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Lung CancerEarly Phase 1NCT05039905

SLN Detection With Tc-MSA-ICG in Lung Cancer Patients

A Early Phase 1 study testing 99mTc-MSA-ICG in people with Lung Cancer, run by Korea University Guro Hospital at 1 site in South Korea.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

It is necessary to develop a technique of sentinel lymph node detection using radioactive fluorescent dual contrast agent consisting targetable albumin for specific marker to accurately determine whether or not the sentinel lymph nodes have metastasized or non-metastasized. Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Lung Cancer
What is being tested?
99mTc-MSA-ICG
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteSouth Korea
Study dates
15 Feb 2021to 31 Dec 2021
Phase
Early Phase 1
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 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Preoperative examinations (chest CT, PET/CT, bone scan, brain MRI) diagnosed the clinical stage as T1a or T1b with the size the cancer less than 2 cm and adenocarcinoma or square cell carcinoma through preoperative biopsy, with no lymph node or other diseases and lung disease. A person who meets the conditions described below and does not fall under the exclusion criteria is selected as an adult.
  • Eastern cooperative oncology group (ECOG) performance scale: 0~2
  • White blood cell count ≥ 3,000/㎣ and ≤ 12,000/㎣
  • Neutrophil count ≥ 1,500/㎣
  • Platelet count ≥ 100,000/㎣
  • AST, ALT ≤ 2.5 times the upper limit
  • Total bilirubin ≤ 2.5 times the upper limit
  • Serum creatinine ≤ 1.5 time the upper limit

Who cannot join

  • Those who do not agree or refuse to participate in the research
  • A person who is not suitable for general anesthesia
  • A person with a clinically significant acute or unstable condition
  • A person with the following serious heart disease
  • congestive heart failure with symptoms
  • New York Heart Association III/IV Class Heart Disease
Show all 20Show fewer
  • Unstable angina
  • Symptom or unregulated heart arrhythmia
  • Myocardial infarction within the past three months
  • QT interval (QTcF) using Fridricia calibration
  • Family history of long QT syndrome
  • Those who cannot be scanned (e.g., patients with claustrophobia, ect.)
  • A person who received a therapeutic radiation dose within four weeks prior to participation in the study ([18F]FDG has a half-life of 109 minutes, so after 18.2 hours, 99mTc-MDP has a half-life of 6 hours, that is after 2.5 days)
  • A person who is being administered drugs such as a drug metabolic enzyme inducer or inhibitor within four weeks before participating in the study
  • A person who has overreacted or had side effects on clinical research medications (ICG or 99mTc).
  • Patients with closed diseases
  • Patients with iodine intolerance
  • In the case of pregnant women/feeding mothers or pregnant women, those who do not agree to the use of appropriate contraception methods during the research period;
  • A person who participated in another clinical study within 12 weeks before participating in the study and administered clinical research medications or received medical device procedures for clinical research.
  • Those who are unfit to participate in this clinical study in the judgment of the research manager

Trial locations and contacts

1 site in 1 country.

Hyun Koo Kim, MD, PhD contact

82-2-2626-3106

kimhyunkoo@korea.ac.kr

South Korea1 site, 1 recruiting
  • Korea University Guro Hospital

    Seoul, 08308

    Jiyun Rho, BA, 82-2-2626-1978, jiyun.r1219@gmail.com

    Seunghoe Song, MBE, 82-2-2626-1635, ssessong@korea.ac.kr

    Recruiting

Other trials in South Korea

About this study

Official title: Development of the Surgical Technique Using Radioactive Fluorescent Dual Contrast Agent for Intraoperative Sentinel Lymph Node Detection in Lung Cancer Patients

It is necessary to develop a technique of sentinel lymph node detection using radioactive fluorescent dual contrast agent consisting targetable albumin for specific marker to accurately determine whether or not the sentinel lymph nodes have metastasized or non-metastasized. Therefore, investigators would like to conduct a clinical trial to evaluate the effectiveness of radioactive fluorescent dual contrast agent to detect sentinel lymph nodes for patient-specific minimally invasive surgery.

