Clinical trial • Phase II • Oncology

INDOCYANINE GREEN for Melanoma | Oral cavity cancer | Penile cancer

Phase II trial of INDOCYANINE GREEN for Melanoma | Oral cavity cancer | Penile cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Melanoma | Oral cavity cancer | Penile cancer
Trial Stage
Phase II
Drug Modality
Diagnostic agent | Radiopharmaceutical

Key dates

Initial CTIS Submission Date
08-11-2024
First CTIS Authorization Date
16-12-2024

Trial design

TECHNETIUM (99MTC) NANOCOLLOID (human albumin solution) - reference tracer; intravenous; max daily dose 110 MBq, max total dose 130 MBq-controlled Phase II trial across 1 site in Netherlands.

Comparator
TECHNETIUM (99MTC) NANOCOLLOID (human albumin solution) - reference tracer; intravenous; max daily dose 110 MBq, max total dose 130 MBq
Target Sample Size
29

Eligibility

Recruits 29 No vulnerable population selected. Participants must give written informed consent; 'Incapacity or unwillingness of participant to give written informed consent;' is listed as an exclusion. No details on assent or consent procedures for minors (participants must be > 18)..

Pregnancy Exclusion
Patients who are pregnant or breast-feeding mothers
Vulnerable Population
No vulnerable population selected. Participants must give written informed consent; 'Incapacity or unwillingness of participant to give written informed consent;' is listed as an exclusion. No details on assent or consent procedures for minors (participants must be > 18).

Inclusion criteria

  • {"criterion_text":"- Patient who will undergo a sentinel node procedure in routine care.\n- Patients > 18 years;\n- Patients presenting with:  a primary cutaneous melanoma of head/neck or upper part of the trunk or extremities;  OR patients presenting with a primary oral cavity malignancy T1-2N0  OR patients with primary penile cancer\n- Patients with clinical N0 stage;\n- Patients scheduled for a sentinel node biopsy prior to (re-)excision of the primary lesion\n- Patients in which ICG-99mTc-nanoscan would be used in routine care or a research setting."}

Exclusion criteria

  • {"criterion_text":"- Patients with known allergy to patent blue dye\n- Patients who are pregnant or breast-feeding mothers\n- History of hypersensitivity reactions to products containing human serum albumin\n- History of iodine allergy\n- Hyperthyroid or thyroidal adenoma\n- Kidney insufficiency\n- Incapacity or unwillingness of participant to give written informed consent;"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- To demonstrate concordance between the SN visualization of 99mTc-nanoscan and ICG-99mTc-nanoscan on preoperative lymphoscintigraphy and SPECT/CT imaging, expecting an average of 3 sentinel nodes per patient. Discordance is defined as more than 1 sentinel node not detected coherently by the tracers.","definition_or_measurement_approach":"Concordance assessed between SN visualization of 99mTc-nanoscan and ICG-99mTc-nanoscan on preoperative lymphoscintigraphy and SPECT/CT imaging; expectation of an average of 3 sentinel nodes per patient. Discordance defined as more than 1 sentinel node not detected coherently by the tracers."}

Secondary endpoints

  • {"endpoint_text":"- Number of higher-echelon nodes visualized on preoperative lymphoscintigraphy and SPECT/CT imaging for both tracers (ICG-99mTc-Nanoscan and 99mTc-Nanoscan); 99mTc-Nanoscan is used as reference tracer.","definition_or_measurement_approach":"Count of higher-echelon nodes visualized on preoperative lymphoscintigraphy and SPECT/CT for both tracers; 99mTc-Nanoscan serves as reference tracer."}
  • {"endpoint_text":"- Concordance between intraoperative fluorescence and radioactive findings, using:  Number and intensity of the fluorescent nodes at time of excision;  Number and radioactive signal intensity of the radioactive nodes at time of excision","definition_or_measurement_approach":"Concordance between intraoperative fluorescence and radioactive findings measured by: number and intensity of fluorescent nodes at excision; number and radioactive signal intensity of radioactive nodes at excision."}

Recruitment

Planned Sample Size
29
Recruitment Window Months
28
Consent Approach
Written informed consent required from participants. Participants must be > 18 years. 'Incapacity or unwillingness of participant to give written informed consent;' is an exclusion. No further details on assent, age-specific documents, or languages available are provided in the source.

Geography

Total Number Of Sites
1
Total Number Of Participants
29

Netherlands

Earliest CTIS Part Ii Submission Date
14-11-2024
Latest Decision Or Authorization Date
16-12-2024
Processing Time Days
32
Number Of Sites
1
Number Of Participants
29

Sites

Site Name
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Department Name
Surgery
Principal Investigator Name
O. Brouwer
Principal Investigator Email
secretariaaturologie@nki.nl
Contact Person Name
O. Brouwer
Contact Person Email
secretariaaturologie@nki.nl

Sponsor

Primary sponsor

Full Name
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
INDOCYANINE GREEN
Active Substance
INDOCYANINE GREEN
Modality
Diagnostic agent
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Maximum Dose
25 µg
Investigational Product Name
TECHNETIUM (99MTC) NANOCOLLOID
Active Substance
HUMAN ALBUMIN SOLUTION
Modality
Radiopharmaceutical
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Maximum Dose
130 MBq
Combination Treatment
Yes

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