- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03097627
Intravenous Indocyanine Green for Localization of Intra-thoracic Lesions
December 11, 2017 updated by: Yolonda Colson, Brigham and Women's Hospital
This is a clinical trial to evaluate the intravenous administration of indocyanine green (ICG) as a method of intra-thoracic lesion localization.
The primary purpose is to determine if intravenous ICG allows us to identify intra-thoracic lesions.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
- This study is designed to determine the safety and feasibility of intra-operative localization of thoracic lesions following intravenous injection of indocyanine green (ICG), determine if intravenous ICG leads to the intra-operative detection of intra-thoracic lesions or metastatic lymph nodes not readily identifiable on conventional diagnostic imaging modalities, and determine if intravenous ICG improves surgical resection.
- At the time of surgery, the indocyanine dye will be injected intravenously. The investigators will use a dose of 0.5 mg/kg administered prior to VATS.
- The "filtered" near-infrared light causes the indocyanine green dye to fluoresce so that the surgeon can identify the lesions most likely to contain tumor cells.The surgeon will also look at lymph nodes to see if metastatic disease can be found in this location using this technique. The lymph nodes are processed to look for metastasis.
Study Type
Interventional
Enrollment (Actual)
4
Phase
- Phase 2
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Brigham and Women's Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients with intra-thoracic lesions that require resection for therapeutic or diagnostic purposes as recommended by their thoracic surgeon.
- 18 years of age or older
- Documented, signed, dated informed consent obtained prior to any study specific procedures being performed
Exclusion Criteria:
- Subjects who do not wish to have subsequent surgical resection
- A medical condition such as uncontrolled infection or cardiac disease that, in the opinion of the treating surgeon, makes resection unreasonably hazardous for the patient
- Pre-operative spirometry that suggests the patient is at high risk or cannot undergo resection of the primary tumor.
- Iodide or seafood allergy
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Device Feasibility
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: ICG Intervention
The intervention to be administered is intravenous indocyanine green for intra-thoracic lesion localization and use of a near infrared camera to detect the ICG.
All study subjects will receive this same intervention; there is only one arm.
|
The intervention to be administered is the drug indocyanine green.
Other Names:
The intervention to detect the administered drug, indocyanine green.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of treatment-emergent adverse events (safety and feasibility) of intra-operative localization of thoracic lesions following intravenous injection of indocyanine green (ICG)
Time Frame: 5 years
|
In this initial proof-of-concept pilot trial for patients undergoing surgical resection of suspicious intra-thoracic lesions, the investigators will demonstrate that IV ICG is a safe and feasible method for lesion localization.
The investigators will demonstrate this across a variety of intra-thoracic pathology including primary lung cancer, pulmonary metastases, mesothelioma, mediastinal tumors, and potentially infectious sources such as aspergilloma.
The investigators will measure safety based on number of participants with treatment-related adverse events as assessed by CTCAE v4.0
|
5 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Determine if intravenous ICG leads to the intra-operative detection of intra-thoracic lesions or metastatic lymph nodes not readily identifiable on conventional diagnostic imaging modalities
Time Frame: 5 years
|
The investigators will determine if lesions can be identified that were not seen on pre-operative imaging either because they were too small, missed, or ill-defined.
In addition, many lesions such as vague ground glass opacities, which could represent scarring or a slow growing bronchoalveolar cancer, may be targeted with IV ICG, and thus aiding in the decision to resect a given lesion.
Lymph nodes that contain disease may also uptake IV ICG.
If a lymphadenectomy is indicated for standard of care, NIR positive nodes will be noted.
|
5 years
|
Determine if intravenous ICG improves surgical resection
Time Frame: 5 years
|
In cases of malignancy, performing an adequate oncologic resection (i.e.
negative margins) or debulking is crucial to the prognosis of a patient with an intra-thoracic malignancy.
Simultaneously, a surgeon must minimize the amount of resected healthy tissue to preserve lung function.
Therefore, the investigators will assess the histologic status of the margin in all patients in which the lesion was ICG positive.
The investigators will also maintain records of patients undergoing IV ICG to obtain intra-operative characteristics (i.e.
successful lesion localization) and long-term events (i.e.
local recurrence).
|
5 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Yolonda Colson, MD, PhD, Brigham and Women's Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
February 1, 2016
Primary Completion (Actual)
October 28, 2016
Study Completion (Actual)
October 28, 2016
Study Registration Dates
First Submitted
March 13, 2017
First Submitted That Met QC Criteria
March 27, 2017
First Posted (Actual)
March 31, 2017
Study Record Updates
Last Update Posted (Actual)
December 12, 2017
Last Update Submitted That Met QC Criteria
December 11, 2017
Last Verified
December 1, 2017
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2015P002271
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
IPD Plan Description
There is no plan at this time to share any individual participant data with other researchers.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
Yes
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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