must demonstrate invasive adenocarcinoma. If only a FNA is done, it must be positive and accompanied by a positive clinical breast examination and ultrasound or mammography. The tumor must be operable.
- •Clinically negative lymph nodes.
- •Must have had a bilateral mammogram within a year of enrollment.
- •The interval between the initial cytologic or histologic diagnosis of breast cancer and enrollment must be no more than 60 days.
- •ECOG performance status 0-1
- •Patients in whom the diagnosis of breast cancer has been obtained utilizing fine needle aspiration cytology or core needle biopsy are preferred. However, patients who are diagnosed by open biopsy procedures are eligible.
- •Patients with prior excisional biopsy or lumpectomy are eligible for entry.
Exclusion Criteria
- •Male patient
- •Ulceration, erythema, infiltration of the skin or underlying chest wall (complete fixation), peau d'orange, or skin edema of any magnitude. (Tethering or dimpling of the skin or nipple inversion should not be interpreted as skin infiltration. Patients with these latter to conditions are eligible.)
- •One or more ipsilateral axillary lymph nodes that are positive for tumor on clinical examination.
- •Bilateral malignancy or a mass in the opposite breast that is suspicious for malignancy, unless a biopsy proves that the mass is not malignant.
- •Previous removal of any ipsilateral axillary lymph node.
- •Diffuse tumors or multiple malignant tumors in different quadrants of the breast.
- •Suspicious palpable nodes in the contralateral axilla or palpable supraclavicular or infraclavicular nodes. Patients with these conditions are considered ineligible unless there is biopsy evidence that these are not involved with tumor.
- •Patients with any prior breast malignancy other than LCIS.
- •Prior treatment for this breast cancer including irradiation, chemotherapy, immunotherapy, and/or hormonal therapy.
- •Allergy to radiocolloid or fluorescein.
Arms & Interventions
All patients
All patients enrolled in study.
Intervention: Fluorescein
Outcomes
Primary Outcomes
Sentinel Lymph node (SLN) detection
Time Frame: 36 months
Ability of peri-areolar or peri-tumoral fluorescein to detect SLNs in patients with operable breast cancer.
Secondary Outcomes
- Correlation between two radiation intensities(36 months)
- Fluorescence detection(36 months)
- Number of patients with adverse events(36 months)
- Fluorescence detection after processing(36 months)
- Correlation between intensity and metastasis(36 months)
Similar Trials
Completed
Phase 1
Fluorescent Dyes for Lymph Node MappingBreast CancerNCT01095913M.D. Anderson Cancer Center30
Completed
Not Applicable
Intraoperative Evaluation of Axillary LymphaticsLymphedemaSurgeryBreast CancerNCT05094102University of Wisconsin, Madison9
Withdrawn
Not Applicable
Intraoperative Fluorescence Angiography in Debridement of Open FracturesIntraoperative Fluorescence AngiographyNCT05006313Vanderbilt University Medical Center20
Withdrawn
Not Applicable
Pilot Study of Novel Fluorescence Endoscopic Device for Sentinel Lymph Node Mapping in Lung CancerLung CancerNCT02423148Dana-Farber Cancer Institute
Completed
Phase 1
NIR-Guided Sentinel Lymph-Node Mapping for Esophageal CancerEsophageal CancerNCT01808417Dana-Farber Cancer Institute10