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    Clinical Trial Results:
    Sentinel node in ovarian cáncer: tailoring clinical feasibility

    Summary
    EudraCT number
    2017-003683-12
    Trial protocol
    ES  
    Global end of trial date
    21 Aug 2019

    Results information
    Results version number
    v1(current)
    This version publication date
    13 Feb 2022
    First version publication date
    13 Feb 2022
    Other versions
    Summary report(s)
    SENTOV result publication

    Trial information

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    Trial identification
    Sponsor protocol code
    SENTOV
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Instituto de Investigación Sanitaria La Fe de Valencia
    Sponsor organisation address
    Avenida Fernando Abril Martorell, Torre 106 A 7planta, Valencia, Spain,
    Public contact
    Jose María Millan Salvador , Instituto de Investigación Sanitaria La Fe, 34 961246611, investigacion_clinica@iislafe.es
    Scientific contact
    Jose María Millan Salvador, Instituto de Investigación Sanitaria La Fe, 34 961246611, investigacion_clinica@iislafe.es
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    06 Nov 2020
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    21 Aug 2019
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To describe the feasibility of performing the Sentinel Node technique (Sentinel Node detection rate) in patients with previous ovarian surgery by injecting the tracer into the stump of the infundibular-pelvic ligament and uterus-ovarian ligament
    Protection of trial subjects
    The reference study was conducted in Spain under the legal framework of Royal Decree 1090/2015. It has been performed in accordance with the Declaration of Helsinki on Ethical Principles for Medical Research Involving Human Subjects, adopted by the General Assembly of the World Medical Association (1996). In addition, the study has been conducted in accordance with the protocol, good clinical practice (GCP) in accordance with the guidelines of the international conference on harmonization (ICH) and regulatory requirements for participating institutions. An appropriately performed informed consent has been used, in compliance with GCP according to ICH guidelines and approved by the CEIm of the Hospital Universitario y Politécnico La Fe. Prior to inclusion of subjects in the study, a copy of the CEIm-approved informed consent has been reviewed with the prospective participant, signed and dated. The investigator has provided a copy of each subject's signed informed consent form and has retained a copy in the subject's study file.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    23 Mar 2018
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 20
    Worldwide total number of subjects
    20
    EEA total number of subjects
    20
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    20
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Patients diagnosed with ovarian cancer at apparent stage I-II

    Pre-assignment
    Screening details
    Inclusion criteria: Signed informed consent prior to the performance of any procedure related to the clinical trial. Women 18 years of age or older at the time of inclusion. Patients with an anatomopathological diagnosis of malignant ovarian tumor in deferred study proposed for staging surgery or patients with tumor suspicious of malignancy

    Pre-assignment period milestones
    Number of subjects started
    20
    Number of subjects completed
    20

    Period 1
    Period 1 title
    Group assignment (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Previous confirmed malignancy
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    m99Tc
    Investigational medicinal product code
    Other name
    technetium 99m nanocolloid
    Pharmaceutical forms
    Powder for suspension for injection
    Routes of administration
    Injection , Intravenous use
    Dosage and administration details
    Subperitoneal injection 0.2ml of saline solution with 37 mBq

    Investigational medicinal product name
    Indocyanine green
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Injection
    Dosage and administration details
    Subperitoneal injection at a concentration of 1,25 mg/mL. One vial of 25 mg diluted in 20 ml of serum injecting extra 0,5 mL of the solution together with the radioactive colloid.

    Arm title
    Suspicious adnexal mass
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    m99Tc
    Investigational medicinal product code
    Other name
    technetium 99m nanocolloid
    Pharmaceutical forms
    Powder for suspension for injection
    Routes of administration
    Injection , Intravenous use
    Dosage and administration details
    Subperitoneal injection 0.2ml of saline solution with 37 mBq

    Investigational medicinal product name
    Indocyanine green
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Injection
    Dosage and administration details
    Subperitoneal injection at a concentration of 1,25 mg/mL. One vial of 25 mg diluted in 20 ml of serum injecting extra 0,5 mL of the solution together with the radioactive colloid.

    Number of subjects in period 1
    Previous confirmed malignancy Suspicious adnexal mass
    Started
    9
    11
    Completed
    9
    11

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Previous confirmed malignancy
    Reporting group description
    -

    Reporting group title
    Suspicious adnexal mass
    Reporting group description
    -

    Reporting group values
    Previous confirmed malignancy Suspicious adnexal mass Total
    Number of subjects
    9 11 20
    Age categorical
    Units: Subjects
        Adults from 35-68
    9 11 20
    Gender categorical
    Units: Subjects
        Female
    9 11 20
        Male
    0 0 0
    Approach
    Units: Subjects
        Laparoscopy
    9 0 9
        Laparotomy
    0 11 11
    Diagnosis
    Units: Subjects
        Confirmed
    9 0 9
        Suspicious
    0 11 11

    End points

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    End points reporting groups
    Reporting group title
    Previous confirmed malignancy
    Reporting group description
    -

    Reporting group title
    Suspicious adnexal mass
    Reporting group description
    -

    Primary: Feasibility of performing the sentinel lymph node technique

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    End point title
    Feasibility of performing the sentinel lymph node technique
    End point description
    End point type
    Primary
    End point timeframe
    Perioperative length
    End point values
    Previous confirmed malignancy Suspicious adnexal mass
    Number of subjects analysed
    9
    11
    Units: Percentage %
    100
    100
    Statistical analysis title
    T-Test
    Comparison groups
    Suspicious adnexal mass v Previous confirmed malignancy
    Number of subjects included in analysis
    20
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    ≤ 0.05
    Method
    t-test, 1-sided
    Parameter type
    Mean difference (final values)
    Point estimate
    90
    Confidence interval
         level
    95%
         sides
    1-sided
         lower limit
    -
         upper limit
    100
    Variability estimate
    Standard deviation
    Dispersion value
    1.5

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    All events that meet the definition of an AA and occur within the period from the time the patient signs the informed consent form until 28 days after the end of treatment must be recorded.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.1
    Reporting groups
    Reporting group title
    Study population
    Reporting group description
    -

    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: There are no non-serious adverse events recorded in the final result report
    Serious adverse events
    Study population
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 20 (10.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Injury, poisoning and procedural complications
    Vaginal lesion
    Additional description: vaginal vault dehiscence
         subjects affected / exposed
    1 / 20 (5.00%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Intestinal obstruction
         subjects affected / exposed
    1 / 20 (5.00%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Study population
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 20 (0.00%)

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/32448808
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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