Read the detailed description

It is necessary to develop a technique of sentinel lymph node detection using radioactive fluorescent dual contrast agent consisting targetable albumin for specific marker to accurately determine whether or not the sentinel lymph nodes have metastasized or non-metastasized. Therefore, investigators would like to conduct a clinical trial to evaluate the effectiveness of radioactive fluorescent dual contrast agent (99mTc-MSA-ICG) to detect sentinel lymph nodes for patient-specific minimally invasive surgery.

To analyze the effectiveness of radioactive fluorescent dual contrast agent (99mTc-MSA-ICG) for detecting sentinel lymph node, total 10 lung cancer patients will participate in this study.

Conditions
Lung Cancer
Being tested
99mTc-MSA-ICG
Keywords
Lung Cancer, Sentinel lymph node, Radioactive fluorescent dual contrast agent
Medical subject headings
Lung Neoplasms

What participants receive

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

  • 99mTc-MSA-ICGDrug

    Intratumoral injection of 99mTechnetium-manosylated albumin-indocyanine green to lung cancer patients

Study groups in NCT05039905
Study groupRoleWhat they receive
99mTc-MSA-ICG injectionExperimental99mTc-MSA-ICG injection 1mCi of 99mTc 1mg of MSA 0.1mg of ICG Total 1cc injection volume at 2 hours before the surgery
Receives: Drug: 99mTc-MSA-ICG

What is being measured

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

  1. Clinical chemistry examination-1 (CRP,Cholesterol,Ca,total,TotalBilirubin,directBilirubin,BUN,Creatinine,Phosphorus, inorganic)

    Carrying out the clinical chemistry examination(CRP,Cholesterol,Ca,total,TotalBilirubin,directBilirubin,BUN,Creatinine,Phosphorus, inorganic) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery. (mg/dL)

    Measured: Within two weeks before surgery

  2. Clinical chemistry examination-2

    Carrying out the clinical chemistry examination(CRP,Cholesterol,Ca,total,TotalBilirubin,directBilirubin,BUN,Creatinine,Phosphorus, inorganic) to check the drug-related safety in 10 lung cancer patients on postoperativeday(POD) 0 (mg/dL)

    Measured: postoperative day 0

  3. Clinical chemistry examination-3

    Carrying out the clinical chemistry examination(CRP,Cholesterol,Ca,total,TotalBilirubin,directBilirubin,BUN,Creatinine,Phosphorus, inorganic) to check the drug-related safety in 10 lung cancer patients on POD 1 (mg/dL)

    Measured: postoperative day 1

  4. Clinical chemistry examination-4

    Carrying out the clinical chemistry examination(CRP,Cholesterol,Ca,total,TotalBilirubin,directBilirubin,BUN,Creatinine,Phosphorus, inorganic) to check the drug-related safety in 10 lung cancer patients on POD 5 (mg/dL)

    Measured: postoperative day 5

  5. Clinical chemistry examination-5

    Carrying out the clinical chemistry examination (Procalcitonin) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery. (ng/mL)

    Measured: within two weeks before surgery

  6. Clinical chemistry examination-6

    Carrying out the clinical chemistry examination (Procalcitonin) to check the drug-related safety in 10 lung cancer patients on POD 0 (ng/mL)

    Measured: postoperative day 0

  7. Clinical chemistry examination-7

    Carrying out the clinical chemistry examination (Procalcitonin) to check the drug-related safety in 10 lung cancer patients on POD 1 (ng/mL)

    Measured: postoperative day 1

  8. Clinical chemistry examination-8

    Carrying out the clinical chemistry examination (Procalcitonin) to check the drug-related safety in 10 lung cancer patients on POD 5 (ng/mL)

    Measured: postoperative day 5

  9. Clinical chemistry examination-9

    Carrying out the clinical chemistry examination (AST,ALT,LDH,ALP,GGT) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery (IU/L)

