Fluorescent LN target in colorectal cancer

  • Research type

    Research Study

  • Full title

    Investigating a new fluorescent antibody targeting metastatic lymph nodes during colorectal cancer surgery

  • IRAS ID

    233148

  • Contact name

    Thomas Barnes

  • Contact email

    tom.barnes@doctors.org.uk

  • Sponsor organisation

    University of Oxford

  • Duration of Study in the UK

    0 years, 5 months, 1 days

  • Research summary

    When removing a segment of bowel for cancer there are 2 aims. One is to remove the entire tumour inside the bowel and the other is to remove the lymph nodes (glands) that are draining the tumour. These lymph nodes are located within a structure called the mesentery which provides all the blood supply to the colon. Both the mesentery and the colon are removed together as part of the specimen.

    Surgeons often do not know whether the lymph nodes they are removing with the tumour have cancer (metastases) within them. In addition, it is often difficult to see individual lymph nodes. A way in which the lymph nodes can be visualised is by using a technique called fluorescence which uses a special dye that emits near infra-red (invisible) light after being stimulated by light within a particular wavelength range. When injected around the tumour, the dye reaches the lymph nodes. These dyes cannot differentiate between normal and abnormal lymph nodes.]

    The Bodmer laboratory have an antibody (AUA1) which can potentially bind to cancer cells from the colon that are inside lymph nodes. Our study aims to assess whether this antibody, bound to a fluorescent dye, can positively identify metastatic lymph nodes within the colonic mesentery in fresh colorectal cancer specimens that have already been removed from patients as part of a planned operation.

  • REC name

    London - City & East Research Ethics Committee

  • REC reference

    17/LO/1634

  • Date of REC Opinion

    25 Sep 2017

  • REC opinion

    Favourable Opinion