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WithdrawnNCT03745690Updated Mar 17, 2022

Near-Infrared Image Guided Surgical Resection With Indocyanine Green in Treating Patients With Head and Neck Cancer

A Phase 1/2 interventional study of Image-Guided Surgery and Indocyanine Green Drug in Head and Neck Carcinoma, sponsored by Jonsson Comprehensive Cancer Center. Withdrawn at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-17.

Sponsored by Jonsson Comprehensive Cancer Center · Phase 1/2, Interventional, and Treatment

Why this study was withdrawn
no enrollment
Phase
Phase 1/2
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This phase Ib/II trial studies the side effects of near-infrared image guided surgical resection with indocyanine green in treating patients with head and neck cancer. Near-infrared image guided surgical resection with indocyanine green may make it easier to find and remove tumors.

Read the detailed description

PRIMARY OBJECTIVES:

I. To determine the safety profile of high-dose optical dye, indocyanine green, in head and neck cancer surgical patients.

SECONDARY OBJECTIVES:

I. Determine the efficacy of high-dose indocyanine green to identify cancer compared to surrounding normal tissue (tumor to background ratio; TBR) in head and neck cancer resections.

OUTLINE:

Patients receive indocyanine green intravenously (IV) on day 0 and undergo near-infrared image guided surgical resection on day 1.

After completion of study treatment, patients are followed up for 14-30 days.

02

Conditions studied

  • Head and Neck Carcinoma
03

In context

Head and Neck Neoplasms

2,344 studies on the registry are indexed under Head and Neck Neoplasms; 551 are open to participants now.

Browse Head and Neck Neoplasms studies →

Lead sponsor

Jonsson Comprehensive Cancer Center is the lead sponsor of 396 studies on the registry; 67 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 2 (5%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Documentation of a head and neck cancer diagnosis as evidenced by tissue biopsy.
  • Patients diagnosed with any T stage, any subsite within the head and neck that are scheduled to undergo surgical resection. Patients with recurrent disease or a new primary will be allowed.
  • Planned standard of care surgery with curative intent for squamous cell carcinoma.
  • Have life expectancy of more than 12 weeks.
  • Karnofsky performance status of at least 70% or Eastern Cooperative Oncology Group (ECOG)/Zubrod level 1.
  • Hemoglobin >= 9 gm/dL.
  • White blood cell count > 3000/mm\^3.
  • Platelet count >= 100,000/mm\^3.
  • Serum creatinine =\< 1.5 mg/dL.
  • Liver enzymes (aspartate aminotransferase [AST], alanine aminotransferase [ALT], and total bilirubin) =\< 1.5 times the upper reference range.
  • Written informed consent (and assent when applicable) obtained from subject or subject?s legal representative and ability for subject to comply with the requirements of the study.
  • Agree to not have radioactive iodine uptake studies done within 1 week of indocyanine green.

Exclusion criteria

Exclusion Criteria:

  • Pregnant, breastfeeding, or unwilling to practice birth control during participation in the study.
  • Allergy to iodine or iodinated materials.
  • Presence of a condition or abnormality that in the opinion of the investigator would compromise the safety of the patient or the quality of the data.
  • Myocardial infarction (MI); cerebrovascular accident (CVA); uncontrolled congestive heart failure (CHF); significant liver disease; or unstable angina within 6 months prior to enrollment.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Treatment (near-infrared image guided surgical resection)

    Patients receive indocyanine green IV on day 0 and undergo near-infrared image guided surgical resection on day 1.

    Procedure: Image-Guided Surgery · Drug: Indocyanine Green Drug

Interventions

  • ProcedureImage-Guided Surgery

    Undergo near-infrared image guided surgical resection

  • DrugIndocyanine Green Drug

    Given IV

    Also known as: IC-GREEN, ICG Drug in solution

06

What researchers measure

Primary outcomes

  1. Safety related by type, incidence, severity, seriousness, and study treatment relatedness of adverse events

    Adverse events will be tabulated by treatment group and will include the number of patients for whom the event occurred, the rate of occurrence, and the severity and relationship to study drug.

    Time frame: Up to 30 days

Secondary outcomes

  1. Successful tumor fluorescence imaging data gathered for all patients included in the study

    The effect of indocyanine green will be assessed by changes in tumor-to-background ratio (TBR). Tumor to background (TBR) data will be generated from still images collected throughout the procedure as previously described (Heath, Deep et al.). The presence of fluorescence in normal surrounding tissue will be correlated with fluorescence within the tumor mass. The linear relationship between fluorescence and tumor size will be computed as Spearman?s correlation coefficient. Continuous variable means (e.g., fluorescence intensity) will be compared to histological quantification of tumor as measured by the greatest dimension identified on the histopathological assessment.

    Time frame: Up to 30 days

07

Study locations

1 site
  • UCLA / Jonsson Comprehensive Cancer Center
    Los Angeles, California 90095, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03745690
Lead sponsor
Jonsson Comprehensive Cancer Center
Responsible party
Sponsor
First posted
Nov 19, 2018
Start date
Dec 12, 2018
Primary completion
Jun 8, 2021 (estimated)
Completion
Jun 8, 2021 (estimated)
Last update
Mar 17, 2022

Study contacts

Abie Mendelsohn
principal investigator · UCLA / Jonsson Comprehensive Cancer Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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