AzTrials
AzTrials

Non Endometrioid CarcinomaPhase 3SENTIRADNCT02598219

Evaluation of Sentinel Node Policy in Early Stage Endometrial Carcinomas at Intermediate and High Risk of Recurrence.

A Phase 3 study testing Pre-operative SN mapping with radionucleide, Intra-operative SN mapping with patent V blue dye and Intra-operative SN mapping with indocyanin green in people with Non Endometrioid Carcinoma and Endometrioid Carcinoma, run by Centre Oscar Lambret at 16 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The aim of this trial is to evaluate the sentinel node policy in early stage endometrial carcinomas at intermediate and high risk of recurrence (by comparing the sentinel node policy to current initial staging protocols). Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Pre-operative SN mapping with radionucleide, Intra-operative SN mapping with patent V blue dye and Intra-operative SN mapping with indocyanin green
Could I receive a placebo?
No, everyone receives an active treatment
How many people
262 participants
Where
16 sitesFrance
Study dates
19 Nov 2015to 26 Aug 2026
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with early endometrial carcinoma with early FIGO clinical stage I-II (clinical examination, abdomino-pelvic MRI/Ultrasound - or CT scan if MRI not possible - and endometrial biopsy or curettage), then stratification of the recurrence risk as defined by last European Society for Medical Oncology (ESMO) guidelines :
  • Intermediate-risk endometrioid (type 1): FIGO stage IA/T1a grade 3, or IB grade 1 or 2
  • Or High risk endometrioid (type 1) : FIGO stage IB/T1b grade 3, or II grade 1 or 2 or 3
  • Or High risk non endometrioid (type 2) : FIGO stages I-II
  • Without any suspicious pelvic, paraaortic, distant node at preoperative MRI
  • Age ≥ 18 years
Show all 12Show fewer
  • Performance status (OMS) ≤ 2
  • No contraindication to surgery
  • Absence of known hypersensitivity to colloidal rhenium sulphide and technetium (nanocolloid) or one of its excipients, to human albumin preparations, to Nanocoll® and Rotop-nanoHSA® and their excipients, to injectable dyes (blue dye or indocyanine green if available) or one of their excipients, to triphenylmethane derivatives
  • Signed and dated informed consent
  • Effective contraception for patients with reproductive potential
  • Patient affiliated with a health insurance system

Who cannot join

  • Preoperative workup with :
  • Previous hysterectomy (by nature, this trial cannot be offered as a secondary staging procedure)
  • non carcinoma (for example sarcoma, trophoblastic tumor)
  • Low-risk endometrioid carcinoma as defined by the ESMO: 2009 FIGO stage IA grade 1-2
  • Metastatic disease at preoperative workup
  • Suspicious adenopathy at preoperative workup
Show all 10Show fewer
  • Pregnant and/or breastfeeding woman
  • No understanding of the trial
  • Patient deprived of liberty or in guardianship
  • Inexperience of the trial site in pelvic sentinel node detection

Trial locations and contacts

16 sites in 1 country.

16 sites in 1 country

France16 sites
  • Polyclinique Urbain V

    Avignon, 84036

  • Centre Hospitalier Régional Universitaire

    Besançon, 25000

  • Institut Bergonié

    Bordeaux, 33076

  • Centre Jean Perrin

    Clermont-Ferrand, 63011

  • Centre Georges François Leclerc

    Dijon

  • Centre Oscar Lambret

    Lille, 59020

  • Hôpital Jeanne de Flandres, CHRU Lille

    Lille, 59037

  • Hôpital Mère-Enfant, CHU Limoges

    Limoges, 87042

  • Centre Léon Bérard

    Lyon, 69008

  • Institut Paoli Calmettes

    Marseille, 13273

  • ICM Val d'Aurelle

    Montpellier, 34298

  • Hôpital La Pitié-Salpêtrière

    Paris, 75013

  • Hôpital Européen Georges Pompidou

    Paris, 75015

  • Institut de Cancérologie de l'Ouest, René Gauducheau

    Saint-Herblain, 44805

  • Centre Paul Strauss

    Strasbourg, 67065

  • Institut Claudius Regaud

    Toulouse, 31059

Other trials in France

About this study

Official title: Randomized Trial Comparing Sentinel Node (SN) Policy to Current French Initial Staging Protocols in Early Stage Endometrial Carcinomas at Intermediate and High Risk of Recurrence

The aim of this trial is to evaluate the sentinel node policy in early stage endometrial carcinomas at intermediate and high risk of recurrence (by comparing the sentinel node policy to current initial staging protocols).

