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Completed

NCT Number: NCT02209532

A Study Assessing the Safety and Utility of PINPOINT® Near Infrared Fluorescence Imaging in the Identification of Lymph Nodes in Patients With Uterine and Cervical Malignancies Who Are Undergoing Lymph Node Mapping

This is a randomized, prospective, open label, multicenter study to assess the safety and utility of PINPOINT® Near Infrared Fluorescence Imaging (PINPOINT) in identification of lymph nodes (LN) in patients with uterine and cervical malignancies who are undergoing LN mapping.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Sunnybrook Health Science Centre, Toronto, Ontario, Canada

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18 years of age or older
  • Subjects with FIGO Clinical Stage I endometrial cancer undergoing minimally invasive hysterectomy with lymph node mapping.
  • Subjects with FIGO Clinical Stage IA cervical cancer ≤ 2 cm in size undergoing minimally invasive hysterectomy, trachelectomy, or conization with lymph node mapping. Subjects with clinical Stage IA1 cervical cancer without lympho vascular space involvement (LVSI) and negative margins on cone biopsy are not to be included.
  • Subjects with negative nodal status (N0)
  • Subjects with negative metastatic involvement (M0).

Exclusion criteria

  • Have had prior dissection and/or radiation in pelvis.
  • Advanced cervical or endometrial cancer, T3/T4 lesions
  • Diagnosis of cervical cancer with a tumor size greater than 2 cm.
  • Locally advanced or inflammatory cervical or uterine cancer
  • Metastatic cervical or uterine cancer.
  • Known allergy or history of adverse reaction to ICG, iodine or iodine dyes.
  • Known allergy or history of adverse reaction to Blue dye (Isosulfan blue) or triphenylmethane.
  • Hepatic dysfunction defined as MELD Score > 12.
  • Renal dysfunction defined as serum creatinine ≥ 2.0 mg/dl.
  • Subjects who have participated in another investigational study within 30 days prior to surgery.
  • Pregnant or lactating subjects.
  • Subjects who, in the Investigator's opinion, have any medical condition that makes the subject a poor candidate for the investigational procedure, or interferes with the interpretation of study results.

Treatment and study plan

PINPOINT

Device

PINPOINT® Near Infrared Fluorescence Imaging to identify lymph nodes

Primary outcomes

  1. Effectiveness of PINPOINT and IC2000 in the Identification of Lymph Nodes Defined as the Proportion of Confirmed Lymph Nodes Identified

    Time frame: Day 0

    To assess the effectiveness of intraoperative PINPOINT Near Infrared Fluorescence Imaging in the identification of lymph nodes in subjects with uterine and cervical malignancies who are undergoing lymph node mapping.

Secondary outcomes

  1. Effectiveness of PINPOINT and Blue Dye in the Identification of at Least One Lymph Node Defined as the Number of Subjects in Which at Least One Confirmed Lymph Node Was Identified With Either PINPOINT or Blue Dye

    Time frame: Day 0

    To evaluate the effectiveness of PINPOINT and Blue dye in the identification of at least one lymph node (confirmed to be lymphoid tissue) per subject.

  2. Effectiveness of PINPOINT and Blue Dye in the Identification of Bilateral Lymph Nodes Defined as the Number of Subjects in Which Lymph Nodes Were Identified Bilaterally With Either PINPOINT or Blue Dye.

    Time frame: Day 0

    To evaluate the effectiveness of PINPOINT and Blue dye in the identification of bilateral lymph nodes (confirmed to be lymphoid tissue).

  3. Identification of Lymph Nodes Following Lymphatic Channels Defined as the Number of Subjects in Which Confirmed Lymph Nodes Were Identified by Following a Lymphatic Channel With Either PINPOINT or Blue Dye.

    Time frame: Day 0

    To determine the proportion of lymph nodes identified from following lymphatic channels

  4. Safety of Interstitial Injection of ICG Defined as the Number of Adverse Effects Related to ICG

    Time frame: Day 0 to Day 30

    To assess the safety of interstitial injection of ICG for intraoperative lymphatic mapping, as measured by number of subjects experiencing adverse effects related to the study treatment.

  5. Anatomic Distribution of Lymph Nodes

    Time frame: Day 0

    To determine the anatomic distribution of lymph nodes

Sponsors and collaborators

Lead sponsor

Novadaq Technologies ULC, now a part of Stryker

Industry

Registry information

Official study title

A Randomized, Prospective, Open Label, Multicenter Study Assessing the Safety and Utility of PINPOINT® Near Infrared Fluorescence Imaging in the Identification of Lymph Nodes in Patients With Uterine and Cervical Malignancies Who Are Undergoing Lymph Node Mapping

Acronym: FILM

Important dates

Study start
2015
Primary completion
2017
Study completion
2017
First posted
Aug 6, 2014
Registry last updated
Mar 25, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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