    Measured: within two weeks before surgery

  10. Clinical chemistry examination-10

    Carrying out the clinical chemistry examination (AST,ALT,LDH,ALP,GGT) to check the drug-related safety in 10 lung cancer patients on POD 0 (IU/L)

    Measured: postoperative day 0

  11. Clinical chemistry examination-11

    Carrying out the clinical chemistry examination (AST,ALT,LDH,ALP,GGT) to check the drug-related safety in 10 lung cancer patients on POD 1 (IU/L)

    Measured: postoperative day 1

  12. Clinical chemistry examination-12

    Carrying out the clinical chemistry examination (AST,ALT,LDH,ALP,GGT) to check the drug-related safety in 10 lung cancer patients on POD 5 (IU/L)

    Measured: postoperative day 5

  13. Clinical chemistry examination-13

    Carrying out the clinical chemistry examination (Na, K, Cl) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery (mmol/L)

    Measured: within two weeks before surgery

  14. Clinical chemistry examination-14

    Carrying out the clinical chemistry examination (Na, K, Cl) to check the drug-related safety in 10 lung cancer patients on POD 0 (mmol/L)

    Measured: postoperative day 0

  15. Clinical chemistry examination-15

    Carrying out the clinical chemistry examination (Na, K, Cl) to check the drug-related safety in 10 lung cancer patients on POD 1 (mmol/L)

    Measured: postoperative day 1

  16. Clinical chemistry examination-16

    Carrying out the clinical chemistry examination (Na, K, Cl) to check the drug-related safety in 10 lung cancer patients on POD 5 (mmol/L)

    Measured: postoperative day 5

  17. Hematology examination-1

    Carrying out the clinical chemistry examination (Mg) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery(mEq/L)

    Measured: within two weeks before surgery

  18. Hematology examination-2

    Carrying out the clinical chemistry examination (Mg) to check the drug-related safety in 10 lung cancer patients on POD 0 (mEq/L)

    Measured: postoperative day 0

  19. Hematology examination-3

    Carrying out the clinical chemistry examination (Mg) to check the drug-related safety in 10 lung cancer patients on POD 1 (mEq/L)

    Measured: postoperative day 1

  20. Hematology examination-4

    Carrying out the clinical chemistry examination (Mg) to check the drug-related safety in 10 lung cancer patients on POD 5 (mEq/L)

    Measured: postoperative day 5

  21. Hematology examination-5

    Carrying out the clinical hematology examination (hemoglobin, MCHC) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery (g/dL)

    Measured: within two weeks before surgery

  22. Hematology examination-6

    Carrying out the clinical hematology examination (hemoglobin, MCHC) to check the drug-related safety in 10 lung cancer patients on POD 0 (g/dL)

    Measured: postoperative day 0

  23. Hematology examination-7

    Carrying out the clinical hematology examination (hemoglobin, MCHC) to check the drug-related safety in 10 lung cancer patients on POD 1 (g/dL)

    Measured: postoperative day 1

  24. Hematology examination-8

    Carrying out the clinical hematology examination (hemoglobin, MCHC) to check the drug-related safety in 10 lung cancer patients on POD 5 (g/dL)

    Measured: postoperative day 5

  25. Hematology examination-9

    Carrying out the clinical hematology examination (hematocrit, WBC differential) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery (%)

    Measured: within two weeks before surgery

  26. Hematology examination-10

    Carrying out the clinical hematology examination (hematocrit, WBC differential) to check the drug-related safety in 10 lung cancer patients on POD0 (%)

    Measured: postoperative day 0

  27. Hematology examination-11

    Carrying out the clinical hematology examination (hematocrit, WBC differential) to check the drug-related safety in 10 lung cancer patients on POD1 (%)

    Measured: postoperative day 1

  28. Hematology examination-12

    Carrying out the clinical hematology examination (hematocrit, WBC differential) to check the drug-related safety in 10 lung cancer patients on POD5 (%)