Read the detailed description
  1. Routine exams required for diagnosis:
  • Endometrioid biopsy or product of a dilatation-curettage under hysteroscopy for diagnosis of histologic typing
  • Tumor assessment: Lombopelvic MRI (1.5 or 3T) with gadolinium injection, studied by steady and dynamic sequences. US and CT-Scan in case of intolerance to MRI should be discussed. FDG-PET may be an option.
  1. Tumor board: The completed chart will be reviewed to confirm the risk group and indication.
  2. Complete physical and gynecological examination by surgical oncologist followed by a consultation of anesthesiology to confirm the operability of patient.
  3. Informed and signed consent form.
  4. Study baseline assessment. Then,
  5. Surgery should be performed within a maximum of 4 weeks from the first consultation, according arm allocated: Arm A: Sentinel node policy* Arm B:
  • Bilateral pelvic lymphadenectomy (intermediate risk endometrioid)
  • Or Ilio-infrarenal paraaortic lymphadenectomy (high risk endometrioid)
  • Or Pelvic + paraaortic lymphadenectomies (high risk non endometrioid)*
  • along with a peritoneal staging for each arm (cytology, random biopsies, infracolic omentectomy)
  1. Second tumor board: after definitive pathological results of the hysterectomy-annexectomy and node (sentinel or not) specimens.
Being tested
Pre-operative SN mapping with radionucleide, Intra-operative SN mapping with patent V blue dye, Intra-operative SN mapping with indocyanin green, Full bilateral laparoscopic lymphadenectomy and Hysterectomy, Current initial staging protocols
Keywords
Sentinel node
Medical subject headings
Carcinoma, Endometrioid

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pre-operative SN mapping with radionucleideDrug

    Also called Pre-operative Sentinel Node

    1. Preparation : four 1ml syringe (Nanocis, or Nanocoll, or Rotop-nanoHSA) are prepared per patient, each containing a total activity 10 MBq if the injection is planned the same day of surgery and in the operative theater OR each containing a total activity 30MBq if the injection is performed the day before the surgery.
    2. Intracervical injection is performed by the surgeon, no more than 3-24 hours before surgery : 4 submucous injections with the filtered radiocolloid at 3, 6, 9 and 12 o'clock positions. Each injection if performed at 2 mm of depth for a total activity of 40 MBq or a total activity of 120 MBq is the surgery is planned the day after the injection.
    3. Sentinel Node detection by planar scintigraphy at 1 and 3h (if no detection at 1 hour), or by SPECT-CT imaging if available.
  • Intra-operative SN mapping with patent V blue dyeDrug

    Also called Intra-operative SN mapping

    1. Patent blue V dye are diluted with saline sterile solution to obtain 4ml of 50%. Four 1ml syringe, each containing a 50% patent blue dye solution, are prepared per patient.
    2. Intracervical injection is performed by the surgeon. after anesthesis induction and incising the skin,under laparoscopic / laparotomy control to detect intraperitoneal injection of the tracer. Sub-mucous injections are performed with 50% diluted dye at 3 and 9 o'clock positions. At each positions : 1ml is injected deep into the stroma of the cervix (1cm), another 1ml is injected superficially (at 2mm depth). The time between the injection of the dye and the search for the SN must be as shortest as possible.
    3. SN are detected by direct visualization of blue colored lymphatics and node
  • Intra-operative SN mapping with indocyanin greenDrug

    Also called Intra-operative Sentinel Node (SN) mapping with Infracyanine

    1: Infracyanine powder is diluted in aqueous sterile water to obtain 4ml with a concentration of 1.25 mg/mL. Four 1ml syringe, each containing a 1.25 mg/mL Infracyanine dye solution, are prepared per patient.

    2- Intracervical injection is performed by the surgeon, after anesthesis induction and incising the skin,under laparoscopic / laparotomy control to detect intraperitoneal injection of the tracer. Sub-mucous injections are performed with 50% diluted dye at 3 and 9 o'clock positions. At each positions : 1ml is injected deep into the stroma of the cervix (1cm), another 1ml is injected superficially (at 2mm depth). The time between the injection of the dye and the search for the SN must be as shortest as possible

    3- SN detection by near-infrared fluorescence imaging

  • Full bilateral laparoscopic lymphadenectomy and HysterectomyProcedure or surgery

