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OpenTrials
Completed

NCT Number: NCT02509598

A Study of Lymphoseek® as a Lymphoid Tissue Targeting Agent in Pediatric Patients With Melanoma, Rhabdomyosarcoma, or Other Solid Tumors Who Are Undergoing Lymph Node Mapping

Open label, non-randomized, multi-center, within-subject comparative study to evaluate the tolerability and the diagnostic utility of Lymphoseek with optional comparison to VBD in pediatric subjects with melanoma, rhabdomyosarcoma, or other solid tumor. Subject age will range from neonatal through 17 years.

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Key information

Age range

Up to 17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Nemours Children's Specialty Care, Jacksonville, Florida, United States

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • The subject's parent(s)/legal guardian(s) understand(s) and voluntarily signed an informed consent document prior to any study-related assessments/procedures being conducted. Where locally applicable, the subject also understands and voluntarily provides his/her assent prior to any study-related assessments/procedures being conducted
  • Subject has been diagnosed with melanoma, rhabdomyosarcoma, or other tumor where tumor resection or biopsy is planned and lymph node mapping is appropriate
  • The subject is clinically node negative (cN0) at the time of screening
  • Age < 18 years
  • Male subjects of childbearing potential must be willing to use a condom during sexual intercourse and shall not father a child during the course of the study or will practice complete abstinence while on study
  • Female subjects of childbearing potential must agree to the use of two physician-approved contraceptive methods simultaneously or practice complete abstinence while on study

Exclusion criteria

  • The subject has had preoperative radiation therapy
  • Has had previous surgery or radiation to node basins that would be involved in the intraoperative lymph node mapping (ILM) procedure
  • Has a known allergy to dextran or VBD (if intended to be used)
  • Has a history of alcohol abuse or alcohol dependency in the 3 years before study entry, or is an alcoholic or drug addict, as determined by the investigator
  • Before the administration of Lymphoseek, has received any radiopharmaceutical within 7 radioactive half-lives of that radiopharmaceutical

Treatment and study plan

Tc99m tilmanocept

Drug

A single dose of 0.5 mCi and 50 ug of Tc99m tilmanocept administered intradermally, peritumorally approximately 15 minutes to 8 hours before surgery

Other names: Lymphoseek

Vital Blue Dye (optional)

Drug

A single dose 1-3 mL of vital blue dye (1%) administered intradermally at the start of or during surgery (optional, per institution's standard of care).

Other names: Lymphazurin, Isosulfan Blue

Lymph Node Mapping

Procedure

Intraoperative lymph node mapping will occur 15 minutes to 8 hours after Tc99m tilmanocept injection

Primary outcomes

  1. Average Number of Lymph Nodes Identified Intraoperatively Per Subject

    Time frame: 1 Day

  2. Subject Localization Rates

    Time frame: 1 Day

    The proportion of subjects with Lymphoseek-identified lymph nodes

Secondary outcomes

  1. Proportion of Subjects Who Underwent Preoperative SPECT or SPECT/CT

    Time frame: 1 Day

  2. Proportion of Subjects With a Lymph Node Identified Preoperatively Using SPECT or SPECT/CT

    Time frame: 1 day

  3. Average Number of Lymph Nodes Identified Preoperatively Using SPECT or SPECT/CT Per Subject

    Time frame: 1 Day

  4. Agreement of the Number of Nodes Identified by Preoperative SPECT or SPECT/CT to Intraoperative Localization

    Time frame: 1 Day

    Average difference in number of LNs identified preoperatively with SPECT/CR and number of LNs identified intraoperatively per subject

  5. Upstaging

    Time frame: 1 Day

    The proportion of patients with pathology-positive lymph nodes who had at least one pathology-positive lymph node that was identified by Lymphoseek and had no other pathology-positive lymph nodes (i.e., identified by any other method)

  6. Nodal False Negative Rate for Nodes Identified

    Time frame: 1 Day

    The number of pathology-positive lymph nodes that were missed intraoperatively by mapping agent divided by the total number of pathology-positive lymph nodes for that mapping agent. Population is all subjects with pathology-positive nodes. False negative rate represents the failure rate of the mapping agent to identify sentinel lymph nodes.

  7. Nodal Sensitivity

    Time frame: 1 Day

    The number of pathology-positive lymph nodes that were identified intraoperatively by mapping agent divided by the total number of pathology-positive lymph nodes for that mapping agent. Population is all subjects with pathology-positive nodes. Sensitivity rate represents the success rate of the mapping agent to identify sentinel lymph nodes.

  8. Nodal Agreement of Central Pathology Assessment With Local Pathology Assessment of the Excised Lymph Node(s) to Confirm the Presence/Absence of Tumor Metastases

    Time frame: 1 Day

    Number of nodes whose local and central pathology results agree divided by the number of nodes with nonmissing local and central pathology results

  9. Change in Subject Nodal Staging Before and After Surgery Based Upon Nodes Identified

    Time frame: 1 Day

    Change in subject nodal staging was assessed via shift tables to show the number of subjects with each combination of presurgery and postsurgery nodal staging. Presurgery staging was based on standard-of-care clinical assessment. Postsurgery staging was based on the pathology results of the nodes identified.

  10. Number of Changes in Postsurgical Treatment Plan in Relation to Nodes Identified by Lymphoseek

    Time frame: 1 Day

    Changes to postsurgical treatment plan will be compared to baseline treatment plan.

Sponsors and collaborators

Lead sponsor

Cardinal Health 414, LLC

Industry

Registry information

Official study title

A Prospective, Open-Label, Multicenter Study of Lymphoseek® as a Lymphoid Tissue Targeting Agent in Pediatric Patients With Melanoma, Rhabdomyosarcoma, or Other Solid Tumors Who Are Undergoing Lymph Node Mapping

Important dates

Study start
2015
Primary completion
2019
Study completion
2019
First posted
Jul 28, 2015
Registry last updated
Jun 28, 2024

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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