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CompletedNCT00003325Updated May 29, 2015

Lymphatic Mapping in Treating Patients With Stage I or Stage II Cancer of the Vulva

A Phase 3 interventional study of Sentinel lymph node mapping in Vulvar Cancer, sponsored by Gynecologic Oncology Group. Completed at 72 sites in United States. Open to female participants. Per ClinicalTrials.gov, last updated 2015-05-29.

Sponsored by Gynecologic Oncology Group · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
515
Allocation
Not applicable
Sex
Female
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Study summary

RATIONALE: Lymphatic mapping may improve the ability to detect cancer of the vulva.

PURPOSE: This phase III trial is studying how well lymphatic mapping works in treating patients with stage I or stage II cancer of the vulva.

Read the detailed description

OBJECTIVES:

  • Determine the negative predictive value of a negative sentinel lymph node in patients with invasive squamous cell carcinoma of the vulva.
  • Determine the location of the sentinel node in these patients.

OUTLINE: Patients receive injection(s) of isosulfan blue into the dermis at the junction of the tumor and normal vulvar skin. Once the afferent lymphatic channel and sentinel node have been identified, patients undergo unilateral or bilateral inguinal-femoral lymphadenectomy followed by resection of the primary tumor with adequate margins. Preoperative lymphoscintigraphy is also performed.

Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter or until recurrence.

PROJECTED ACCRUAL: A total of 40-630 patients will be accrued for this study within 2-6 years.

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Conditions studied

  • Vulvar Cancer

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Keywords

  • stage I vulvar cancer
  • stage II vulvar cancer
  • squamous cell carcinoma of the vulva
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In context

Vulvar Neoplasms

210 studies on the registry are indexed under Vulvar Neoplasms; 71 are open to participants now.

This study's enrollment of 515 is above the median of 55 across 151 interventional studies indexed under Vulvar Neoplasms.

Browse Vulvar Neoplasms studies →

Lead sponsor

Gynecologic Oncology Group is the lead sponsor of 181 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed invasive squamous cell carcinoma of the vulva that is greater than 1 mm in thickness as measured from the nearest rete peg

    • Tumor size must be 2-6 cm
    • No recurrent disease
  • Prior excision of the primary disease or a history of carcinoma in situ of the vulva allowed
  • No tumor extending into the urethra, anus, vagina, rectum, or bladder
  • No grossly suspicious or inflamed groin nodes on physical exam
  • No grossly infected primary tumors

PATIENT CHARACTERISTICS:

Age:

  • Any age

Performance status:

  • GOG 0-3

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Not specified

Renal:

  • Not specified

Other:

  • No other invasive malignancy within the past 5 years except non-melanomatous skin cancer
  • No known hypersensitivity to phenylethane compounds

PRIOR CONCURRENT THERAPY:

  • No prior cancer therapy that contraindicates therapy in this study

Biologic therapy:

  • Not specified

Chemotherapy:

  • Not specified

Endocrine therapy:

  • Not specified

Radiotherapy:

  • Not specified

Surgery:

  • See Disease Characteristics
  • No prior groin dissection
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
515 participants (actual)

