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Optical Biopsy and Fallopian Tube (FALLOPTIC)

Civil Hospices of Lyon logo

Civil Hospices of Lyon

Status

Completed

Conditions

Bilateral Laparoscopic Salpingectomy

Treatments

Procedure: bilateral laparoscopic salpingectomy
Device: endomicroscopy Cellvizio® system

Study type

Interventional

Funder types

Other

Identifiers

NCT02365779
2014.875

Details and patient eligibility

About

High-grade serous ovarian cancer is the most threatening type of gynaecological cancer with an important mortality due to late diagnosis. However the prognosis is excellent in the early stages of the disease. Recently it has been described a new serous carcinogenic sequence from the fallopian tube with tubal precancerous lesions. Therefore the identification of these early preinvasive lesions would be of great interest in the population with hereditary predisposition for ovarian cancer (concept of oncofertility) and in the general population (to determine whether bilateral salpingectomy has to be performed during a hysterectomy for benign disease).

The optical biopsy has been developed and validated in the detection of early precancerous lesions (such as Barrett's oesophagus or in situ cancer of the bladder). The first objective of this study is to prospectively assess the efficacy of optical biopsy (Cellvizio®) in the study of fallopian tubes during laparoscopy with correlation between the histopathological and immunohistochemical analysis and the endomicroscopy image interpretation. The second objective is to describe the optical biopsy pictures in order to state a classification.

Full description

Inclusion Criteria:

  • Woman aged 18 years or more
  • All patients with laparoscopic salpingectomy for benign conditions (tubal ligation, during a hysterectomy), for prophylactic conditions (BRCA mutation) or in case of pelvic cancers
  • Informed and signed consent

Exclusion Criteria:

  • Interview revealing disorder entailing unacceptable risk of postoperative complications: coagulation disorder, immune system disorder, evolutive disease, etc.
  • Pregnancy, ongoing or planned during the study period
  • Allergy to fluorescein
  • Previous allergy or anaphylactic shock during an angiography
  • Allergic or hypersensibility reactions
  • Severe asthma, chronic cardiac or pulmonary diseases
  • Restricted renal function
  • Patient under a beta-blockers treatment
  • Inability to understand information provided
  • Not covered by a national health insurance scheme, prisoner or under administrative supervision

Enrollment

40 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Woman aged 18 years or more
  • All patients with laparoscopic salpingectomy for benign conditions (tubal ligation, during a hysterectomy), for prophylactic conditions (BRCA mutation) or in case of pelvic cancers
  • Informed and signed consent

Exclusion criteria

  • Interview revealing disorder entailing unacceptable risk of postoperative complications: coagulation disorder, immune system disorder, evolutive disease, etc.
  • Pregnancy, ongoing or planned during the study period
  • Allergy to fluorescein
  • Previous allergy or anaphylactic shock during an angiography
  • Allergic or hypersensibility reactions
  • Severe asthma, chronic cardiac or pulmonary diseases
  • Restricted renal function
  • Patient under a beta-blockers treatment
  • Inability to understand information provided
  • Not covered by a national health insurance scheme, prisoner or under administrative supervision

Trial design

Primary purpose

Screening

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

40 participants in 1 patient group

bilateral laparoscopic salpingectomy
Experimental group
Treatment:
Device: endomicroscopy Cellvizio® system
Procedure: bilateral laparoscopic salpingectomy

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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