Preoperative Localization of Sentinel Lymph Node in Breast Cancer Patients By Novel Computed Tomography-Lymphography Guided Technique
Primary Purpose
Breast Cancer
Status
Unknown status
Phase
Phase 1
Locations
Egypt
Study Type
Interventional
Intervention
preoperative localization of SLN detected by CTLG by either methods
Sponsored by
About this trial
This is an interventional diagnostic trial for Breast Cancer focused on measuring sentinel lymph node biopsy
Eligibility Criteria
Inclusion Criteria:
- node negative early breast cancer
Exclusion Criteria:
• Unfit patients for general anaesthesia
- Previous axillary surgery
- History of breast surgery or incisional biopsy compromising the breast lymphatic drainage.
- Known hypersensitivity to the dye
- Patients with clinically positive or suspicious axilla
- Pregnant females
Sites / Locations
- Oncology center, Mansoura UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
charcoal
silver wire
Arm Description
Outcomes
Primary Outcome Measures
detection of the sentinel lymph node by the novel method & matching between the sentinel lymph node detected by the novel method and the control one
Secondary Outcome Measures
Full Information
NCT ID
NCT03442543
First Posted
February 16, 2018
Last Updated
February 21, 2018
Sponsor
Mansoura University
1. Study Identification
Unique Protocol Identification Number
NCT03442543
Brief Title
Preoperative Localization of Sentinel Lymph Node in Breast Cancer Patients By Novel Computed Tomography-Lymphography Guided Technique
Official Title
A Novel Technique for Preoperative Localization of Sentinel Lymph Node in Breast Cancer Patients by Silver Wire Insertion or Liquid Charcoal Injection Guided by CT Lymphography
Study Type
Interventional
2. Study Status
Record Verification Date
February 2018
Overall Recruitment Status
Unknown status
Study Start Date
July 2, 2017 (Actual)
Primary Completion Date
July 1, 2018 (Anticipated)
Study Completion Date
March 1, 2019 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Mansoura University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
A question is raised about the possibility of accurate localization of the SLN (sentinel lymph node) detected by CTLG (Computed Tomography Lymphography) which offers a detection rate of 100% in many studies In Oncology center, Mansoura University (OCMU), the surgical oncology unit had a previous experience in using charcoal for localization of non-palpable suspicious breast lesions and it showed promising results in comparison to traditional localization methods In addition, we had another study using silver wire for localization of breast masses before neoadjuvant therapy.
In the study, the investigators will study the usage of both methods as preoperative localization methods for the SLN detected by CT lymphography in breast cancer patients The investigators suppose that this method can offer two main advantages over the traditional SLN intraoperative methods which are; saving operative time needed for the intraoperative procedure as well as solving the problem of the need for complex logistic preparations especially for the usage of radioisotope method.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
sentinel lymph node biopsy
7. Study Design
Primary Purpose
Diagnostic
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
50 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
charcoal
Arm Type
Experimental
Arm Title
silver wire
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
preoperative localization of SLN detected by CTLG by either methods
Intervention Description
50 patients with node negative early breast cancer. The patients were randomized into two groups; SLN localized using CTLG guided injection of liquid charcoal suspended solution (first group) or by placing a 3 cm silver wire using spinal needle (second group). For every patient, SLN biopsy was performed using the traditional method with blue dye. Then dual search for the SLN localized by both the novel & traditional method was performed.
Primary Outcome Measure Information:
Title
detection of the sentinel lymph node by the novel method & matching between the sentinel lymph node detected by the novel method and the control one
Time Frame
one year
10. Eligibility
Sex
All
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
node negative early breast cancer
Exclusion Criteria:
• Unfit patients for general anaesthesia
Previous axillary surgery
History of breast surgery or incisional biopsy compromising the breast lymphatic drainage.
Known hypersensitivity to the dye
Patients with clinically positive or suspicious axilla
Pregnant females
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Omar Hamdy, MSc
Phone
+201003526752
Email
omarhamdy87@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Omar Hamdy, MSc
Organizational Affiliation
Oncology center, Mansoura University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Oncology center, Mansoura University
City
Mansourah
ZIP/Postal Code
35611
Country
Egypt
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Omar Hamdy, MSc
Phone
+201003526752
Email
omarhamdy87@gmail.com
12. IPD Sharing Statement
Learn more about this trial
Preoperative Localization of Sentinel Lymph Node in Breast Cancer Patients By Novel Computed Tomography-Lymphography Guided Technique
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