IMINEM: Validation of Ferromagnetic Tracer in Melanoma Sentinel Node
Study Details
Study Description
Brief Summary
This study has been designed to validate a non-radioactive method to identify the sentinel lymph node using a superparamagnetic iron-oxide (SPIO) tracer respect to the traditional isotopic method. Both methods are used in every included patient and each patient is its own control.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
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Injection of the isotopic tracer in standard form and in the usual preoperative period (hours-day).
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Identical injection in three-four punctures of 2 mL of Sienna+ ® and local massage of 5-10 minutes.
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Optional: colorant injection in standard form. Local massage of 5-10 minutes.
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After 20 minutes: transcutaneous measurement with SentiMag®
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Valuing territories (lymphoscintigraphy information?)
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Surgical identification measures:
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st with SentiMag®
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nd with gamma detection probe
- Ex vivo check and HRD record
Study Design
Outcome Measures
Primary Outcome Measures
- SN detection [During surgery]
Detection of potential sentinel nodes using both methods (isotopic and ferromagnetic tracers). Máximum register of isotopic and ferromagnetic measurement will be the main criteria.
Secondary Outcome Measures
- SN agreement [During surgery]
Agreement in isotopic and ferromagnetic sentinel node identification. Measurement criteria will be coincidence in the same node (or nodes).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Adult patients (>18 years of age),
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with diagnosis of cutaneous melanoma and
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in which SLNB is indicated as a staging method, and
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with cN0 result after clinical-echographic-cytohistological evaluation.
Exclusion Criteria:
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Previous treatment with systemic therapy.
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Recent previous surgery (<3 months) in the area susceptible of lymphatic drainage from the melanoma.
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Intolerance or hypersensitivity to iron or dextran compounds.
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Impossibility of use of radioisotope.
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Existence of pathology related to elevation of organic iron (hemosiderosis, hemochromatosis, iron deficiency anemia of metabolic or circulatory origin).
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Implantation of pacemakers or partially or totally metallic thoracic implants.
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Treatment with iron chelators (deferasirox, deferoxamine, ...).
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hospital Clínico Universitario "Virgen de la Arrixaca" | Murcia | Spain | 30120 |
Sponsors and Collaborators
- Sociedad Española de Oncología Quirúrgica
- Sysmex España
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SEOQ-MEL001