    Measured: postoperative day 5

  29. Hematology examination-13

    Carrying out the clinical hematology examination (RBC count, WBC count, platelet count) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery (10³/μl)

    Measured: within two weeks before surgery

  30. Hematology examination-14

    Carrying out the clinical hematology examination (RBC count, WBC count, platelet count) to check the drug-related safety in 10 lung cancer patients on POD0 (10³/μl)

    Measured: postoperative day 0

  31. Hematology examination-15

    Carrying out the clinical hematology examination (RBC count, WBC count, platelet count) to check the drug-related safety in 10 lung cancer patients on POD1 (10³/μl)

    Measured: postoperative day 1

  32. Hematology examination-16

    Carrying out the clinical hematology examination (RBC count, WBC count, platelet count) to check the drug-related safety in 10 lung cancer patients on POD5 (10³/μl)

    Measured: postoperative day 5

  33. Hematology examination-17

    Carrying out the clinical hematology examination (MCV) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery(fL)

    Measured: within two weeks before surgery

  34. Hematology examination-18

    Carrying out the clinical hematology examination (MCV) to check the drug-related safety in 10 lung cancer patients on POD 0 (fL)

    Measured: postoperative day 0

  35. Hematology examination-19

    Carrying out the clinical hematology examination (MCV) to check the drug-related safety in 10 lung cancer patients on POD 1(fL)

    Measured: postoperative day 1

  36. Hematology examination-20

    Carrying out the clinical hematology examination (MCV) to check the drug-related safety in 10 lung cancer patients on POD 5 (fL)

    Measured: postoperative day 5

  37. Hematology examination- 21

    Carrying out the clinical hematology examination (MCH) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery (pg)

    Measured: within two weeks before surgery

  38. Hematology examination- 22

    Carrying out the clinical hematology examination (MCH) to check the drug-related safety in 10 lung cancer patients and POD 0 (pg)

    Measured: postoperative day 0

  39. Hematology examination- 23

    Carrying out the clinical hematology examination (MCH) to check the drug-related safety in 10 lung cancer patients on POD 1 (pg)

    Measured: postoperative day 1

  40. Hematology examination- 24

    Carrying out the clinical hematology examination (MCH) to check the drug-related safety in 10 lung cancer patients on POD 5 (pg)

    Measured: postoperative day 5

  41. Hematology examination- 25

    Carrying out the clinical hematology examination (PT, aPTT) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery (sec)

    Measured: within two weeks before surgery

  42. Hematology examination- 26

    Carrying out the clinical hematology examination (PT, aPTT) to check the drug-related safety in 10 lung cancer patients on POD 0 (sec)

    Measured: postoperative day 0

  43. Hematology examination- 27

    Carrying out the clinical hematology examination (PT, aPTT) to check the drug-related safety in 10 lung cancer patients on POD 1 (sec)

    Measured: postoperative day 1

  44. Hematology examination- 28

    Carrying out the clinical hematology examination (PT, aPTT) to check the drug-related safety in 10 lung cancer patients on POD 5 (sec)

    Measured: postoperative day 5

  45. Check for changes of urinalysis-1

    Carrying out the urinalysis examination(specific gravity, pH, glucose, bilirubin in urine) within two weeks before surgery (number)

    Measured: within two weeks before surgery

  46. Check for changes of urinalysis-2

    Carrying out the urinalysis examination(specific gravity, pH, glucose, bilirubin in urine) on POD 0 (number)

    Measured: postoperative day 0

  47. Check for changes of urinalysis-3

    Carrying out the urinalysis examination(specific gravity, pH, glucose, bilirubin in urine) on POD 1(number)

    Measured: postoperative day 1

  48. Check for changes of urinalysis-4

    Carrying out the urinalysis examination(specific gravity, pH, glucose, bilirubin in urine) on POD 5 (number)

    Measured: postoperative day 5

  49. Check for changes of urinalysis-5

    Carrying out the urinalysis examination(ketone, blood, protein, urobilinogen, nitrate in urine) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery (0 or +1)

