CClinicalTrials.gg
Status unknownNCT03550001CALOR-NATUpdated Jun 8, 2018

Carbon Nanoparticles as Lymph Node Tracer in Rectal Cancer After Neoadjuvant Radiochemotherapy

An interventional study of Injection CNP before NAT in Rectal Cancer, sponsored by YE Yingjiang. Status unknown. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-06-08.

Sponsored by YE Yingjiang · Not applicable, Interventional, and Other

The sponsor has not verified this record recently (last verified May 2018), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
252
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

The purpose of this study is to evaluate whether injection of carbon nanoparticle as a lymph node tracer before neoadjuvant radiochemotherapy in rectal cancer can increase lymph node yield after surgery compared which do not inject.

Read the detailed description

This is the randomized controlled, multi-centers,and open-labeled study. The lymph node yield was significantly decreased in rectal cancer after neoadjuvant radiochemotherapy (NAT), hard for pathologists to detect, and is difficult to meet the guideline that minimun of 12 lymph nodes should be retrived after surgery in colorectal cancer. Carbon nanoparticle (CNP) is a specific lymph node tracer, which only dyeing the lymph node, and can keep the lymph node in dyeing state in at least half year. The inverstigator attempted to compare the amount of lymph node yield after surgery in locally advanced rectal caner between injection CNP before NAT and no injection CNP before NAT. In this study, the participants with clinical TNM stage T3+ or N+ will be recruited. The participants will be randomized (1:1 ratio) to a control and intervention arm. The participants in the control arm will not receive injection of any kind lymph node tracers. The participants in the intervention arm will receive injection of CNP before NAT. And the specimen would be evaluated by the pathologist.

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Conditions studied

  • Rectal Cancer

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Keywords

  • locally advanced rectal cancer
  • lymph node yeild
  • lymph node tracer
  • stage shift
  • prognosis
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In context

Rectal Neoplasms

1,762 studies on the registry are indexed under Rectal Neoplasms; 518 are open to participants now.

This study's planned enrollment of 252 is above the median of 65 across 1,298 interventional studies indexed under Rectal Neoplasms.

Browse Rectal Neoplasms studies →

Lead sponsor

YE Yingjiang is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age: 18-75 years old;
  2. Histologically confirmed adenocarcinoma;
  3. The rectal adenocarcinoma 0-12cm from the anal margin;
  4. Clinical TNM stage: T3+ or N+;
  5. Untreated patients (who have not received treatment including radiotherapy, chemotherapy, and surgery);
  6. Good liver and kidney function, without contraindications for radiotherapy, chemotherapy or surgery;
  7. Able and willing to give informed consent to participate;

Exclusion criteria

Exclusion Criteria:

  1. Malignant tumor history or other malignant tumors;
  2. Emergency operations such as intestinal obstruction, perforation and hemorrhage;
  3. Pregnant or lactating women;
  4. History of severe mental illness;
  5. Contraindications for radiotherapy, chemotherapy and surgery;
  6. Conditions that the researcher thinks it is not suitable for selection.
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Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
252 participants (estimated)

Study arms

  • Experimental
    Injection CNP before NAT

    Inject carbon nanoparticle as a lymph node tracer before the patient receive neoadjuvant therapy.

    Procedure: Injection CNP before NAT

  • No intervention
    No injection

    Do not inject carbon nanoparticle during the treatment.

Interventions

  • ProcedureInjection CNP before NAT

    Injection carbon nanoparticle via rectal mucosa before neoadjuvant therapy

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What researchers measure

Primary outcomes

  1. lymph node yield

    Amount of lymph node yield, dyeing lymph node, positive lymph node and the dyeing positive lymph node

    Time frame: up to 30days after total mesorectal excision

Secondary outcomes

  1. Impact on surgical operations

    The impact of CNP to operational level

    Time frame: Time of surgery

  2. Quality of surgery

    Quality of surgery determined using the mesorectal grading system

    Time frame: Time of surgery

  3. Surgery morbidity

    Surgical morbidity reported according to Clavien-Dindo classification

    Time frame: 30 days and 12-months

  4. Overall survival

    Overall Survival is defined as the time from the date of surgery to the date of death

