Contrast-enhanced ultrasound for sentinel node detection in patients with melanoma, breast cancer or head & neck cancer

2024-515259-40-00 Phase II and Phase III (Integrated) Ongoing, recruiting

Start 7 Jul 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Ongoing, recruiting
Participants planned 91
Countries 1
Sites 1

breast cancer

To assess the sensitivity and specificity of CEUS for intra-operative SN localization compared to the gold standard (99mTc nanocolloid).

Key facts

Sponsor
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical,Diagnostic,Therapeutic Techniques and Equipment [E]-Surgical Procedures, Operative [E04], Diseases [C] - Neoplasms [C04]
Trial duration
7 Jul 2025 → ongoing
Decision date (initial)
2024-12-09
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To assess the sensitivity and specificity of CEUS for intra-operative SN localization compared to the gold standard (99mTc nanocolloid).

Secondary objectives 3

  1. Time required to localize the SNs using CEUS.
  2. Intraoperative usability of the CEUS-system.
  3. Using CEUS to predict if SNs are malignant

Conditions and MedDRA coding

breast cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Aged 18 years or older
  2. Patient has been diagnosed with cancer in the skin (melanoma), breast or head & neck (including melanoma of head and neck area)
  3. In case of a melanoma: it should be located in the limbs or head and neck area
  4. Scheduled for a surgical SN procedure at the NKI-AvL
  5. Patient provides written informed consent

Exclusion criteria 3

  1. Pregnancy
  2. Any known clinically significant acute hypersensitivity reaction to the study medication, such as eggs or egg products
  3. Other contra-indications for Sonazoid contrast agent, including arteriovenous cardiac or pulmonary shunt, serious coronary arterial disease and serious pulmonary disease

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. sensitivity and specificity of the CEUS SN localization method

Secondary endpoints 3

  1. time required to localize the SNs using CEUS in minutes
  2. usability of the CEUS system using a system-usability-score (SUS)
  3. sensitivity and specificity of using CEUS to predict if SNs are malignant

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Sonazoid 8 mikroliter per ml pulver og væske til injeksjonsvæske, dispersjon

PRD1970323 · Product

Active substance
Perflubutane
Pharmaceutical form
DISPERSION FOR INJECTION
Route of administration
INTRATUMORAL USE
Max daily dose
6 ml millilitre(s)
Max total dose
6 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V08DA06 — -
Marketing authorisation
11-8225
MA holder
GE HEALTHCARE AS
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting

Sponsor organisation
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Address
Plesmanlaan 121
City
Amsterdam
Postcode
1066 CX
Country
Netherlands

Scientific contact point

Organisation
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Contact name
Dr. Q.R.J.G. Tummers

Public contact point

Organisation
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Contact name
Dr. Q.R.J.G. Tummers

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 91 1
Rest of world 0

Investigational sites

Netherlands

1 site · Ongoing, recruiting
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Surgery, Plesmanlaan 121, 1066 CX, Amsterdam

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2025-07-07 2025-09-18

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-515259-40-00 redacted 1.4
Recruitment arrangements (for publication) K1_Recruitment arrangements N24CUS 1
Subject information and informed consent form (for publication) L1_SIS and ICF N24CUS_redacted 1.2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Sonazoid 1
Synopsis of the protocol (for publication) D1_Protocol synopsis 1.2

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-09 Netherlands Acceptable
2024-12-09
2024-12-09