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Trial registered on ANZCTR
Registration number
ACTRN12618001433291
Ethics application status
Approved
Date submitted
22/08/2018
Date registered
27/08/2018
Date last updated
27/08/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Sentinel Lymph Node imaging using SPECT/CT imaging before and after treatment with chemoradiotherapy in patients with cancer of the oesophagus or gastro-oesophageal junction
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Scientific title
Sentinel Lymph Node imaging with sequential SPECT/CT lymphoscintigraphy before and after neoadjuvant chemoradiotherapy in patients with cancer of the oesophagus or gastro-oesophageal junction
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Secondary ID [1]
295881
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NEOSENT1
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Oesophageal cancer
309346
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Condition category
Condition code
Cancer
308211
308211
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0
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Oesophageal (gullet)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients undergoing a well defined regimen of neoadjuvant radio-chemotherapy consisting of three cycles of intrevenously administered Cisplatin/Oxaliplatin-5-FU and external beam radiation therapy with a total dose of 40 Gy given in fractions. Patientents will undergo hybrid SPECT/CT lymphoscintigraphy by means of endoscopically guided intratumoral injection of radiocolloid (4 X 0.5 mL in total of 60 MBq 99mTc-nanocoll (GE Healthcare Srl., Milan, Italy)). Patients undergo this procedure the week prior to and once again immediatly following conclusion of neoadjuvant therapy.
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Intervention code [1]
312212
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Diagnosis / Prognosis
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Comparator / control treatment
No Control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Reproducibility of Sentinel Lymph Node detection by means of comparing Sentinel Lymph Stations (as defined in the Japanese Classification of oesophageal cancer 11th edition) in baseline SPECT/CT examination to follow-up examination.
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Assessment method [1]
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Timepoint [1]
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Assessed after 10 patients have been imaged.
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Secondary outcome [1]
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None
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Assessment method [1]
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Timepoint [1]
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None
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Eligibility
Key inclusion criteria
Patients eligible for inclusion had to have histologically verified, clinical stage T2-T3, any N-stage, M0 cancer of the oesophagus or GE-junction planned for esophagectomy following neoadjuvant chemo radiotherapy. Patient age less than or equal to 75 years, physical performance status allowing esophagectomy and with a performance status, renal and haematological status permitting chemotherapy.
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Poor performance, renal and hematoloical status.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
7/06/2013
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Date of last participant enrolment
Anticipated
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Actual
28/01/2015
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Date of last data collection
Anticipated
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Actual
28/01/2015
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Sample size
Target
10
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Accrual to date
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Final
10
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Recruitment outside Australia
Country [1]
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Sweden
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State/province [1]
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Stockholm
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Karolinska University Hospital
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Address [1]
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Karolinska University Hospital, Huddinge
SE-141 86 Stockholm
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Country [1]
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Sweden
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Primary sponsor type
Hospital
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Name
Karolinska University Hospital
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Address
Karolinska University Hospital, Huddinge
SE-141 86 Stockholm
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Country
Sweden
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
299949
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Country [1]
299949
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Regionala Etiknämnden i Stockholm
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Ethics committee address [1]
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Regionala etikprövningsnämnden i Stockholm FE 289 171 77 STOCKHOLM
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Ethics committee country [1]
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Sweden
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Date submitted for ethics approval [1]
301280
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Approval date [1]
301280
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04/03/2013
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Ethics approval number [1]
301280
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2011/347-31
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Summary
Brief summary
In patientents with oesophageal cancer or cancer of the gastro-oesophageal junction, Sentinel Lymph Node Biopsy (SLNB) has the potential to identify patients without lymph node metastases and thus improve the staging accuracy. The impact of neoadjuvant treatment on the lymphatic drainage of oesophageal cancers and subsequently the SLNB procedure in this tumour type has not been well studied. This study aims to evaluate changes in lymphatic drainage patterns of the tumour in patients with cancer of the oesophagus or gastro-oesophageal junction (GOJ) using Sentinel Lymph Node (SLN) hybrid SPECT/CT lymphoscintigraphy before and after neoadjuvant chemo-radiotherapy.
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Trial website
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
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Dr Stefan Gabrielson
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Address
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FO Medicinsk strålningsfysik & Nuklearmedicin
Karolinska Universitetssjukhuset Huddinge
C2:74, 14186, Stockholm
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Country
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Sweden
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Phone
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+46858584642
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Stefan Gabrielson
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Address
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FO Medicinsk strålningsfysik & Nuklearmedicin
Karolinska Universitetssjukhuset Huddinge
C2:74, 14186, Stockholm
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Country
86471
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Sweden
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Phone
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+46858584642
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Fax
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Email
86471
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[email protected]
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Contact person for scientific queries
Name
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Stefan Gabrielson
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Address
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FO Medicinsk strålningsfysik & Nuklearmedicin
Karolinska Universitetssjukhuset Huddinge
C2:74, 14186, Stockholm
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Country
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Sweden
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Phone
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+46858584642
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
"sentinel lymph node imaging with sequential SPECT/CT lymphoscintigraphy before and after neoadjuvant chemoradiotherapy in patients with cancer of the oesophagus or gastro-oesophageal junction - A pilot study".
2018
https://dx.doi.org/10.1186/s40644-018-0185-1
N.B. These documents automatically identified may not have been verified by the study sponsor.
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