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The OCEANS trial: fluorescence guided surgery with methylene blue for better visualization of small intestine neuroendocrine tumors: a feasibility study.

The OCEANS trial: fluorescence guided surgery with methylene blue for better visualization of small intestine neuroendocrine tumors: a feasibility study. - The OCEANS trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON56617
Enrollment
17
Registered
2021-03-03
Start date
2021-04-12
Completion date
Unknown
Last updated
2026-08-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

hormone producing tumors Neuro-endocrine tumors

Interventions

After the laparotomy, 0.5 - 1.0 mg / kg MB will be administered. In the 10 - 15 minutes after that, images will be made of the tumor and possibly of the (lymph node) metastases with a NIR camera.

Sponsors

Erasmus MC, Universitair Medisch Centrum Rotterdam
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: - Patients with lesions on the Galium-68-dotatate PET/CT scan suspected for a Small intestine Neuro-endocrine tumor (SI-NET); OR - Patients with biopsy proven SI-NET; AND - With the primary SI-NET in situ - >= 18 years of age; - Before patient registration, written informed consent must be given according to ICH/GCP, and national/local regulations.

Exclusion criteria

Exclusion criteria: - Patients taking the following medication 30 days or less prior to surgery: selective serotonin reuptake inhibitors (SSRI*s), serotonin noradrenalin reuptake inhibitors (SNRI*s), tricyclic antidepressants (TCA*s), bupropion, or buspiron. - Use of serotonergic party drugs (MDMA, ecstasy, GHB, cocaine) 30 days or less prior to surgery. - Patients diagnosed with Glucose-6-Phosphate Dehydrogenase (G6DP) deficiency; - Patients with a clinical significant history of allergic reaction to MB - Patients who are pregnant or breastfeeding, female from childbearing potential without adequate contraceptives. - Incapacitated subjects. - Any condition that the investigator, surgeon or anaesthesiologist considers to be potentially jeopardizing the patient*s well-being or the study objectives.

Design outcomes

Primary

MeasureTime frame
The primary outcome is the Tumor to Background ratio (TBR). This is determined on the primary tumor. A TBR> 2.0 is defined as 'feasible'. If this is the case in at least 60% of the tumors, the method is defined as a success.

Secondary

MeasureTime frame
Determine the TBR of (lymph node) metastases Determine the number of occult lesions found Determine the optimal dose of MB Determine the optimal time frame for the administration of MB Determine confirmation of your signal with fluorescence microscopy

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP) · Data processed: Aug 25, 2026