Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT06755554

Investigation of Impact of Indocyanine Green on Volume of Lymphadenectomy in Resectable Gastric Cancer

Led by Ukrainian Society of Clinical Oncology · Updated on 2025-03-30

105

Participants Needed

2

Research Sites

56 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The study aims to evaluate the safety and benefits of using indocyanine green in lymph node dissection for gastric cancer surgery. The primary endpoint is the average number of lymph nodes removed. Secondary study points are the average number of ICG-positive lymph nodes; the average number of metastatic ICG-positive lymph nodes; the number of postoperative complications and complications associated with the administration of ICG. Patients who meet the inclusion criteria for this study will be enrolled in the study after reviewing and signing an informed consent form. All patients will be included in one group and will receive surgical treatment in the amount of total or subtotal gastrectomy with lymphadenectomy D1, D1+, D2 or D2+. ICG is injected by the patient by endoscopic submucosal injection into 4 points around the tumor 24-12 hours before the start of the surgical intervention. Assessment of the number of fluorescent lymph nodes will be performed intraoperatively with their subsequent removal and mapping. The incidence of postoperative complications will be assessed by Clavien-Dindo.

CONDITIONS

Official Title

Investigation of Impact of Indocyanine Green on Volume of Lymphadenectomy in Resectable Gastric Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Tumor spread: cT2-4a cN0-3, cM0
  • Age between 18 and 80 years
  • Both men and women
  • ECOG performance status 0 or 1
  • Histologic type: Adenocarcinoma of any subtype
  • Tumor differentiation grade G1 to G4
  • Tumor located in cardiac region, stomach floor, body, antrum, pylorus, or pyloric region
  • No tumor invasion into adjacent structures
  • No cancer history in the past 5 years
  • No previous chemotherapy, surgery, or radiation for another cancer (except neoadjuvant chemotherapy for gastric cancer)
  • No severe comorbidities restricting laparoscopic surgery
Not Eligible

You will not qualify if you...

  • Presence of distant metastases (M1)
  • ECOG performance status 2 to 4
  • Age under 18 or over 80 years
  • Severe comorbidities with ASA score greater than 3
  • Patient refusal to participate in the study

AI-Screening

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Trial Site Locations

Total: 2 locations

1

National Cancer Institute

Kyiv, Ukraine, 03022

Not Yet Recruiting

2

National Cancer Institute

Kyiv, Ukraine, 03022

Actively Recruiting

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Research Team

O

Oleksii Dobrzhanskyi, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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