A Trial of Comparing the Pathology Status of Lymphoseek®-Identified Sentinel Lymph Nodes Relative to the Pathological Pathology Status of Nonsentinel Lymph Nodes in Nodal Staging of Subjects With Known Cancer of the Cervix Who Are Undergoing Lymph Node Dissection

NCT02509585TerminatedPHASE2INTERVENTIONAL

Summary

Key Facts

Lead Sponsor

Cardinal Health 414, LLC

Enrollment

18

Start Date

2016-01-01

Completion Date

2017-07-01

Study Type

INTERVENTIONAL

Official Title

A Prospective, Open-Label Trial of Comparing the Pathology Status of Lymphoseek®-Identified Sentinel Lymph Nodes Relative to the Pathological Pathology Status of Nonsentinel Lymph Nodes in Nodal Staging of Subjects With Known Cancer of the Cervix Who Are Undergoing Lymph Node Dissection

Interventions

Tc99m tilmanocept

Conditions

Uterine Cervical Neoplasms

Eligibility

Age Range

18 Years+

Sex

FEMALE

Inclusion Criteria:

* Subject has provided written informed consent with HIPAA authorization
* Has cervical cancer and is a candidate for surgical intervention, with lymph node dissection being a part of the surgical plan.
* Is at least 18 years of age at the time of consent
* Has an ECOG performance status of Grade 0 to 2
* Has the following International Federation of Gynecology and Obstetrics (FIGO) IA2-IIA1staging. Subjects with a single enlarged/suspicious node on PET/CT will still be considered eligible as consistent with FIGO guidelines.
* 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 preoperative chemotherapy, immunotherapy, or radiation therapy within the 30 days prior to Lymphoseek administration
* Has had previous surgery or radiation to node basins that would be involved in the ILM 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
* Is scheduled for surgery and/or another invasive procedure other than the primary surgical intervention within the 3 days after Lymphoseek administration
* Has received an investigational product within the 30 days prior to Lymphoseek administration

Outcome Measures

Primary Outcomes

Per-subject False Negative Rate

Proportion of subjects with pathologically negative Lymphoseek-identified SLNs and at least one pathologically positive non-SLN

Time frame: 1 day

Secondary Outcomes

Per-subject Sensitivity

Proportion of subjects with at least one pathologically positive Lymphoseek-identified SLN that have at least one pathologically positive lymph node

Time frame: 1 day

Per-subject Negative Predictive Value

Proportion of subjects with pathologically negative Lymphoseek-identified SLN(s) with no pathologically positive lymph nodes

Time frame: 1 day

Per-subject Accuracy

Proportion of subjects accurately indentified by Lymphoseek

Time frame: 1 day

Proportion of Lymph Nodes Identified Intraoperatively by a Dye That Are Also Identified by Lymphoseek

Time frame: 1 day

Number of Lymph Nodes Per-subject Identified by Lymphoseek

Time frame: 1 day

Number of Lymph Nodes Per-subject Identified by Other Dyes

Time frame: 1 day

Per-subject Concordance

Subjects whose lymph nodes were determined to be dye positive that were also identified by Lymphoseek

Time frame: 1 day

Per-subject Reverse Concordance

Number of subjects whose lymph nodes that were identified by Lymphoseek were also all identified by dye

Time frame: 1 day

Incidence of Adverse Events

Time frame: 7 days

Locations

University of California, San Diego, La Jolla, United States

Sylvester Comprehensive Cancer Center, Miami, United States

Wake Forest Baptist Health, Winston-Salem, United States

The University of Texas M.D. Anderson Cancer Center, Houston, United States

A Trial of Comparing the Pathology Status of Lymphoseek®-Identified Sentinel Lymph Nodes Relative to the Pathological Pathology Status of Nonsentinel Lymph Nodes in Nodal Staging of Subjects With Known Cancer of the Cervix Who Are Undergoing Lymph Node Dissection