Superparamagnetic Iron Oxide for Sentinel Lymph Node Localization in Patients With Cutaneous Melanoma: MagMen-II

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorVastra Gotaland Region

About this trial

A randomized, international, phase III, multi-center, non- inferiority trial assessing the safety and efficacy of Magtrace® (superparamagnetic iron oxide, SPIO) in identification of lymph nodes in patients with cutaneous melanoma undergoing a sentinel lymph node biopsy (SLNB). Participants will be injected with both tracer methods Technetium (Tc99) plus Blue Dye (BD) and Magtrace®). They will undergo both a lymphoscintigraphy and a Magnetic Resonance Imaging (MRI) of the SLN basins. Before surgery, the participants will be randomly assigned on a 1:1 basis to either start the SLNB procedure using Tc99/BD and gamma-probe followed by Magtrace® and magnetic probe, or SLNB using Magtrace® followed by Tc99/BD. Randomization will be stratified by study site using permuted variable block sizes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female aged above 18 years

Signed and dated written informed consent before the start of specific protocol procedures

Histologically confirmed melanoma planned for wide local excision and sentinel lymph node biopsy

Disqualifiers

Pregnant or breast-feeding

Inability to undergo any of the study procedures

Iron overload disease

Known hypersensitivity to iron or dextran compounds

Trial design

Design model

Crossover

Treatments tested in this trial

  • Superparamagnetic Iron Oxide

    Device

    magnetic tracer for melanoma

  • Technetium (99mTc)

    Drug

    Radioactive tracer

Treatment groups

254 Participants
are divided into 2 treatment groups
Group A: Experimental armActive comparator 1 intervention
Group B: ControlActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

SLN detection

The proportion (%) of persons with at least one histologically verified SLN per tracer method

Time frame
Within 6 weeks from surgery (10 weeks from enrollment)

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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