ClinicalTrials.gg
Enrolling by invitationNCT06396806Updated Jan 17, 2025

A Prospective, Randomized, Open, Parallel-controlled, Superior-efficacy Clinical Study of Radical Sigmoidectomy for Sigmoid Cancer Versus Radical Sigmoidectomy Combined with Indocyanine Green Fluorescence Imaging Lymphatic Tracing Dissection in the Treatment of Sigmoid Cancer

An interventional study of indocyanine green fluorescence imaging lymphatic tracing in Sigmoid Cancer, sponsored by Sun Yat-sen University. Enrolling by invitation at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-01-17.

Sponsored by Sun Yat-sen University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
1,072
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

he purpose of this study is to explore the clinical outcomes of Indocyanine Green Tracer using in laparoscopic radical sigmoidectomy for sigmoid adenocarcinoma (cT2-T4a N0 M0,T1-T4a N+ M0).

02

Conditions studied

  • Sigmoid Cancer

Browse trials for

03

In context

Sigmoid Neoplasms

20 studies on the registry are indexed under Sigmoid Neoplasms; 5 are open to participants now.

This study's planned enrollment of 1,072 is above the median of 55 across 14 interventional studies indexed under Sigmoid Neoplasms.

Browse Sigmoid Neoplasms studies →

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,690 studies on the registry; 619 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age between 18 and 75 years old
  2. Confirmed sigmoid adenocarcinoma cancer pathologically
  3. Location of tumor: the sigmoid colon (descending colon from vertical to horizontal point) is the starting point of sigmoid colon, and the end point of sigmoid colon is at 15cm of anal margin.
  4. CT showed sigmoid colon cancer: T3-4a N+ M0
  5. Patients with non-local recurrence or distant ;
  6. no multiple colorectal cancer;
  7. no therapy;
  8. physical conditions such as heart, lung, liver and kidney function can tolerate surgery.
  9. Willing and able to provide written for participation in this study

Exclusion criteria

Exclusion Criteria:

  1. Complicated with other malignant tumors or previous history of malignant tumors;
  2. patients with intestinal obstruction, intestinal perforation, intestinal bleeding, etc.;
  3. patients with tumor invasion or involvement of adjacent organs requiring combined organ resection;
  4. patients with poor anal function and incontinence before operation;
  5. patients with inflammatory bowel disease or familial adenomatous polyposis
  6. ≥ IV and / or physical status score > 2;
  7. patients with severe hepatorenal function, cardiopulmonary function, blood coagulation dysfunction or severe underlying diseases unable to tolerate surgery;
  8. history of severe mental illness;
  9. pregnant or lactating women;
  10. patients with uncontrolled infection before operation;
  11. patients with other clinical and laboratory conditions considered by some researchers should not participate in this trial.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,072 participants (estimated)

Study arms

  • No intervention
    radical sigmoidectomy

    radical sigmoidectomy

  • Experimental
    radical sigmoidectomy combined with indocyanine green fluorescence imaging

    At the end of routine operation, indocyanine green was used for lymph node tracing, and further lymph node dissection was performed according to the tracer results.

    Procedure: indocyanine green fluorescence imaging lymphatic tracing

Interventions

  • Procedureindocyanine green fluorescence imaging lymphatic tracing

    At the end of routine operation, indocyanine green was used for lymph node tracing, and further lymph node dissection was performed according to the tracer results.

06

What researchers measure

Primary outcomes

  1. Disease-free survival rate

    odisease-free survival was defined as the time from surgery to the time of recurrence or death from any cause

    Time frame: 3 years after the surgery

Secondary outcomes

  1. Total number of retrieved lymph nodes

    Compare total number of retrieved lymph nodes in both group

    Time frame: 14 days after the surgery

  2. Number of Metastasis Lymph Nodes

    Compare number of positive lymph nodes in both group.

    Time frame: 14 days after the surgery

  3. The number of lymph nodes at each station

    Time frame: 14 days after the surgery

  4. The rate of fluorescence

    The number of fluorescent lymph node in experimental group is divided by the total number of lymph nodes in active experimental group

    Time frame: 14 days after the surgery

  5. Positive rate

    The number of positive lymph nodes in fluorescent lymph nodes is divided by the number of total fluorescent lymph nodes in experimental group

    Time frame: 14 days after the surgery

  6. False positive rate

    The number of negative lymph nodes in fluorescent lymph nodes is divided by the number of total fluorescent lymph nodes in experimental group

    Time frame: 14 days after the surgery

  7. Negative rate

    The number of negative lymph nodes in not fluorescent lymph nodes is divided by the number of total not fluorescent lymph nodes in experimental group

    Time frame: 14 days after the surgery

  8. False negative rate

    The number of positive lymph nodes in not fluorescent lymph nodes is divided by the number of total not fluorescent lymph nodes in experimental group

    Time frame: 14 days after the surgery

  9. Morbidity rate

    This is for the early postoperative complication

    Time frame: 30 days after the surgery

  10. mortality rate

    mortality, which defined as the event observed within 30 days after surgery

    Time frame: 30 days after the surgery

  11. Pathological outcomes checklist

    Quality of the mesorectum specimen, number of harvested lymph nodes, status of circumferential resection margin, and distal resection margin

    Time frame: 14 days after the surgery

  12. 3-year Overall survival rate

    Overall survival was defined as the time from surgery to death from any cause

    Time frame: 3 years after the surgery

  13. 5-year Overall survival rate

    Overall survival was defined as the time from surgery to death from any cause

    Time frame: 5 years after the surgery

  14. 5-year Disease-free survival rate

    Time frame: 5 years after the surgery

  15. Local recurrence rate

    Local recurrence was defined as radiologic or histopathologic evidence of any recurrent disease deposit located in the pelvis in the prior area of dissection following a primary rectal cancer resection, with or without distal metastasis.

    Time frame: 3 years after the surgery

  16. Postoperative function (voiding function, sexual function) and quality of life

    Time frame: 3 years after the surgery

  17. The correlation between the number of lymph nodes and 3-year overall survival rate and 3-year disease-free survival rate

    Time frame: 3 years after the surgery

  18. Minimal Residual Disease, MRD

    Time frame: 3 years after the surgery

07

Study locations

1 site
  • Sun yat-sen University, Sixth Affiliated Hospital
    Guangzhou, Guangdong 510655, China
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2024 (actual). Primary completion is estimated for Dec 2027, 43 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 30, 2024
First posted
May 2, 2024
StartActual
May 6, 2024
Primary completionEst.
Dec 31, 2027
CompletionEst.
Dec 31, 2030
Last update
Jan 17, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06396806
Responsible party
Yanhong Deng (Chief physician,Assistant to the dean, Sun Yat-sen University) — Principal investigator
First posted
May 2, 2024
Start date
May 6, 2024
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
Jan 17, 2025

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

No contact was published for this record. The registry link below has the sponsor’s details.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion