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Intraoperative Ureter InjuryPhase 1/2NCT03106038

Dose-escalation Study of a Contrast Agent for Delineation of Urological Anatomy in Minimally Invasive Surgery

A Phase 1/2 study testing Nerindocianine for Injection in people with Intraoperative Ureter Injury, run by Li-Cor, Inc. at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this clinical trial is to study the safety and efficacy of an investigational imaging agent for delineation/visualization of urologic anatomy in the setting of minimally invasive surgery. Read more about this study

Who is it for?
Ages 19 years and older, women only
Conditions the study is for
Intraoperative Ureter Injury
What is being tested?
Nerindocianine for Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
41 participants
Where
1 siteUnited States
Study dates
26 Apr 2017to 19 Nov 2018
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Provide written informed consent prior to the initiation of study procedures
  • Are > 18 years of age
  • Women consented to undergo standard of care minimally invasive pelvic surgery (traditional laparoscopy and robotic surgery)
  • Women who are expected to be admitted to the hospital following surgery for at least 24 hours

Who cannot join

  • Are unwilling or unable to provide informed consent.
  • Are unwilling or unable to comply with the requirements of the protocol.
  • History of prior urologic surgery.
  • History of prior pelvic surgery.
  • History of known retroperitoneal fibrosis.
  • Have any of the following screening laboratory values:
Show all 14Show fewer
  • Hemoglobin ≤ 8.0 g/dL;
  • Absolute neutrophil count (ANC) ≤ 1500/μL;
  • Platelet count ≤ 100,000/μL;
  • Serum creatinine ≥ 1.5 x the institutional upper limit of normal (IULN) creatinine;
  • Serum bilirubin ≥ 1.5 x IULN;
  • Aspartate transaminase (AST or serum glutamic oxaloacetic transaminase, SGOT) ≥ 2x IULN;• Alanine transaminase (ALT or serum glutamate pyruvate transaminase, SGPT) ≥ 2 x IULN.
  • Females who are pregnant, lactating, or breastfeeding;
  • Any other condition that, in the Investigator's judgment, would potentially compromise the study compliance or the ability to evaluate safety or efficacy.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • UAB Women & Infants Center

    Birmingham, Alabama, 35233

Other trials in United States

About this study

Official title: A Phase I/IIa Dose-escalation Study to Evaluate the Use of an Investigational Imaging Agent for the Detection of Urologic Anatomy Via Near Infrared Fluorescence Imaging in the Setting of Minimally Invasive Surgery

The purpose of this clinical trial is to study the safety and efficacy of an investigational imaging agent for delineation/visualization of urologic anatomy in the setting of minimally invasive surgery.

Being tested
Nerindocianine for Injection
Keywords
contrast agent, ureter imaging, intraoperative monitoring, intraoperative procedures, near infrared fluorescence, minimally invasive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Nerindocianine for InjectionDrug

    Also called IRDye 800BK

    Procedure: routine minimally invasive pelvic surgery.

Study groups in NCT03106038
Study groupRoleWhat they receive
Nerindocianine for InjectionExperimentalOne Arm: Nerindocianine for Injection (Initial dosing cohort: 0.06 mg/kg body weight); solution, intravenous, one time administration during surgery. the study has only one arm.
Receives: Drug: Nerindocianine for Injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Treatment-Emergent Adverse Events

    Incidence of Treatment-Emergent Serious Adverse Events and/or Treatment-Emergent Adverse Events

    Measured: 30 days

  2. Dose response

    Dose response based on the composite assessment of the anatomy and laterality for detection of pelvic ureter in women undergoing minimally invasive surgery

    Measured: 10 minutes through 90 minutes post administration

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Apr 2017
  2. Study start26 Apr 2017
  3. Primary completion19 Nov 2018
  4. Study completion19 Nov 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Diagnosis
Intervention model
Sequential
Model description
beginning at the estimated target dose, the dosage was increased and decreased to confirm the near-optimal dose.
Masking
None (open label)
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03106038
Sponsor's protocol ID
LICOR-10417-01
Status last verified
Nov 2019
First submitted
29 Mar 2017
Last updated
26 Nov 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Huh WK, Johnson JL, Elliott E, Boone JD, Leath CA 3rd, Kovar JL, Kim KH. Fluorescence Imaging of the Ureter in Minimally Invasive Pelvic Surgery. J Minim Invasive Gynecol. 2021 Feb;28(2):332-341.e14. doi: 10.1016/j.jmig.2020.06.022. Epub 2020 Jun 29.

    PubMed 32615331

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Nerindocianine for Injection in people with Intraoperative Ureter Injury, run by Li-Cor, Inc. at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Nov 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Treatment-Emergent Adverse Events (time frame: 30 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03106038, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Nov 2019; AzTrials last refreshed its copy on 26 Oct 2026.

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