A Prospective, Open-Label, Multi-center Comparison of Lymphoseek Identified Lymph Nodes and Clinically Identified Lymph Nodes of Subjects With Known Cancer of the Anus
Primary Purpose
Anal Cancer
Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Lymphoseek
Sponsored by
About this trial
This is an interventional diagnostic trial for Anal Cancer
Eligibility Criteria
Inclusion Criteria:
- Subject has provided written informed consent with Health Insurance Portability and Accountability Act of 1996 (HIPAA) authorization
- Has histologically confirmed squamous cell carcinoma of the anus (anal canal or perianus)
- Has a documented clinical stage using the tumor, lymph node, metastasis staging (TNM) classification system that was established by at least physical exam with manual palpation, digital anorectal examination, high-resolution anoscopy and PET/CT imaging evaluation of the bilateral inguinal area
- Is at least 18 years of age at the time of consent
- Has an Eastern Cooperative Oncology Group (ECOG) performance status of Grade 0 to 3
- If of childbearing potential, the subject has a negative pregnancy test within 48 hours before administration of Lymphoseek, has been surgically sterilized, or has been postmenopausal for at least 1 year
Exclusion Criteria:
- The subject has had radiation therapy, chemotherapy or immunotherapy within the 30 days prior to Lymphoseek administration
- Has had previous surgery or node dissection (exclusive of fine needle aspiration) or radiation to node basins that would be involved in the intraoperative lymphatic mapping procedure
- Has a known allergy to dextran
- Is breast-feeding or pregnant
- Before the administration of Lymphoseek, has received any radiopharmaceutical within 7 radioactive half-lives of that radiopharmaceutical
- Has received an investigational product within the 30 days prior to Lymphoseek administration
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Lymphoseek - 0.5 mCi, 50 ug
Arm Description
A single dose of 50 µg Lymphoseek radiolabeled with 0.5 millicurie (mCi) (18.5 MBq) 99m Tc
Outcomes
Primary Outcome Measures
Concordance (the proportion of the number of subjects with lymph nodes identified by Lymphoseek and standard of care methods compared to the number of subjects with lymph nodes identified by standard of care methods)
Secondary Outcome Measures
Reverse Concordance (the proportion of the number of subjects with lymph nodes identified by Lymphoseek and standard of care methods compared to the number of subjects with lymph nodes identified by Lymphoseek)
Nodal Concordance (the proportion of the number lymph nodes identified by Lymphoseek and standard of care methods compared to the number of lymph nodes identified by standard of care methods)
Reverse Nodal Concordance (the proportion of the number lymph nodes identified by Lymphoseek and standard of care methods compared to the number of lymph nodes identified by Lymphoseek)
Incidence of Adverse Events
Full Information
NCT ID
NCT02857608
First Posted
August 2, 2016
Last Updated
March 13, 2017
Sponsor
Cardinal Health 414, LLC
1. Study Identification
Unique Protocol Identification Number
NCT02857608
Brief Title
A Prospective, Open-Label, Multi-center Comparison of Lymphoseek Identified Lymph Nodes and Clinically Identified Lymph Nodes of Subjects With Known Cancer of the Anus
Official Title
A Prospective, Open-Label, Multi-center Comparison of Lymphoseek Identified Lymph Nodes and Clinically Identified Lymph Nodes of Subjects With Known Cancer of the Anus
Study Type
Interventional
2. Study Status
Record Verification Date
March 2017
Overall Recruitment Status
Withdrawn
Study Start Date
September 2016 (undefined)
Primary Completion Date
August 2017 (Anticipated)
Study Completion Date
August 2017 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cardinal Health 414, LLC
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Prospective, open-label, within-subject, multi-center pilot study of Lymphoseek in the detection of lymph nodes in subjects with known squamous cell carcinoma of the anus.
Detailed Description
Prospective, open-label, within-subject, multi-center pilot study of Lymphoseek in the detection of lymph nodes in subjects with known squamous cell carcinoma of the anus. All subjects will receive a single dose of 50 µg Lymphoseek radiolabeled with 0.5 millicurie (mCi) (18.5 MBq) 99mTc.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anal Cancer
7. Study Design
Primary Purpose
Diagnostic
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Lymphoseek - 0.5 mCi, 50 ug
Arm Type
Experimental
Arm Description
A single dose of 50 µg Lymphoseek radiolabeled with 0.5 millicurie (mCi) (18.5 MBq) 99m Tc
Intervention Type
Drug
Intervention Name(s)
Lymphoseek
Primary Outcome Measure Information:
Title
Concordance (the proportion of the number of subjects with lymph nodes identified by Lymphoseek and standard of care methods compared to the number of subjects with lymph nodes identified by standard of care methods)
Time Frame
2-5 Days
Secondary Outcome Measure Information:
Title
Reverse Concordance (the proportion of the number of subjects with lymph nodes identified by Lymphoseek and standard of care methods compared to the number of subjects with lymph nodes identified by Lymphoseek)
Time Frame
2-5 Days
Title
Nodal Concordance (the proportion of the number lymph nodes identified by Lymphoseek and standard of care methods compared to the number of lymph nodes identified by standard of care methods)
Time Frame
2-5 Days
Title
Reverse Nodal Concordance (the proportion of the number lymph nodes identified by Lymphoseek and standard of care methods compared to the number of lymph nodes identified by Lymphoseek)
Time Frame
2-5 Days
Title
Incidence of Adverse Events
Time Frame
5 Days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subject has provided written informed consent with Health Insurance Portability and Accountability Act of 1996 (HIPAA) authorization
Has histologically confirmed squamous cell carcinoma of the anus (anal canal or perianus)
Has a documented clinical stage using the tumor, lymph node, metastasis staging (TNM) classification system that was established by at least physical exam with manual palpation, digital anorectal examination, high-resolution anoscopy and PET/CT imaging evaluation of the bilateral inguinal area
Is at least 18 years of age at the time of consent
Has an Eastern Cooperative Oncology Group (ECOG) performance status of Grade 0 to 3
If of childbearing potential, the subject has a negative pregnancy test within 48 hours before administration of Lymphoseek, has been surgically sterilized, or has been postmenopausal for at least 1 year
Exclusion Criteria:
The subject has had radiation therapy, chemotherapy or immunotherapy within the 30 days prior to Lymphoseek administration
Has had previous surgery or node dissection (exclusive of fine needle aspiration) or radiation to node basins that would be involved in the intraoperative lymphatic mapping procedure
Has a known allergy to dextran
Is breast-feeding or pregnant
Before the administration of Lymphoseek, has received any radiopharmaceutical within 7 radioactive half-lives of that radiopharmaceutical
Has received an investigational product within the 30 days prior to Lymphoseek administration
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Blue, MD
Organizational Affiliation
Cardinal Health 414, LLC
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Prospective, Open-Label, Multi-center Comparison of Lymphoseek Identified Lymph Nodes and Clinically Identified Lymph Nodes of Subjects With Known Cancer of the Anus
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