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TerminatedNCT05316688Updated Sep 16, 2026Results posted

A Fluorescent Tumor Marking Agent, Tozuleristide, for Imaging Oral Cavity Squamous Cell Cancer and High-Grade Oral Cavity Dysplasia During Surgery

A Phase 1/2 interventional study of Near Infrared Imaging and Therapeutic Conventional Surgery in Oral Cavity Squamous Cell Carcinoma, Stage I Lip and Oral Cavity Cancer AJCC v8 and Stage II Lip and Oral Cavity Cancer AJCC v8, sponsored by University of Washington. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by University of Washington · Phase 1/2, Interventional, and Diagnostic

Why this study was terminated
Terminated due to suboptimal delineation of fluorescence between tumor and native oral cavity mucosa.
Phase
Phase 1/2
Study type
Interventional
Enrollment
8
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This phase I/II trial studies the side effects of tozuleristide in imaging oral cavity squamous cell cancer and high-grade oral cavity dysplasia during surgery. Tozuleristide is an imaging agent that specifically binds to tumor cells. When exposed to near-infrared light, tozuleristide causes tumor cells to fluoresce (light up), so that surgeons may better distinguish tumor cells from healthy cells during surgery.

Read the detailed description

OUTLINE:

Beginning 1 hour before surgery, patients receive tozuleristide intravenously (IV) over 1-5 minutes. Patients then surgical resection per standard of care and undergo near infrared (NIR) imaging with standard of care device.

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Conditions studied

  • Oral Cavity Squamous Cell Carcinoma
  • Stage I Lip and Oral Cavity Cancer AJCC v8
  • Stage II Lip and Oral Cavity Cancer AJCC v8
  • Stage III Lip and Oral Cavity Cancer AJCC v8
  • Stage IVA Lip and Oral Cavity Cancer AJCC v8
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In context

Squamous Cell Carcinoma of Head and Neck

1,680 studies on the registry are indexed under Squamous Cell Carcinoma of Head and Neck; 539 are open to participants now.

This study's enrollment of 8 is below the median of 49 across 1,432 interventional studies indexed under Squamous Cell Carcinoma of Head and Neck.

Browse Squamous Cell Carcinoma of Head and Neck studies →

Lead sponsor

University of Washington is the lead sponsor of 1,397 studies on the registry; 225 are open to participants now.

Of its 154 completed or terminated interventional studies of FDA-regulated products, 132 (86%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Adult subjects age >= 18 years (yr)
  • Subjects must have suspected or confirmed oral cavity dysplasia or cT1-4 squamous cell carcinoma for which surgical excision is deemed clinically indicated by the treating physician. Histology confirmation not required prior to surgery
  • Able to provide written informed consent
  • If of child-bearing potential, agree to the continued use of 2 reliable forms of contraception from study enrollment through 30 days after receiving the study product. Male subjects must agree to use 2 reliable methods of contraception simultaneously for 30 days after receiving the study product if their partner is of child-bearing potential
  • Available for all study visits and able to comply with all study requirements

Exclusion criteria

Exclusion Criteria:

  • Known or suspected sensitivity to indocyanine green
  • In the opinion of the treating physician, subject has received photosensitizing medication that could interfere or confound study results
  • Any current medications with the potential to generate fluorescence or photochemical reaction
  • Enrolled in any other ongoing study
  • Currently lactating or breastfeeding
  • Positive pregnancy test or planning to become pregnant within 30 days (d) of receiving tozuleristide
  • Any current condition, including psychological and social situations which, in the opinion of the investigator, would impact adversely on the subject or the interpretation of the study data
  • Creatinine clearance \< 60 mL/min
  • Aspartate aminotransferase (AST) > 1.5 x upper limit of normal (ULN)
  • