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Visceral Lymphatic Mapping Using Isosulfan Blue in Patients With Cancer of the Pancreas, Colon, Stomach, Small Intestine, or Gallbladder


1999-02


2009-06


2010-08


115

Study Overview

Visceral Lymphatic Mapping Using Isosulfan Blue in Patients With Cancer of the Pancreas, Colon, Stomach, Small Intestine, or Gallbladder

RATIONALE: Diagnostic procedures, such as visceral lymphatic mapping using isosulfan blue, may help find cancer of the pancreas, colon, stomach, small intestine, or gallbladder and find out how far the disease has spread. PURPOSE: This clinical trial is studying the side effects and how well visceral lymphatic mapping using isosulfan blue works in patients with cancer of the pancreas, colon, stomach, small intestine, or gallbladder.

OBJECTIVES: Primary * Evaluate the safety and feasibility of visceral lymphatic mapping using isosulfan blue in patients with adenocarcinoma of the pancreas, colon, stomach, small bowel, or gallbladder. * Evaluate the ability of surgically defined sentinel lymph nodes to predict whether other lymph nodes in the basin are involved with the tumor in these patients. Secondary * Compare the results obtained from the sentinel lymph node (i.e., positive or negative for metastatic disease) with the results obtained from the other nodes in these patients. * Compare immunohistochemical analysis with standard analysis of the sentinel lymph nodes in these patients. * Evaluate the value of intraoperative touch prep analysis of sentinel lymph nodes in these patients. OUTLINE: This is a pilot study. During surgical resection of the primary tumor, patients receive isosulfan blue subcutaneously 5 minutes before undergoing sentinel lymph node identification/excision and radical lymphadenectomy. Tissue samples are analyzed by IHC for cytokeratins and CEA.

  • Colorectal Cancer
  • Gallbladder Cancer
  • Gastric Cancer
  • Pancreatic Cancer
  • Small Intestine Cancer
    • CDR0000550095
    • CCCWFU-99B98
    • CCCWFU-BG99-047

    Study Record Dates

    These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

    Study Registration Dates Results Reporting Dates Study Record Updates

    2007-06-20  

    N/A  

    2017-05-25  

    2007-06-20  

    N/A  

    2017-05-30  

    2007-06-21  

    N/A  

    2017-02  

    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    Design Details

    Primary Purpose:
    N/A


    Allocation:
    N/A


    Interventional Model:
    N/A


    Masking:
    N/A


    Arms and Interventions

    Participant Group/ArmIntervention/Treatment
    : patients with gastrointestinal cancer scheduled for surgery

    Primary Outcome MeasuresMeasure DescriptionTime Frame
    Safety, as determined by the number of adverse events resulting from procedureSafety will be assessed by documenting the number of adverse clinical events resulting from the procedure1 week
    Ability of surgically defined sentinel lymph nodes to predict whether other lymph nodes are involved with the tumor1 week
    Secondary Outcome MeasuresMeasure DescriptionTime Frame

    Contacts and Locations

    This section provides the contact details for those conducting the study, and information on where this study is being conducted.

    Participation Criteria

    Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

    Ages Eligible for Study:
    ALL

    Sexes Eligible for Study:
    18 Years

    Accepts Healthy Volunteers:

      DISEASE CHARACTERISTICS:

    • Diagnosis of adenocarcinoma of 1 of the following sites:


    • Pancreas
    • Stomach
    • Colon
    • Small bowel
    • Gallbladder
    • Patients with highly suspicious pancreatic lesions without definitive tissue biopsy are eligible
    • No prior uncontrolled visceral malignancy

    • PATIENT CHARACTERISTICS:

    • Not pregnant or nursing
    • Negative pregnancy test
    • Fertile patients must use effective contraception
    • No medical comorbidities that would preclude definitive resection
    • No known allergies to isosulfan blue

    • PRIOR CONCURRENT THERAPY:

    • Not specified

    Collaborators and Investigators

    This is where you will find people and organizations involved with this study.

    • National Cancer Institute (NCI)

    • STUDY_CHAIR: Edward A. Levine, MD, Wake Forest University Health Sciences

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    • Hundley JC, Shen P, Shiver SA, Geisinger KR, Levine EA. Lymphatic mapping for gastric adenocarcinoma. Am Surg. 2002 Nov;68(11):931-5.
    • Levine EA, Shen P, Shiver SA, Waters G, Brant A, Geisenger KR. Intraoperative imprint cytology for evaluation of sentinel lymph nodes from visceral malignancies. J Gastrointest Surg. 2003 Jul-Aug;7(5):687-91. doi: 10.1016/s1091-255x(03)00069-6.
    • Waters GS, Geisinger KR, Garske DD, Loggie BW, Levine EA. Sentinel lymph node mapping for carcinoma of the colon: a pilot study. Am Surg. 2000 Oct;66(10):943-5; discussion 945-6.
    • Thomas KA, Lechner J, Shen P, Waters GS, Geisinger KR, Levine EA. Use of sentinel node mapping for cancer of the colon: 'to map or not to map". Am Surg. 2006 Jul;72(7):606-11; discussion 611-2.