E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Sentinel node procedure for pediatric patients with melanoma or sarcoma |
schildwachtklierprocedure voor pediatrische patienten met een melanoom of sarcoom |
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E.1.1.1 | Medical condition in easily understood language |
Sentinel node procedure for pediatric patients with melanoma or sarcoma |
schildwachtklierprocedure voor pediatrische patienten met een melanoom of sarcoom |
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E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Surgical Procedures, Operative [E04] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The feasibility of using ICG for intraoperative optical guidance in order to detect the sentinel lymph nodes in paediatric patients with melanoma or sarcoma of head/neck/trunk, paratesticular or extremities. |
Het bepalen van de haalbaarheid om me ICG de chirurg intraoperatief optisch te geleiden naar de schildwachtklier bij pediatrische patienten met een melanoom of sarcoom ter plaatse van het hoofd/hals/romp, paratesticulair of extremiteiten. |
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E.2.2 | Secondary objectives of the trial |
1. Surgical evaluation of fluorescent imaging, which will be measured by means of a short questionnaire tailored for the surgeon; 2. Correlation between near-infrared (NIR) fluorescent and radioactive sentinel lymph nodes (SLNs); 3. Number of failures to find the preoperatively detected SLNs; 4. Tumor to background ratio (tumor fluorescence divided by background fluorescence) of the SLNs; 5. The safety of using a pre-operative injection of ICG for the SLN procedure in paediatric patients.
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1. Chirurgische evaluatie van fluorescentie imaging, welke gemeten wordt met een korte vragenlijst voor de chirurg 2. Correlatie tussen NIR fluorescentie en radioactieve schildwachtklieren. 3. Aantal keren waarin het detecteren van preoperatief geidentificeerde schildwachtklieren niet succesvol was. 4. Ratio van tumor ten opzichte van de achtergrond; in dit geval schildwachtklier/achtergrond. 5. De veiligheid van het gebruik van een pre-opeartieve injectie ICG voor de schildwachtklierprocedure bij pediatrische patienten |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Pediatric patients with melanoma or sarcoma of head/neck/trunk, paratesticular or extremities that have an indication for a sentinel node procedure. Age 0-18 years. Written informed consent from patient/parents/legal guardians, according to local law and regulations. |
Pediatrische patienten met een melanoom of sarcoom van hoofd/hals/romp, paratesticulair of extremiteiten met een indicatie om een schildwachtklierprocedure te ondergaan. Leeftijd 0-18 jaar. Getekend toestemmingsformulier van ouders/patient/wettelijk vertegenwoordiger. |
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E.4 | Principal exclusion criteria |
1. Allergy to iodine 2 Hypersensitivity to ICG 3. Kidney insufficiency (eGFR<55) 4. Clinical manifest hyperthyroidism/ autonomous thyroid adenoma 5. Nanocolloid or shell fish allergy (same as in standard care: or Technetium-nanocolloid use) |
1. Jodium allergie 2. Overgevoeligheid voor ICG 3. Nierfunctiestoornissen (eGFR<55) 4. Klinisch manifeste hyperthyreoïdie/ autonoom schildklieradenoom) 5. Nanocolloid of schelpdieren allergie (gelijkend aan reguliere zorg ivm gebruik Technetium-nanocolloid) |
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E.5 End points |
E.5.1 | Primary end point(s) |
The intraoperative detection of SLNs in paediatric patients who received a pre-operative injection of ICG (in addition to 99mTc-nanocolloid) without blue dye. |
De intra-operatieve detectie van de schildwachtklier in pediatrische patienten die een pre-operatieve injectie ICG (in additie op Technetium-nanocolloid) hebben gekregen, zonder blauwe kleurstof. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Intraoperative (fluorescent SLNs) and postoperative (pathological confirmation of SLNs) |
Intraoperatief (fluorescente schildwachtklieren) en postoperatief (pathologische confirmatie van de schildwachtklieren) |
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E.5.2 | Secondary end point(s) |
1. Surgical evaluation of fluorescent imaging, which will be measured by means of a short questionnaire tailored for the surgeon; 2. Correlation between near-infrared (NIR) fluorescent and radioactive sentinel lymph nodes (SLNs); 3. Number of failures to find the preoperatively detected SLNs; 4. Tumor to background ratio (tumor fluorescence divided by background fluorescence) of the SLNs; 5. The safety of using a pre-operative injection of ICG for the SLN procedure in paediatric patients.
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1. Chirurgische evaluatie van fluorescentie imaging, welke gemeten wordt met een korte vragenlijst voor de chirurg 2. Correlatie tussen NIR fluorescentie en radioactieve schildwachtklieren. 3. Aantal keren waarin het detecteren van preoperatief geidentificeerde schildwachtklieren niet succesvol was. 4. Ratio van tumor ten opzichte van de achtergrond; in dit geval schildwachtklier/achtergrond. 5. De veiligheid van het gebruik van een pre-opeartieve injectie ICG voor de schildwachtklierprocedure bij pediatrische patienten. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. Postoperatieve evaluation surgeon 2. Intra-operative measurements, post-operative analysis 3. Post-operative calculations 4. Post-operative post-processing of data 5. Up to 72 hours post injection ICG |
1. Post-operatieve evaluatie van betreffende chirurg 2. Intra-operatieve metingen en post-operatieve analyse 3. Post-operatieve berekening 4. Post-operatieve verwerking van de data 5. Tot 72 uur na toediening ICG. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Yes |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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LVLS |
Laatste bezoek van laatste proefpersoon |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |