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CompletedNCT05555199INITIATEUpdated Feb 20, 2025

Injection of 99mTc-nanocolloid and ICG to Identify, Retrieve and Qualify TDLN in Early-stage NSCLC

An interventional study of 99mTc-nanocolloid and ICG in Early-stage Lung Cancer, sponsored by Radboud University Medical Center. Completed at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-20.

Sponsored by Radboud University Medical Center · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was Oct 2024, 1 year 11 months ago, and no results have been posted to the registry.
Phase
Not applicable
Study type
Interventional
Enrollment
72
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The patient wil receive intra- or peritumoral injections of 99mTc-nanocolloid if malignancy is found during a navigation bronchoscopy. A SPECT/CT-scan will be made to image injections sites and sentinel lymph nodes (SLN). If surgery takes place to treat the lung cancer, ICG will be injected and fluorescent lymph nodes will be extensively assessed by a pathologist.

Read the detailed description

When malignancy is found during navigation bronchoscopy, study participants will receive intra- or peritumoral injections of 99mTc-nanocolloid. Following, up to 2 SPECT/CT-scans will be made to assess drainage of the injected tracer to the lymph nodes.

If patients undergo resection of the lung lesion, ICG will be injected. The involved lung tissue will be removed, followed by routine complete lymph node dissection. The fluorescent lymph nodes will be more extensively evaluated by the pathologist.

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Conditions studied

  • Early-stage Lung Cancer

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Keywords

  • Sentinel Lymph Node procedure
  • 99mTc-nanocolloid
  • ICG
  • SPECT/CT-imaging
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,558 are open to participants now.

This study's enrollment of 72 is above the median of 60 across 5,296 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Radboud University Medical Center is the lead sponsor of 959 studies on the registry; 134 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • ASA physical status 1-3;
  • Lung lesion between 1 and 5 cm;
  • Imaging-based disease free lymph nodes (N0);
  • Patient is deemed a candidate for definitive lung tissue resection by a thoracic surgeon.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy;
  • Inability to consent;
  • Known or suspected allergy to 99mTc-nanocolloid or ICG.
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
72 participants (actual)

Study arms

  • Experimental
    Intervention

    One interventional arm that will undergo all interventional procedures (when applicable).

    Radiation: 99mTc-nanocolloid · Drug: ICG

Interventions

  • Radiation99mTc-nanocolloid

    Injection of 99mTc-nanocolloid when lung cancer is diagnosed during a navigation bronchoscopy, followed by one or two SPECT/CT-scans.

    Also known as: Elective navigation bronchoscopy, SLN procedure

  • DrugICG

    If patient undergoes surgery to treat the lung cancer, ICG will be injected and retrieved fluorescent lymph nodes will undergo additional pathological assessment.

    Also known as: Elective lung surgery, SLN procedure

06

What researchers measure

Primary outcomes

  1. Feasibility of SLN procedure

    This is a qualitative outcome measurement that will be assessed by the involved physicians based on the ability to inject 99mTc-nanocolloid and ICG, and the ability to detect the tumor draining lymph nodes based on their drainage patterns.

    Time frame: During the study intervention

Secondary outcomes

  1. Successfulness of injection method (intra- or peritumoral)

    Time frame: During the first intervention

  2. Number of SLN found by SPECT/CT-imaging

    Time frame: On the day of the first intervention

  3. Number of SLN found by ICG

    Time frame: On the day of the second intervention

  4. Number of metastasis found by additional pathology

    Time frame: Up to two weeks after the second intervention

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Study locations

1 site
  • Radboudumc
    Nijmegen, Gelderland 6525 GA, Netherlands
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References and documents

Publications

  • Sun WYL, Dang JT, Modasi A, Nasralla A, Switzer NJ, Birch D, Turner SR, Karmali S. Diagnostic accuracy of sentinel lymph node biopsy using indocyanine green in lung cancer: a systematic review and meta-analysis. Gen Thorac Cardiovasc Surg. 2020 Sep;68(9):905-913. doi: 10.1007/s11748-020-01400-8. Epub 2020 Jun 16. PubMed 32557077 ↗
  • Taghizadeh Kermani A, Bagheri R, Tehranian S, Shojaee P, Sadeghi R, N Krag D. Accuracy of sentinel node biopsy in the staging of non-small cell lung carcinomas: systematic review and meta-analysis of the literature. Lung Cancer. 2013 Apr;80(1):5-14. doi: 10.1016/j.lungcan.2013.01.001. Epub 2013 Jan 23. PubMed 23352034 ↗
  • Gilmore DM, Khullar OV, Colson YL. Developing intrathoracic sentinel lymph node mapping with near-infrared fluorescent imaging in non-small cell lung cancer. J Thorac Cardiovasc Surg. 2012 Sep;144(3):S80-4. doi: 10.1016/j.jtcvs.2012.05.072. Epub 2012 Jun 20. PubMed 22726707 ↗
  • Rena O, Boldorini R, Papalia E, Turello D, Massera F, Davoli F, Roncon A, Baietto G, Casadio C. Metastasis to subsegmental and segmental lymph nodes in patients resected for non-small cell lung cancer: prognostic impact. Ann Thorac Surg. 2014 Mar;97(3):987-92. doi: 10.1016/j.athoracsur.2013.11.051. Epub 2014 Jan 28. PubMed 24480258 ↗

Individual participant data

Plan to share: Yes — (Pseudonymized) metadata will be stored for reuse and/or verification.

Supporting information: Study protocol

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 20, 2025, 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
NCT05555199
Lead sponsor
Radboud University Medical Center
Collaborators
Philips Healthcare, Johnson & Johnson
Responsible party
Sponsor
First posted
Sep 26, 2022
Start date
Oct 3, 2022
Primary completion
Oct 31, 2024
Completion
Oct 31, 2024
Last update
Feb 20, 2025

Study contacts

Erik HF van der Heijden, Dr.
principal investigator · Radboud University Medical Center
Desi KM ter Woerds, MSc.
study director · Radboud University Medical Center
Roel LJ Verhoeven, Dr.
study director · Radboud University Medical Center
Erik HJ Aartnzen, Dr.
study director · Radboud University Medical Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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