    Time frame: 5-years

  5. Disease free survival

    Disease Free Survival is defined as the time from the date of surgery to the date of the local recurrence, and/or distant disease, or tumor-related death

    Time frame: 5-years

  6. Local recurrence rate

    Local recurrence rate is defined as the time from the date of surgery to the date of the local recurrence

    Time frame: 5-years

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Glynne-Jones R, Wyrwicz L, Tiret E, Brown G, Rodel C, Cervantes A, Arnold D; ESMO Guidelines Committee. Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2017 Jul 1;28(suppl_4):iv22-iv40. doi: 10.1093/annonc/mdx224. No abstract available. Erratum In: Ann Oncol. 2018 Oct 1;29(Suppl 4):iv263. doi: 10.1093/annonc/mdy161. PubMed 28881920 ↗
  • Mechera R, Schuster T, Rosenberg R, Speich B. Lymph node yield after rectal resection in patients treated with neoadjuvant radiation for rectal cancer: A systematic review and meta-analysis. Eur J Cancer. 2017 Feb;72:84-94. doi: 10.1016/j.ejca.2016.10.031. Epub 2016 Dec 24. PubMed 28027520 ↗
  • Gurawalia J, Dev K, Nayak SP, Kurpad V, Pandey A. Less than 12 lymph nodes in the surgical specimen after neoadjuvant chemo-radiotherapy: an indicator of tumor regression in locally advanced rectal cancer? J Gastrointest Oncol. 2016 Dec;7(6):946-957. doi: 10.21037/jgo.2016.09.03. PubMed 28078118 ↗
  • Kim HJ, Jo JS, Lee SY, Kim CH, Kim YJ, Kim HR. Low Lymph Node Retrieval After Preoperative Chemoradiation for Rectal Cancer is Associated with Improved Prognosis in Patients with a Good Tumor Response. Ann Surg Oncol. 2015;22(6):2075-81. doi: 10.1245/s10434-014-4235-z. Epub 2014 Nov 14. PubMed 25395150 ↗
  • Xu Z, Berho ME, Becerra AZ, Aquina CT, Hensley BJ, Arsalanizadeh R, Noyes K, Monson JRT, Fleming FJ. Lymph node yield is an independent predictor of survival in rectal cancer regardless of receipt of neoadjuvant therapy. J Clin Pathol. 2017 Jul;70(7):584-592. doi: 10.1136/jclinpath-2016-203995. Epub 2016 Dec 8. PubMed 27932667 ↗
  • Lykke J, Jess P, Roikjaer O; Danish Colorectal Cancer Group. A minimum yield of twelve lymph nodes in rectal cancer remains valid in the era of neo-adjuvant treatment : results from a national cohort study. Int J Colorectal Dis. 2015 Mar;30(3):347-51. doi: 10.1007/s00384-015-2145-6. Epub 2015 Feb 5. PubMed 25652878 ↗
  • Lykke J, Jess P, Roikjaer O; Danish Colorectal Cancer Group. Increased Lymph Node Yield Is Associated With Improved Survival in Rectal Cancer Irrespective of Neoadjuvant Treatment: Results From a National Cohort Study. Dis Colon Rectum. 2015 Sep;58(9):823-30. doi: 10.1097/DCR.0000000000000429. PubMed 26252843 ↗
  • Bhangu A, Kiran RP, Brown G, Goldin R, Tekkis P. Establishing the optimum lymph node yield for diagnosis of stage III rectal cancer. Tech Coloproctol. 2014 Aug;18(8):709-17. doi: 10.1007/s10151-013-1114-8. Epub 2014 Feb 11. PubMed 24515286 ↗
  • Carvalho C, Glynne-Jones R. Challenges behind proving efficacy of adjuvant chemotherapy after preoperative chemoradiation for rectal cancer. Lancet Oncol. 2017 Jun;18(6):e354-e363. doi: 10.1016/S1470-2045(17)30346-7. Erratum In: Lancet Oncol. 2018 Mar;19(3):e137. doi: 10.1016/S1470-2045(18)30137-2. PubMed 28593861 ↗