    Also called Full bilateral lymphadenectomy

    • Bilateral pelvic lymphadenectomy (intermediate risk endometrioid)
    • Or Ilio-infrarenal paraaortic lymphadenectomy (high risk endometrioid)
    • Or Pelvic + paraaortic lymphadenectomies (high risk non endometrioid)
  • Current initial staging protocolsProcedure or surgery

    Current French initial staging protocols

Study groups in NCT02598219
Study groupRoleWhat they receive
Pre-operative SN mapping with radionucleideExperimental1 Pre-operative Sentinel Node (SN) mapping with Nanocis or Nanocoll or Rotop-nanoHSA 2- Intra-operative SN mapping with patent V blue dye, or Intra-operative SN mapping with indocyanin green for patients with known hypersensitivity, allergy to patent V blue dye 3- Full bilateral laparoscopic lymphadenectomy and Hysterectomy: If bilateral SN are detected, all positive SN are removed, then the surgeon proceeds to a total hysterectomy. If unilateral SN are detected, surgeon will complete intervention with pelvic LN dissection on the opposite side, in accordance with risk group definition (ex: omentectomy for high-risk non endometrioid carcinomas). If non SN are detected, surgeon will proceed to a total hysterectomy, a bilateral salpingo-oophorectomy, a complete and bilateral pelvic LND with more enlarged dissection regardless the pathology
Receives: Drug: Pre-operative SN mapping with radionucleide; Drug: Intra-operative SN mapping with patent V blue dye; Drug: Intra-operative SN mapping with indocyanin green; Procedure: Full bilateral laparoscopic lymphadenectomy and Hysterectomy
B : Current initial staging protocolsOtherCurrent initial staging protocols
Receives: Procedure: Current initial staging protocols

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Morbidity

    Per-operative morbidity will be assessed during surgery according to the Oslo classification of intraoperative unfavourable incidents.

    Early post-operative morbidity will be assessed up to 30 days and scored according to Clavien-Dindo scale. Distant complications, beyond day 30 for patients with no indication of a secondary surgical staging (e.g. secondary paraaortic dissection for pelvic pN1) will be evaluated in accordance with the NCI-CTCAE scale v4.03

    Measured: Up to 3 after surgery

Secondary outcomes (6)
  1. Rate of detected sentinel node

    number of patients with ≥ 1 Sentinel Node (SN) / total number of explored patients, and bilaterality

    Measured: During surgery

  2. Rate of pN1

    n pN1 / total N

    Measured: an average of 1 month after surgery

  3. Disease free survival

    Time from the date of randomization to the first documentation of local, regional or distant disease or death, whichever occurs first.

    Measured: Up to 5 years after surgery

  4. Overall survival

    Time from the date of randomization to the date of death (indicate if the death is due to disease progression or not).

    Measured: Up to 5 years after surgery

  5. Pronostic value of L1CAM on the risk of reccurrence

    A standard staining with HES is carried out in a systematic manner as well as immunohistochemistry with polyclonal anti-L1CAM. If 10% or more of the tumor cells showed L1CAM staining, the sample is rated positive. The rate of L1CAM positive sample will be further correlated with the node involvement and disease recurrence.

    Measured: an average of 1 month after surgery

  6. Proteomic signature of positive SN

    Detection of SN involvement with proteomics

    Measured: an average of 1 year after surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Nov 2015 (estimated)
  2. Study start19 Nov 2015
  3. Primary completion20 Sep 2024
  4. Study completion26 Aug 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
262 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02598219
Sponsor's protocol ID
SENTIRAD-1502
Other IDs
PHRC-K14-184, 2024-513079-42-00, 2015-001732-38, 2015
Acronym
SENTIRAD
Status last verified
Sep 2026
First submitted
3 Nov 2015
Last updated
15 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Aboulouard S, Wisztorski M, Duhamel M, Saudemont P, Cardon T, Narducci F, Lemaire AS, Kobeissy F, Leblanc E, Fournier I, Salzet M. In-depth proteomics analysis of sentinel lymph nodes from individuals with endometrial cancer. Cell Rep Med. 2021 Jun 15;2(6):100318. doi: 10.1016/j.xcrm.2021.100318. eCollection 2021 Jun 15.

    PubMed 34195683

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pre-operative SN mapping with radionucleide, Intra-operative SN mapping with patent V blue dye and Intra-operative SN mapping with indocyanin green in people with Non Endometrioid Carcinoma and Endometrioid Carcinoma, run by Centre Oscar Lambret at 16 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Morbidity (time frame: Up to 3 after surgery). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02598219, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Sep 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in