A Phase 1, Open-Label, Single Center Study of the Imaging Potential of Indocyanine Green in Subjects Undergoing Thoracic Surgery Presenting With Lung Nodules
According to the World Health Organization, lung cancer is the most common cause of
cancer-related death in men and women, and is responsible for 1.3 million deaths worldwide
annually as of 2004. Surgery remains the best option for patients presenting with operable
Stage I or II cancers, however the five year survival rate for these candidates remains at a
dismal 53% for Stage I and 32% for Stage II1. The high rates of recurrence suggest that
surgeons are unable to completely detect and remove primary tumor nodules in a satisfactory
manner as well as lingering metastases in sentinel lymph nodes. By ensuring a negative
margin through near-infrared imagery with a safe non-toxic contrast agent it would be
possible for the investigators to improve the rates of recurrence free patients and thus
overall survival. This study is a small pilot/feasibility study to determine if the
investigators camera system can be effective at identifying malignancies in lung cancer
patients.
Interventional
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label
Imaging effectiveness of ICG and imaging system.
The primary end-point of the study is to determine the sensitivity of ICG uptake and expression in identifying lung nodules / masses when excited by an imaging probe intraoperatively. This will be accomplished by using the probe to image the tumor, then subtracting the background from surrounding thoracic structures. Uptake will be measured using the scale of the instrument, an arbitrary value of between 1 and 10,000. Uptake will be summarized using the mean and 95% confidence interval (CI).
1 day after injection of ICG
No
Sunil Singhal, MD
Principal Investigator
University of Pennsylvania
United States: Institutional Review Board
UPCC:11510
NCT01335893
May 2011
September 2016
Name | Location |
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University of Pennsylvania | Philadelphia, Pennsylvania 19104 |