  • Horne J, Carr NJ, Bateman AC, Kandala N 2nd, Adams J, Silva S, Ryder I. A comparison of formalin and GEWF in fixation of colorectal carcinoma specimens: rates of lymph node retrieval and effect on TNM staging. J Clin Pathol. 2016 Jun;69(6):511-7. doi: 10.1136/jclinpath-2015-203281. Epub 2015 Nov 30. PubMed 26621110 ↗
  • Yegen G, Keskin M, Buyuk M, Kunduz E, Balik E, Saglam EK, Kapran Y, Asoglu O, Gulluoglu M. The effect of neoadjuvant therapy on the size, number, and distribution of mesorectal lymph nodes. Ann Diagn Pathol. 2016 Feb;20:29-35. doi: 10.1016/j.anndiagpath.2015.10.008. Epub 2015 Oct 29. PubMed 26706785 ↗
  • Munster M, Hanisch U, Tuffaha M, Kube R, Ptok H. Ex Vivo Intra-arterial Methylene Blue Injection in Rectal Cancer Specimens Increases the Lymph-Node Harvest, Especially After Preoperative Radiation. World J Surg. 2016 Feb;40(2):463-70. doi: 10.1007/s00268-015-3230-2. PubMed 26310202 ↗
  • Farinella E, Vigano L, Fava MC, Mineccia M, Bertolino F, Capussotti L. In vivo lymph node mapping and pattern of metastasis spread in locally advanced mid/low rectal cancer after neoadjuvant chemoradiotherapy. Int J Colorectal Dis. 2013 Nov;28(11):1523-9. doi: 10.1007/s00384-013-1727-4. Epub 2013 Jul 23. PubMed 23877264 ↗
  • Zhang XM, Liang JW, Wang Z, Kou JT, Zhou ZX. Effect of preoperative injection of carbon nanoparticle suspension on the outcomes of selected patients with mid-low rectal cancer. Chin J Cancer. 2016 Apr 4;35:33. doi: 10.1186/s40880-016-0097-z. PubMed 27044280 ↗
  • Wang Y, Deng H, Chen H, Liu H, Xue Q, Yan J, Li G. Preoperative Submucosal Injection of Carbon Nanoparticles Improves Lymph Node Staging Accuracy in Rectal Cancer after Neoadjuvant Chemoradiotherapy. J Am Coll Surg. 2015 Nov;221(5):923-30. doi: 10.1016/j.jamcollsurg.2015.07.455. Epub 2015 Aug 20. PubMed 26362137 ↗
  • Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, de Santibanes E, Pekolj J, Slankamenac K, Bassi C, Graf R, Vonlanthen R, Padbury R, Cameron JL, Makuuchi M. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009 Aug;250(2):187-96. doi: 10.1097/SLA.0b013e3181b13ca2. PubMed 19638912 ↗
  • Mandard AM, Dalibard F, Mandard JC, Marnay J, Henry-Amar M, Petiot JF, Roussel A, Jacob JH, Segol P, Samama G, et al. Pathologic assessment of tumor regression after preoperative chemoradiotherapy of esophageal carcinoma. Clinicopathologic correlations. Cancer. 1994 Jun 1;73(11):2680-6. doi: 10.1002/1097-0142(19940601)73:113.0.co;2-c. PubMed 8194005 ↗

Individual participant data

Plan to share: Undecided — We need to discuss with other centers, then decide whether to share IPD

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2018, 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
NCT03550001
Lead sponsor
YE Yingjiang
Responsible party
YE Yingjiang (Professor of Surgery, Director of Department of Gastroenterological Surgery, Peking University People's Hospital) — Sponsor-investigator
First posted
Jun 8, 2018
Start date
Jun 1, 2018 (estimated)
Primary completion
Jun 1, 2019 (estimated)
Completion
Oct 1, 2023 (estimated)
Last update
Jun 8, 2018

Study contacts

Yingjiang Ye, MD,PhD
Contact
yeyingjiang@pkuph.edu.cn, yjye101@sina.com
8610-88326608
Zhidong Gao, MD
Contact
gaozhidong@pkuph.edu.cn
8610-88326605
Yingjiang Ye, MD,PhD
principal investigator · Peking University People's Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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