    Measured: within two weeks before surgery

  50. Check for changes of urinalysis-6

    Carrying out the urinalysis examination(ketone, blood, protein, urobilinogen, nitrate in urine) to check the drug-related safety in 10 lung cancer patients on POD 0 (0 or +1)

    Measured: postoperative day 0

  51. Check for changes of urinalysis-7

    Carrying out the urinalysis examination(ketone, blood, protein, urobilinogen, nitrate in urine) to check the drug-related safety in 10 lung cancer patients on POD 1 (0 or +1)

    Measured: postoperative day 1

  52. Check for changes of urinalysis-8

    Carrying out the urinalysis examination(ketone, blood, protein, urobilinogen, nitrate in urine) to check the drug-related safety in 10 lung cancer patients on POD 5 (0 or +1)

    Measured: postoperative day 5

  53. Check for changes of urinalysis-9

    Carrying out the urinalysis examination(WBC in urine) to check the drug-related safety in 10 lung cancer patients within two weeks before surgery(4 - 0 / HPF

    Measured: within two weeks before surgery

  54. Check for changes of urinalysis-10

    Carrying out the urinalysis examination(WBC in urine) to check the drug-related safety in 10 lung cancer patients on POD 0 (4 - 0 / HPF)

    Measured: postoperative day 0

  55. Check for changes of urinalysis-11

    Carrying out the urinalysis examination(WBC in urine) to check the drug-related safety in 10 lung cancer patients on POD 1 (4 - 0 / HPF)

    Measured: postoperative day 1

  56. Check for changes of urinalysis-12

    Carrying out the urinalysis examination(WBC in urine) to check the drug-related safety in 10 lung cancer patients on POD 5 (4 - 0 / HPF)

    Measured: postoperative day 5

  57. Observation of the irritable adverse reaction

    Observation of the irritable adverse reaction (Urticaria, angioedema, allergic rhinitis, anaphylaxis, exanthermatous eruption, fixed drug eruption, acneiform eruption, purpura eruption, urticarial eruption, bullous eruption, lichenoid eruption, Stevens-Johnson syndrom, acute generalized exanthematous pustulosis, toxic epidermal necrolysis) to check the drug-related safety in 10 lung cancer patients

    Measured: Up to 2 hours after drug injection

  58. Effective dose measurement

    Measured: Up to five days after surgery

Secondary outcomes (2)
  1. Confirm the sentinel lymph node identification rate

    Calculation the percentage of cancer cells found in pathological test among sentinel lymph nodes where fluorescent or nuclear signal are detected.

    Measured: Through study completion, an average of 1 year

  2. Confirm the false negative rate

    Calculation the proportion of cancer cells found in pathological tests among non-sentinel lymph nodes where no fluorescent or nuclear signals were detected.

    Measured: Through study completion, an average of 1 year

Timeline

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

  1. First posted10 Sep 2021
  2. Study start15 Feb 2021
  3. Primary completion31 Dec 2021 (estimated)
  4. Study completion31 Dec 2021 (estimated)

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
Early Phase 1
Primary purpose
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Model description
Lung cancer patient
Masking
None (open label)
Enrolment
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05039905
Sponsor's protocol ID
2020GR0436
Status last verified
Sep 2021
First submitted
15 Feb 2021
Last updated
10 Sep 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing 99mTc-MSA-ICG in people with Lung Cancer, run by Korea University Guro Hospital at 1 site in South Korea.

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 8 inclusion and 20 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: status not confirmed, as of the sponsor's last update on 10 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Korea. 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?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

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

Are results available for this study?

Results are not available in the source record.

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

Contact Hyun Koo Kim, MD, PhD (82-2-2626-3106, kimhyunkoo@korea.ac.kr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical chemistry examination-1 (CRP,Cholesterol,Ca,total,TotalBilirubin,directBilirubin,BUN,Creatinine,Phosphorus, inorganic) (time frame: Within two weeks before surgery). The study lists 58 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 10 Sep 2021.

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