Using Patent Blue to map sentinel lymph nodes in early ovarian cancer
Official title: Evaluation of Sentinel Lymph Node Biopsy Using Patent Blue Dye in Early-Stage Ovarian Cancer: A Prospective Observational Study
Run by Faculty of Medicine of Tunis · NCT07508306 · Data updated 2026-11-12
This study will try injecting Patent Blue dye into the ovarian ligaments during surgery for people with early-stage ovarian cancer to find the first draining lymph nodes and see if that can stage disease accurately while avoiding full lymph node removal.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 30 (estimated) |
| Sponsor | Faculty of Medicine of Tunis Academic / other |
| Locations | 1 site (La Rabta) |
| Status | Recruiting |
| Started | April 15, 2026 |
| Main results expected | December 31, 2027 |
| Study ends | February 28, 2028 |
| Registry record updated | September 10, 2026 |
| Trial ID | NCT07508306 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults (≥18) with suspected early-stage (FIGO I–II) ovarian cancer on imaging who are scheduled for complete surgical staging, have no suspicious lymph nodes on preoperative scans, and have no allergy to Patent Blue dye.
✕Probably not a fit
Patients with imaging or intraoperative evidence of nodal metastasis or extra‑pelvic disease, prior pelvic lymphadenectomy or radiotherapy, or known allergy to blue dye are unlikely to benefit from this SLN mapping approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective observational diagnostic study enrolls adults with suspected FIGO stage I–II ovarian cancer who are planned for complete surgical staging. Surgeons inject Patent Blue dye into the infundibulopelvic and utero-ovarian ligaments before adnexectomy, wait 15 minutes, then explore the pelvic and para-aortic retroperitoneum to visually identify and remove stained sentinel lymph nodes. After sentinel node removal, a complete bilateral pelvic and para‑aortic lymphadenectomy is performed and all specimens undergo histopathology to compare sentinel-node findings with standard lymphadenectomy. The study records feasibility, diagnostic accuracy, and procedural safety/morbidity associated with blue-dye SLN mapping.
Why it matters
Potential benefit: If accurate, this approach could allow many patients with early ovarian cancer to avoid extensive lymphadenectomy and its complications while preserving accurate staging information.
How similar studies have gone: Sentinel lymph node mapping with dyes and tracers is well established in breast, cervical, and endometrial cancers, but evidence in early ovarian cancer is limited to small series and pilot studies rather than large confirmatory trials.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age : aged 18 years-old or older * Diagnosis: Suspected Ovarian cancer on MRI finding (O-RADs 4 or 5) * FIGO stage: Stage I or II ( Based on MRI and scanner finding) * Planned Procedure: Patients with planned for surgical complete stadification including pelvic and para-aortic lymphadenectomy * Consent: Signing of the written informed consent after full information has been provided Exclusion Criteria: * Suspicious nodal involvement: Presence of suspicious lymph nodes on preoperative imaging (generally defined by a short-axis diameter ≥ 10 mm). * Disease extension: Radiological or intraoperative evidence of extra-pelvic metastases or peritoneal carcinomatosis. * Surgical history: History of lymphadenectomy, lymph node sampling, or major vascular surgery involving the aorta or the iliac vessels. * History of radiotherapy: Patients who have previously undergone pelvic or abdominal radiotherapy. * Allergies: Known allergy or adverse reaction to patent blue dyes.
Where it's running
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Maternity and neonatology center of Tunis
La Rabta, Tunisia Recruiting
Study contacts
- Study coordinator: Mohammed Amine Hannachi, Assistant professor
- Email: medaminehannachi3@gmail.com
- Phone: +21699696332
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.