GIST
Conditions
Brief summary
This is an open-label pilot study including 10 GIST patients scheduled for an elective open or laparoscopic resection at Leiden University Medical Center (LUMC) and Erasmus Medical Center (EMC), Rotterdam. Patients will receive a single dose injection of 10mg ICG at a given moment during the 24 hours prior to surgery or during surgery. The timing of administration will be determined according to a step-up, step-down procedure. Standard of care surgery will be performed and a NIR fluorescence imaging system will be used to record the GIST under fluorescence.
Interventions
ICG administration before/during surgery and using near-infrared fluorescence imaging for intra-operative detection and identification of GISTs
Sponsors
Study design
Intervention model description
Open-label pilot study
Eligibility
Inclusion criteria
* Patients diagnosed with GIST by histology or cytology, localized or metastasized, scheduled to undergo an elective open or laparoscopic resection. * 18 years
Exclusion criteria
* History of an allergy or hypersensitivity to sodium iodide, iodine or ICG * Patients with hyperthyroidism and patients with an autonomous thyroid adenoma * Patients pregnant or breastfeeding * Patients with severe renal insufficiency (eGFR \<30)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary tumor detection | Intra-operative | Tumor detection perceived by the surgeon with and without NIR-imaging |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Detection of peritoneal tumor depositions | Intra-operative | Detection of peritoneal tumor depositions by the surgeon with and without NIR-imaging |
| Tumor to background ratio | Through study completion, estimated to be 6 months | Pixel intensity ratio on static images |
Countries
Netherlands