Fluorescence-Guided Surgical Resection for Reducing Unexpected Positive Margins in Patients With Sarcoma, SarcoSIGHT Trial
NCT07650656 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 22
Last updated 2026-06-22
Summary
This phase II trial compares standard of care surgical resection to fluorescence-guided surgical resection using indocyanine green and fluorescence imaging for reducing unexpected positive margin rates in patients with sarcoma. Surgical margins are one of the criteria used in assessing the effectiveness of a given surgical procedure. They are the edges or border of the tissue removed in cancer surgery. A negative margin means that the resected tumor is surrounded by normal tissue, which implies there is no disease left in the patient. By contrast, a positive margin means that sarcoma cells are visible at the edge of the tumor. Positive margins may be classified as planned when they are expected pre-operatively due to the preservation of a critical structure, or unexpected when the pathologist reports the presence of tumor at the margin despite the surgeon having intended to remove it in its entirety. Fluorescence-guided surgery is an established surgical method that involves the administration of fluorescent dye (in this case, indocyanine green) into the tumor, which can then be visualized with a special camera during surgery to help surgeons identify tumor versus healthy tissue. Fluorescence-guided surgery may reduce the rate of unexpected positive margins in patients undergoing surgery for sarcoma.
Conditions
- High Grade Sarcoma
- Sarcoma
Interventions
- OTHER
-
Electronic Health Record Review
Ancillary studies
- PROCEDURE
-
Fluorescence Imaging
Undergo fluorescence imaging
- PROCEDURE
-
Fluorescence-Guided Surgery
Undergo FGS
- DRUG
-
Indocyanine Green
Given IV
- OTHER
-
Questionnaire Administration
Ancillary studies
- PROCEDURE
-
Resection
Undergo surgical resection
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
City of Hope Medical Center
lead OTHER
Principal Investigators
-
Thinzar Lwin · City of Hope Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2027-05-15
- Primary Completion
- 2028-05-11
- Completion
- 2028-05-11
Countries
- United States
Study Locations
More Related Trials
-
Comparison of the Effects of Needle Biopsy Tract Resection and Non-resection on Recurrence Rate in Patients With Primary Extremity Sarcoma
NCT07575724 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
SU5416 in Treating Patients With Advanced, Metastatic, or Recurrent Soft Tissue Sarcomas
NCT00005862 ·Status: COMPLETED ·Phase: PHASE2
-
Cohort to Augment the Understanding of Sarcoma Survivorship Across the Lifespan
NCT06482957 ·Status: RECRUITING
-
S0344 Intralesional Resection in Treating Patients With Chondrosarcoma of the Bone
NCT00096213 ·Status: COMPLETED ·Phase: PHASE2
-
Infrared Thermography in Finding Skin Lesions in Patients With Kaposi's Sarcoma
NCT00265902 ·Status: TERMINATED ·Phase: NA
-
A Study of Pembrolizumab in People With Ultra-Rare Sarcomas
NCT07089992 ·Status: RECRUITING ·Phase: PHASE2
-
Surgery With or Without Chemotherapy in Treating Patients With Soft Tissue Sarcoma
NCT00002641 ·Status: COMPLETED ·Phase: PHASE3
-
Fluorescent Aided Resection and Evaluation of Soft Tissue Sarcomas (FLARES)
NCT06252727 ·Status: WITHDRAWN ·Phase: PHASE1
-
Novel Biochemical and Molecular Determinants for Soft Tissue Sarcoma
NCT00579566 ·Status: RECRUITING
-
5-AminoLevulinic Acid Aided Resection Margins in Sarcoma
NCT07038278 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1
-
Cabozantinib and Temozolomide for the Treatment of Unresectable or Metastatic Leiomyosarcoma or Other Soft Tissue Sarcoma
NCT04200443 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
A Phase II Study of Tivozanib in Patients With Metastatic and Non-resectable Soft Tissue Sarcomas
NCT01782313 ·Status: COMPLETED ·Phase: PHASE2
-
Risk Factors for Non-HIV-Related Kaposi s Sarcoma
NCT00339326 ·Status: COMPLETED
-
IO Combined With AI as First-line Treatment for Patients With Soft Tissue Sarcoma(TAIS)
NCT06849986 ·Status: RECRUITING ·Phase: PHASE2
-
Smartphone Confocal Microscopy for Diagnosing Kaposi's Sarcoma
NCT03050788 ·Status: COMPLETED ·Phase: NA
-
Application of a Comprehensive Protocol Aimed at Reducing the Risk of Complications After Surgery for Sarcoma. Interventions Before, During and After Surgery for Known and Presumed Risk Factors Compared to Standard of Care in a Total of 300 Patients.
NCT06968884 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Irinotecan (Camptosar) in Patients With Advanced Sarcomas
NCT00509860 ·Status: COMPLETED ·Phase: PHASE2
-
Compassionate Use of Aldoxorubicin in Sarcoma Patients Chemotherapy
NCT02570412 ·Status: NO_LONGER_AVAILABLE
-
Neoadjuvant Lurbinectedin and Preoperative Radiation for Treating Soft Tissue Sarcomas
NCT06217536 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Study Of CP-751,871 In Patients With Ewing's Sarcoma Family Of Tumors
NCT00560235 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Studying Genes in Samples From Younger Patients With Rhabdomyosarcoma
NCT01585376 ·Status: COMPLETED
-
Improved Management of Soft Tissue Sarcomas Patients With an Optimized and Innovative Sorting Technology for Circulating Tumor Cells
NCT07401355 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
A Clinical Study on Oncolytic Virus Injection (R130) for the Treatment of Relapsed/Refractory Bone and Soft Tissue Tumors
NCT05851456 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Propranolol Plus Standard Radiation Therapy Before Surgery for the Treatment of Patients With Soft Tissue Sarcoma
NCT06670976 ·Status: WITHDRAWN ·Phase: PHASE1
-
SU5416 in Treating Patients With AIDS-Related Kaposi's Sarcoma
NCT00005042 ·Status: COMPLETED ·Phase: PHASE2