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Trial Title: Positron Lymphography Via Intracervical 18F-FDG Injection for Pre-surgical Lymphatic Mapping in Stage IB1 Cervical Cancer and High-grade Endometrial Cancer

NCT ID: NCT02285192

Condition: Cervical Cancer
Endometrial Cancer

Conditions: Official terms:
Uterine Cervical Neoplasms
Endometrial Neoplasms
Fluorodeoxyglucose F18

Conditions: Keywords:
18F-FDG Injection
Positron Lymphography
Lymphatic Mapping
sentinel lymph nodes
PET/CT
14-222

Study type: Interventional

Study phase: Phase 1

Overall status: Active, not recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Radiation
Intervention name: 18F-Fluorodeoxyglucose (18F-FDG)
Arm group label: intracervical 18F-FDG injection during a dynamic PET/CT

Intervention type: Device
Intervention name: PET/CT imaging
Arm group label: intracervical 18F-FDG injection during a dynamic PET/CT

Intervention type: Device
Intervention name: PET/MRI imaging
Arm group label: intracervical 18F-FDG injection during a dynamic PET/CT

Summary: The purpose of this study is to see if a radioactive substance called 18F-Fluorodeoxyglucose (18F- FDG), injected into the cervix during a PET/CT scan done before surgery can show us more clearly which lymph nodes in the pelvis (the area near your uterus and cervix) contain cancer.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - The study population will include women with stage IB1 cervical cancer (any histologic subtype) deemed eligible for surgery, and women with a clinical stage I high-grade endometrial cancer planning to undergo surgical staging. High grade is defined by the following: - Uterine serous carcinoma - Clear cell endometrial carcinoma - Grade 3 endometrioid carcinoma - Endometrial carcinosarcoma - Clinical stage I grade 1-2 endometrial cancer also eligible with deep myoinvasion ≥ 50% shown on preop MRI and/or elevated preop CA-125 > 35 U/ml. - Age ≥18 years - Hemoglobin ≥10 g/dL - Plasma albumin ≥3 g/dL - GOG performance status ≤2 - Plasma glucose ≤200 mg/dL - Plasma creatinine ≤1.6 - Well-controlled hypertension - Medical clearance for surgery and considered an appropriate surgical candidate - Negative serum pregnancy test, if of child-bearing potential - If, based on surgeon's assessment, the patient is recommended to undergo surgical staging for histologically confirmed endometrial cancer or if IB1 cervical cancer is deemed eligible for surgical treatment of disease - Participation in other research protocols does not exclude a patient from participation in this study Exclusion Criteria: - Hemoglobin <10 g/dL - Plasma albumin <3 g/dL - GOG performance status >2 - Plasma glucose >200 mg/dL - Renal insufficiency with plasma creatinine >1.6 - Uncontrolled hypertension - Patient does not meet medical clearance for surgery and is not considered an appropriate surgical candidate - Pregnancy For Stage 2: - Patient who are unwilling or unable to undergo MRI including patients with contraindications to MRI such as the presence of cardiac pacemakers of non-compatible intracranial vascular clips, claustrophobia, inability to lie flat for the duration of the study etc. - Patients with a metallic hip implant or any other metallic implant or device in the pelvis that might distort local magnetic field and compromise quality of MRI

Gender: Female

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Memorial Sloan Kettering Basking Ridge (Consent only)

Address:
City: Basking Ridge
Zip: 07920
Country: United States

Facility:
Name: Memorial Sloan Kettering Monmouth (Consent only)

Address:
City: Middletown
Zip: 07748
Country: United States

Facility:
Name: Memorial Sloan Kettering Bergen (Consent only)

Address:
City: Montvale
Zip: 07645
Country: United States

Facility:
Name: Memorial Sloan Kettering Commack (Consent only)

Address:
City: Commack
Country: United States

Facility:
Name: Memorial Sloan Kettering Westchester (Consent only)

Address:
City: Harrison
Zip: 10604
Country: United States

Facility:
Name: Memorial Sloan Kettering Cancer Center

Address:
City: New York
Zip: 10065
Country: United States

Facility:
Name: Memorial Sloan Kettering Nassau (Consent only)

Address:
City: Uniondale
Zip: 11553
Country: United States

Start date: November 2014

Completion date: November 2025

Lead sponsor:
Agency: Memorial Sloan Kettering Cancer Center
Agency class: Other

Source: Memorial Sloan Kettering Cancer Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT02285192
http://www.mskcc.org/

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