Study arms

  • Other
    Sentinenal lymph node mapping

    Sentinenal lymph node mapping

    Procedure: Sentinel lymph node mapping

Interventions

  • ProcedureSentinel lymph node mapping

    Sentinel lymph node mapping

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What researchers measure

Primary outcomes

  1. Predictive value of negative sentinel lymph nodes in vulvar cancer patients

    Time frame: at time of surgery

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Study locations

72 sites
  • Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
  • Todd Cancer Institute at Long Beach Memorial Medical Center
    Long Beach, California 90801, United States
  • UCSF Helen Diller Family Comprehensive Cancer Center
    San Francisco, California 94115, United States
  • Helen and Harry Gray Cancer Center at Hartford Hospital
    Hartford, Connecticut 06102-5037, United States
  • Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center
    Hartford, Connecticut 06105, United States
  • George Bray Cancer Center at the Hospital of Central Connecticut - New Britain Campus
    New Britain, Connecticut 06050, United States
  • Washington Cancer Institute at Washington Hospital Center
    Washington, District of Columbia 20010, United States
  • Mayo Clinic - Jacksonville
    Jacksonville, Florida 32224, United States
  • Curtis and Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
    Savannah, Georgia 31403-3089, United States
  • Hinsdale Hematology Oncology Associates
    Hinsdale, Illinois 60521, United States
  • Cardinal Bernardin Cancer Center at Loyola University Medical Center
    Maywood, Illinois 60153, United States
  • Elkhart General Hospital
    Elkhart, Indiana 46515, United States
  • Indiana University Melvin and Bren Simon Cancer Center
    Indianapolis, Indiana 46202-5289, United States
  • Gynecologic Oncology of Indiana
    Indianapolis, Indiana 46237, United States
  • St. Vincent Indianapolis Hospital
    Indianapolis, Indiana 46260, United States
  • Howard Community Hospital
    Kokomo, Indiana 46904, United States
  • CCOP - Northern Indiana CR Consortium
    South Bend, Indiana 46601, United States
  • Memorial Hospital of South Bend
    South Bend, Indiana 46601, United States
  • Saint Joseph Regional Medical Center
    South Bend, Indiana 46617, United States
  • South Bend Clinic
    South Bend, Indiana 46617, United States
  • Holden Comprehensive Cancer Center at University of Iowa
    Iowa City, Iowa 52242-1002, United States
  • Maine Medical Center - Bramhall Campus
    Portland, Maine 04102, United States
  • Harry & Jeanette Weinberg Cancer Institute at Franklin Square Hospital Center
    Baltimore, Maryland 21237, United States
  • Tufts-NEMC Cancer Center
    Boston, Massachusetts 02111, United States
  • Borgess Medical Center
    Kalamazoo, Michigan 49001, United States
  • West Michigan Cancer Center
    Kalamazoo, Michigan 49007-3731, United States
  • Bronson Methodist Hospital
    Kalamazoo, Michigan 49007, United States
  • Lakeland Regional Cancer Care Center - St. Joseph
    St. Joseph, Michigan 49085, United States
  • Masonic Cancer Center at University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
    Saint Louis, Missouri 63110, United States
  • St. John's Regional Health Center
    Springfield, Missouri 65804, United States
  • Hulston Cancer Center at Cox Medical Center South
    Springfield, Missouri 65807, United States
  • Women's Cancer Center - Lake Mead
    Las Vegas, Nevada 89102, United States
  • Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
    Lebanon, New Hampshire 03756-0002, United States
  • Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital Marlton
    Marlton, New Jersey 08053, United States
  • Fox Chase Virtua Health Cancer Program at Virtua West Jersey
    Voorhees, New Jersey 08043, United States
  • Memorial Sloan-Kettering Cancer Center
    New York, New York 10021, United States
  • Hope A Women's Cancer Center
    Asheville, North Carolina 28801, United States
  • Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
    Chapel Hill, North Carolina 27599-7295, United States
  • Wake Forest University Comprehensive Cancer Center
    Winston-Salem, North Carolina 27157-1096, United States
  • Aultman Cancer Center at Aultman Hospital
    Canton, Ohio 44710-1799, United States
  • Charles M. Barrett Cancer Center at University Hospital
    Cincinnati, Ohio 45267, United States
  • Case Comprehensive Cancer Center
    Cleveland, Ohio 44106-5065, United States
  • Cleveland Clinic Cancer Center at Fairview Hospital
    Cleveland, Ohio 44111, United States
  • Cleveland Clinic Taussig Cancer Center
    Cleveland, Ohio 44195, United States
  • Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center
    Columbus, Ohio 43210-1240, United States
  • Riverside Methodist Hospital Cancer Care
    Columbus, Ohio 43214-3998, United States
  • Mount Carmel Health - West Hospital
    Columbus, Ohio 43222, United States
  • Hillcrest Cancer Center at Hillcrest Hospital
    Mayfield Heights, Ohio 44124, United States
  • Lake/University Ireland Cancer Center
    Mentor, Ohio 44060, United States
  • Oklahoma University Cancer Institute
    Oklahoma City, Oklahoma 73104, United States
  • Cancer Care Associates - Saint Francis Campus
    Tulsa, Oklahoma 74136-1929, United States
  • Rosenfeld Cancer Center at Abington Memorial Hospital
    Abington, Pennsylvania 19001, United States
  • Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest
    Allentown, Pennsylvania 18105, United States
  • Fox Chase Cancer Center - Philadelphia
    Philadelphia, Pennsylvania 19111-2497, United States
  • UPMC Cancer Center at Magee-Womens Hospital
    Pittsburgh, Pennsylvania 15213, United States
  • Hollings Cancer Center at Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Avera Cancer Institute
    Sioux Falls, South Dakota 57105, United States
  • Sanford Cancer Center at Sanford USD Medical Center
    Sioux Falls, South Dakota 57117-5039, United States
  • Baptist Centers for Cancer Care
    Memphis, Tennessee 38120, United States
  • Parkland Memorial Hospital
    Dallas, Texas 75235, United States
  • UT Southwestern University Hospital - Zale Lipshy
    Dallas, Texas 75235, United States
  • Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas
    Dallas, Texas 75390, United States
  • M. D. Anderson Cancer Center at University of Texas
    Houston, Texas 77030-4009, United States
  • CCOP - Scott and White Hospital
    Temple, Texas 76508, United States
  • LDS Hospital
    Salt Lake City, Utah 84103, United States
  • University of Virginia Cancer Center
    Charlottesville, Virginia 22908, United States
  • Carilion Gynecologic Oncology Associates
    Roanoke, Virginia 24014, United States
  • Gundersen Lutheran Center for Cancer and Blood
    La Crosse, Wisconsin 54601, United States
  • University of Wisconsin Paul P. Carbone Comprehensive Cancer Center
    Madison, Wisconsin 53792-6164, United States
  • Waukesha Memorial Hospital Regional Cancer Center
    Waukesha, Wisconsin 53188, United States
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References and documents

Publications

  • Levenback CF, Ali S, Coleman RL, Gold MA, Fowler JM, Judson PL, Bell MC, De Geest K, Spirtos NM, Potkul RK, Leitao MM Jr, Bakkum-Gamez JN, Rossi EC, Lentz SS, Burke JJ 2nd, Van Le L, Trimble CL. Lymphatic mapping and sentinel lymph node biopsy in women with squamous cell carcinoma of the vulva: a gynecologic oncology group study. J Clin Oncol. 2012 Nov 1;30(31):3786-91. doi: 10.1200/JCO.2011.41.2528. Epub 2012 Jul 2. PubMed 22753905 ↗
  • Levenback CF, Tian C, Coleman RL, et al.: Sentinel node (SN) biopsy in patients with vulvar cancer: A Gynecologic Oncology Group (GOG) study. [Abstract] J Clin Oncol 27 (Suppl 15): A-5505, 2009.
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 29, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00003325
Lead sponsor
Gynecologic Oncology Group
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
Dec 1999
Primary completion
Jul 2013
Last update
May 29, 2015

Study contacts

Charles Levenback, MD
study chair · M.D. Anderson Cancer Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2015. You cannot join it, but the record below documents what was studied.

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