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临床试验/NCT03449615
NCT03449615Unknown不适用

Isotopic Versus Magnetic Intraoperative Node Evaluation in Cutaneous Malignant Melanoma

Sociedad Española de Oncología Quirúrgica1 个研究点 分布在 1 个国家目标入组 186 人开始时间: 2015年12月21日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
186
试验地点
1
主要终点
SN detection

研究概览

简要总结

This study has been designed to validate a non-radioactive method to identify the sentinel lymph node using a superparamagnetic iron-oxide (SPIO) tracer respect to the traditional isotopic method. Both methods are used in every included patient and each patient is its own control.

详细描述

  • Injection of the isotopic tracer in standard form and in the usual preoperative period (hours-day).
  • Identical injection in three-four punctures of 2 mL of Sienna+ ® and local massage of 5-10 minutes.
  • Optional: colorant injection in standard form. Local massage of 5-10 minutes.
  • After 20 minutes: transcutaneous measurement with SentiMag®
  • Valuing territories (lymphoscintigraphy information?)
  • Surgical identification measures:
  1. st with SentiMag®
  2. nd with gamma detection probe
  • Ex vivo check and HRD record

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Adult patients (>18 years of age),
  • with diagnosis of cutaneous melanoma and
  • in which SLNB is indicated as a staging method, and
  • with cN0 result after clinical-echographic-cytohistological evaluation.

排除标准

  • Previous treatment with systemic therapy.
  • Recent previous surgery (<3 months) in the area susceptible of lymphatic drainage from the melanoma.
  • Intolerance or hypersensitivity to iron or dextran compounds.
  • Impossibility of use of radioisotope.
  • Existence of pathology related to elevation of organic iron (hemosiderosis, hemochromatosis, iron deficiency anemia of metabolic or circulatory origin).
  • Implantation of pacemakers or partially or totally metallic thoracic implants.
  • Treatment with iron chelators (deferasirox, deferoxamine, ...).

结局指标

主要结局

SN detection

时间窗: During surgery

Detection of potential sentinel nodes using both methods (isotopic and ferromagnetic tracers). Máximum register of isotopic and ferromagnetic measurement will be the main criteria.

次要结局

  • SN agreement(During surgery)

研究者

发起方
Sociedad Española de Oncología Quirúrgica
申办方类型
Other
责任方
Principal Investigator
主要研究者

Antonio Piñero-Madrona

SEOQ Researcher

Sociedad Española de Oncología Quirúrgica

研究点 (1)

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