Impact of Sentinel Lymph Node Mapping on Patient Reported Lower Extremity Limb Dysfunction in Stage I Endometrial Cancer
Condition(s) studied
Investigational drug(s) / intervention(s)
Biospecimen Collection: Undergo blood sample collection
Diagnostic Imaging Testing: Undergo imaging
Excisional Biopsy: Undergo sentinel lymph node excision
Indocyanine Green Solution: Given via injection
Minimally Invasive Surgery: Undergo minimally invasive hysterectomy
Pelvic Lymphadenectomy: Undergo pelvic lymphadenectomy
Questionnaire Administration: Ancillary studies
Sentinel Lymph Node Mapping: Undergo sentinel lymph node mapping
Study summary
This phase III trial compares the effect of sentinel lymph node mapping to standard lymph node dissection in reducing the risk of swelling in the legs (lymphedema) in patients undergoing a hysterectomy for stage I endometrial cancer. Standard lymph node dissection removes lymph nodes around the uterus during a hysterectomy to look for spread of cancer from the uterus to nearby lymph nodes. Sentinel lymph node mapping uses a special dye and camera to look for cancer that may have spread to nearby lymph nodes. Comparing the results of the procedures may help doctors predict the risk of long-term swelling in the legs.
Eligibility
Primary outcome measure(s)
- Incidence of patient-reported lower extremity limb dysfunction — From 18 months post-hysterectomy after undergoing lymphatic assessment to 39 months
The primary endpoint is the incidence of patient-reported lower extremity limb dysfunction at 18 months post-hysterectomy after undergoing lymphatic assessment according to a National Comprehensive Cancer Network guideline-based sentinel lymph node (SLN) mapping algorithm with or without completion of lymphadenectomy. The primary endpoint will be assessed using the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) questionnaire. Surveys will be performed at enrollment (pre-surgery) and at 3, 6, 9, 12, and 18 months post-surgery. Patient-reported lower extremity limb dysfunction will be defined as an increase in GCLQ symptom score of at least four (4) points from baseline at any time during the 18 months follow-up. The primary null hypothesis will be evaluated with an intent-to-treat chi-squared test, adjusted for stratification factors. Proportional hazards modeling will be used to generate a hazard ratio and 95% confidence limits of Arm 1 versus Arm 2.
Trial sites (60)
| Facility | City | Region | Status |
|---|---|---|---|
| George Washington University Medical Center | Washington D.C. | District of Columbia | Suspended |
| UM Sylvester Comprehensive Cancer Center at Coral Gables | Coral Gables | Florida | Recruiting |
| UM Sylvester Comprehensive Cancer Center at Deerfield Beach | Deerfield Beach | Florida | Recruiting |
| UM Sylvester Comprehensive Cancer Center at Doral | Doral | Florida | Recruiting |
| University of Miami Miller School of Medicine-Sylvester Cancer Center | Miami | Florida | Recruiting |
| UM Sylvester Comprehensive Cancer Center at Kendall | Miami | Florida | Recruiting |
| University of Miami Sylvester Comprehensive Cancer Center at Sole Mia | North Miami | Florida | Recruiting |
| UM Sylvester Comprehensive Cancer Center at Plantation | Plantation | Florida | Recruiting |
| Augusta University Medical Center | Augusta | Georgia | Recruiting |
| Northwestern University | Chicago | Illinois | Recruiting |
| Northwestern Medicine Cancer Center Warrenville | Warrenville | Illinois | Recruiting |
| IU Health North Hospital | Carmel | Indiana | Recruiting |
| Indiana University/Melvin and Bren Simon Cancer Center | Indianapolis | Indiana | Recruiting |
| West Jefferson Medical Center | Marrero | Louisiana | Recruiting |
| East Jefferson General Hospital | Metairie | Louisiana | Recruiting |
| LSU Healthcare Network / Metairie Multi-Specialty Clinic | Metairie | Louisiana | Recruiting |
| Louisiana State University Health Science Center | New Orleans | Louisiana | Recruiting |
| University Medical Center New Orleans | New Orleans | Louisiana | Recruiting |
| University of Maryland/Greenebaum Cancer Center | Baltimore | Maryland | Recruiting |
| UM Upper Chesapeake Medical Center | Bel Air | Maryland | Recruiting |
| Wayne State University/Karmanos Cancer Institute | Detroit | Michigan | Recruiting |
| Weisberg Cancer Treatment Center | Farmington Hills | Michigan | Recruiting |
| McLaren Cancer Institute-Flint | Flint | Michigan | Recruiting |
| Fairview Southdale Hospital | Edina | Minnesota | Recruiting |
| Fairview Clinics and Surgery Center Maple Grove | Maple Grove | Minnesota | Recruiting |
| Saint John's Hospital - Healtheast | Maplewood | Minnesota | Recruiting |
| Fairview Northland Medical Center | Princeton | Minnesota | Recruiting |
| Regions Hospital | Saint Paul | Minnesota | Recruiting |
| Fairview Lakes Medical Center | Wyoming | Minnesota | Recruiting |
| Mercy Hospital Springfield | Springfield | Missouri | Recruiting |
| Saint Vincent Healthcare | Billings | Montana | Active Not Recruiting |
| Saint Vincent Frontier Cancer Center | Billings | Montana | Active Not Recruiting |
| Intermountain Health West End Clinic | Billings | Montana | Active Not Recruiting |
| Saint James Community Hospital and Cancer Treatment Center | Butte | Montana | Active Not Recruiting |
| Fred and Pamela Buffett Cancer Center - Kearney | Kearney | Nebraska | Recruiting |
| Nebraska Medicine-Village Pointe | Omaha | Nebraska | Recruiting |
| Alegent Health Bergan Mercy Medical Center | Omaha | Nebraska | Active Not Recruiting |
| University of Nebraska Medical Center | Omaha | Nebraska | Recruiting |
| Women's Cancer Center of Nevada | Las Vegas | Nevada | Recruiting |
| University of Oklahoma Health Sciences Center | Oklahoma City | Oklahoma | Recruiting |
+ 20 more sites — see the full list on the official registry below.
More NRG Oncology trials in South Korea
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT05646316 on ClinicalTrials.gov ↗ ← All trials in South Korea