The purpose of this pivotal study is to provide prospective evidence that the SentiMag®/SiennaXP® is safe and non-inferior to the current standard of care for lymph node localization in patients with breast cancer as part of a sentinel lymph node biopsy (SLNB) procedure and to summarize measures of product safety and performance.
This is a pivotal, prospective, open label, multicenter, paired comparison of the SentiMag® and SiennaXP® magnetic sentinel node localization system with the standard of care (radioisotope with blue dye) for lymph node localization in the detection of lymph nodes in patients with breast cancer undergoing a sentinel lymph node biopsy. The trial is designed to provide powered evidence that the lymph node detection rate of the SentiMag® and SiennaXP® system is non-inferior to the standard of care in patients with breast cancer.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
160
Sub-cutaneous injection of SiennaXP magnetic marker, followed by lymph node localization using the SentiMag handheld magnetic probe
Injection of a single dose of radioisotope (Technetium Tc99m Sulfur Colloid)
Injection of a single dose of isosulfan blue dye
University of California San Diego Moores Cancer Center
La Jolla, California, United States
University of California Davis Comprehensive Cancer Center
Sacramento, California, United States
UCSF Carol Franc Buck Breast Care Center
San Francisco, California, United States
Coordinated Health Breast Care Specialists
Allentown, Pennsylvania, United States
Number of Participants With Detected Lymph Nodes
The proportion of lymph nodes detected intraoperatively by SentiMag and SiennaXP in relation the proportion of lymph nodes detected by the combination of Technetium Sulfur Colloid and Isosulfan blue dye
Time frame: During surgical procedure <1 hour
Safety of SiennaXP and SentiMag® as Indicated by Adverse Events and Serious Adverse Events and Their Relatedness to the Detection Method or Procedure.
Number of Participants with Adverse Events relating to Sienna XP Injection
Time frame: 3-6 weeks
Nodal Concordance: Number of Nodes Identified by Both Test and Control Out of Nodes Identified by Control
The number of nodes identified by both SiennaXP and Control out of nodes identified by Control
Time frame: Intraoperative <1 hour
Number of Participants With Lymph Nodes Detected by Combined Radioisotope,Blue Dye and Magnetic Technique
The per patient detection rate for a combination of all methods (magnetic, combined radioisotope and blue dye; radioisotope alone; blue dye alone)
Time frame: Intraoperative <1 hour
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Dallas Surgical Group
Dallas, Texas, United States
University of Texas MD Anderson Cancer Center
Houston, Texas, United States