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WithdrawnNCT04487912Updated May 14, 2021

Dynamics and Tracer Distribution of Tilmanocept in Early Stage Breast Cancer

A Phase 4 interventional study of Tilmanocept and Nanocolloid in Breast Cancer and Sentinel Lymph Node, sponsored by University Hospital, Ghent. Withdrawn at 1 site in Belgium. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-05-14.

Sponsored by University Hospital, Ghent · Phase 4, Interventional, and Diagnostic

Why this study was withdrawn
Insufficient patient inclusion
Phase
Phase 4
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

A sentinel node procedure is recommended for patients with early stages of breast cancer to exclude metastases to local lymph nodes. This procedure is done with a "tracer" which is injected near to the tumor and drains to these nearby lymph nodes. The first draining lymph node(s) are called "sentinel" node(s). These sentinel nodes are excised by the surgeon for microscopic investigation using a detection probe. This study aims to further document the distribution and dynamics of a recently approved new tracer called Tilmanocept and comparing it with the standard used tracer (nanocolloid) to determine whether there is a significant difference between both products (which are both approved for clinical use in this scenario in the European Union). This will be done by randomly assigning patients between injection of Tilmanocept or Nanocolloid and making scans on multiple (3) time points.

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Conditions studied

  • Breast Cancer
  • Sentinel Lymph Node

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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

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Lead sponsor

University Hospital, Ghent is the lead sponsor of 665 studies on the registry; 156 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Early stage breast cancer (T1, T2)
  • Clinically node negative (no enlarged axillary lymph nodes)

Exclusion criteria

Exclusion Criteria:

  • Prior surgery in same breast
  • Pregnancy or breastfeeding
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Study design

Phase
Phase 4
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Injection of 99m-Tc Tilmanocept

    Drug: Tilmanocept

  • Active comparator
    Injection of 99m-Tc Nanocolloid

    Drug: Nanocolloid

Interventions

  • DrugTilmanocept

    Combined peri-areolar and peri-tumoral injection of 99m-Tc Tilmanocept

  • DrugNanocolloid

    Combined peri-areolar and peri-tumoral injection of 99m-Tc Nanocolloid

    Also known as: Nanoscint

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What researchers measure

Primary outcomes

  1. Time to identification of first lymph node

    Time to identification of first lymph node on the dynamic acquisition during the first 30 minutes post-injection

    Time frame: 0-30 minutes

  2. Lymph node count to background ratio 4 hours post-injection

    Number of identified lymph nodes and count-to-background ratio in these identified lymph nodes obtained by SPECT/CT 4 hours post-injection

    Time frame: 4 hours post-injection

  3. Lymph node count to background ratio 24 hours post-injection

    Number of identified lymph nodes and count-to-background ratio in these identified lymph nodes obtained by SPECT/CT 24 hours post-injection

    Time frame: 20 to 24 hours post-injection

  4. Injection site count to background ratio 4 hours post-injection

    Count-to-background ratio in the radionuclide injection sites obtained by SPECT/CT 4 hours post-injection

    Time frame: 4 hours post-injection

  5. Injection site count to background ratio 24 hours post-injection

    Count-to-background ratio in the radionuclide injection sites obtained by SPECT/CT 24 hours post-injection

    Time frame: 20 to 24 hours post-injection

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Study locations

1 site
  • university hospital, Ghent
    Gent, Belgium
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References and documents

Publications

  • Giammarile F, Alazraki N, Aarsvold JN, Audisio RA, Glass E, Grant SF, Kunikowska J, Leidenius M, Moncayo VM, Uren RF, Oyen WJ, Valdes Olmos RA, Vidal Sicart S. The EANM and SNMMI practice guideline for lymphoscintigraphy and sentinel node localization in breast cancer. Eur J Nucl Med Mol Imaging. 2013 Dec;40(12):1932-47. doi: 10.1007/s00259-013-2544-2. Epub 2013 Oct 2. PubMed 24085499 ↗
  • Unkart JT, Hosseini A, Wallace AM. Tc-99m tilmanocept versus Tc-99m sulfur colloid in breast cancer sentinel lymph node identification: Results from a randomized, blinded clinical trial. J Surg Oncol. 2017 Dec;116(7):819-823. doi: 10.1002/jso.24735. Epub 2017 Jul 10. PubMed 28695567 ↗
  • Unkart JT, Proudfoot J, Wallace AM. Outcomes of "one-day" vs "two-day" injection protocols using Tc-99m tilmanocept for sentinel lymph node biopsy in breast cancer. Breast J. 2018 Jul;24(4):526-530. doi: 10.1111/tbj.13002. Epub 2018 Mar 2. PubMed 29498443 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 14, 2021, 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
NCT04487912
Lead sponsor
University Hospital, Ghent
Collaborators
Norgine
Responsible party
Sponsor
First posted
Jul 27, 2020
Start date
Nov 24, 2020
Primary completion
May 1, 2021
Completion
May 1, 2021
Last update
May 14, 2021

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Jun 2020. You cannot join it, but the record below documents what was studied.

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