FLICC II

  • Research type

    Research Study

  • Full title

    Feasibility Study for Fluorescence Lymph Node Imaging in Colorectal Cancer Study - FLICC II

  • IRAS ID

    238844

  • Contact name

    Manish Chand

  • Contact email

    m.chand@ucl.ac.uk

  • Sponsor organisation

    University College London

  • Duration of Study in the UK

    1 years, 6 months, 16 days

  • Research summary

    Surgery for colorectal cancer involves taking out the cancer and the associated lymph nodes which are the main pathway for tumour spread. Current standard techniques involve a methodological excision of these lymph nodes but nevertheless this approach is not guided. Indocyanine green is a fluorescent dye used for over 10 years in clinical practice. It may enable high precision guidance, highlighting the correct lymph nodes so they can be removed accurately. This is hypothesized to lead to improved survival for patients with colorectal cancer.
    The main aim is to determine the validity and accuracy for indocyanine green fluorescence imaging to demonstrate lymphatic drainage and sentinel node identification in colon cancer in order to establish the ability of ICG fluorescence to guide proper oncologic resections in colorectal cancer.
    This is a phase II, open label single-site nonrandomized trial that will be based in the University College Hospital in London. Patients with colorectal cancer undergoing surgical resection with curative intent will be enrolled. Standard pre-operative evaluation will be executed. Intraoperative evaluation will assess lymphatic drainage mapping, sentinel node identification and intraoperative localization of tumours. Postoperative evaluation of perfusion of the colorectal anastomosis will be performed through proctoscopy on the first 4 postoperative days. Standard follow-up will be executed. Predicted enrolment period will be of one year.

  • REC name

    London - Stanmore Research Ethics Committee

  • REC reference

    18/LO/0789

  • Date of REC Opinion

    14 Aug 2018

  • REC opinion

    Further Information Favourable Opinion