- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05420974
NIR Arthroscopic Fluorescence Angiography of Menisci (FLUORarth)
Intraoperative Arthroscopic Near-infrared Fluorescence Imaging of the Vascular Perfusion of the Meniscus in Patients Treated With Meniscal Repair
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The meniscal healing process is based on two fundamental principles: a solid primary fixation, and a well-functioning biological process of cicatrization, where the presence of vascularization is thought to play a major role. Intra-operative near infrared fluorescence angiography using Indocyanine Green (ICG) is a widely used method for operative assessment of vascularization. Fluorescence guided detection of the vascularity surrounding a meniscal tear could be of great value to predict meniscal healing after repair.
This pilot study will explore the technical feasibility of intraoperative near-infrared fluorescence angiography of the meniscus in patients undergoing arthroscopic meniscal repair. Technical challenges for NIR fluorescence arthroscopy are the visibility of the vascular perfusion in microvessels in the dense meniscus, motion artifacts encountered with arthroscopy and wash in of ICG using a fluid irrigation system.
The included patients will be subdivided in four equal subgroups in order to evaluate alteration of NIR fluorescence signal during arthroscopy in combination with a tourniquet and/or irrigation pump system.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Pieter B.A.A. van Driel, MD, PhD
- Phone Number: 003188 6245000
- Email: p.b.a.a.van.driel@isala.nl
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18 years or older;
- Patients with on MRI confirmed Zone 1 meniscal tear
- Patients with a clinical indication for arthroscopic meniscal repair
- Before patient registration, written consent must be given according to ICH/GCP, national and local regulations.
Exclusion Criteria:
- Prior operative treatment of the ruptured meniscus
- Any condition that in the opinion of the investigator could potentially jeopardize the health status of the patient. In specific, these conditions concern smoking, diabetes and being overweight.
- Pregnancy
- allergy to iodine, shellfish or ICG;
- Psychological, familial sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial;
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: NIR fluorescence
The included patients will be subdivided in four equal subgroups in order to evaluate alteration of NIR fluorescence signal during arthroscopy in combination with a (temporary) tourniquet and irrigation pump system.
|
NIR fluorescence imaging of vascular perfusion using the Arthrex NIR fluorescence scope and Indocyanin Green
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
NIR fluorescence of the meniscus
Time Frame: Fluorescence imaging will be performed from 0-10 minutes after injection of ICG
|
Detection of fluorescence in the meniscus (yes/no), determined intra-operatively during the arthroscopy procedure using NIR fluorescence imaging and ICG.
|
Fluorescence imaging will be performed from 0-10 minutes after injection of ICG
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
T start
Time Frame: Fluorescence imaging will be performed from 0-10 minutes after injection of ICG
|
Time between injection of ICG and initial detection of the fluorescence signal in the meniscus (T start).
|
Fluorescence imaging will be performed from 0-10 minutes after injection of ICG
|
I max
Time Frame: Fluorescence imaging will be performed from 0-10 minutes after injection of ICG
|
Maximum fluorescence intensity (Imax) in the meniscus.
Fluorescence intensity will be measured in arbitrary units as a mean of three different region of interests.
|
Fluorescence imaging will be performed from 0-10 minutes after injection of ICG
|
T max
Time Frame: 0-10 minutes
|
Time to maximum intensity of the fluorescence signal
|
0-10 minutes
|
Baseline and End fluorescence intensity
Time Frame: Fluorescence imaging will be performed from 0-10 minutes after injection of ICG
|
Baseline fluorescence intensity of the meniscus and the end fluorescence intensity in the meniscus
|
Fluorescence imaging will be performed from 0-10 minutes after injection of ICG
|
The ration between the maximum fluorescence intensity in the meniscus and the background fluorecence intensity.
Time Frame: Fluorescence imaging will be performed from 0-10 minutes after injection of ICG
|
The fluorescence intensity is measured in arbitrary units as a mean of three region of interests.
|
Fluorescence imaging will be performed from 0-10 minutes after injection of ICG
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Vahrmeijer AL, Hutteman M, van der Vorst JR, van de Velde CJ, Frangioni JV. Image-guided cancer surgery using near-infrared fluorescence. Nat Rev Clin Oncol. 2013 Sep;10(9):507-18. doi: 10.1038/nrclinonc.2013.123. Epub 2013 Jul 23.
- Goncalves LN, van den Hoven P, van Schaik J, Leeuwenburgh L, Hendricks CHF, Verduijn PS, van der Bogt KEA, van Rijswijk CSP, Schepers A, Vahrmeijer AL, Hamming JF, van der Vorst JR. Perfusion Parameters in Near-Infrared Fluorescence Imaging with Indocyanine Green: A Systematic Review of the Literature. Life (Basel). 2021 May 11;11(5):433. doi: 10.3390/life11050433.
- van Schie P, van der Lelij TJN, Gerritsen M, Meijer RPJ, van Arkel ERA, Fiocco M, Swen JA, Vahrmeijer AL, Hazelbag HM, Keereweer S, van Driel PBAA. Intra-operative assessment of the vascularisation of a cross section of the meniscus using near-infrared fluorescence imaging. Knee Surg Sports Traumatol Arthrosc. 2022 May;30(5):1629-1638. doi: 10.1007/s00167-021-06690-w. Epub 2021 Aug 4.
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NL81068.07522
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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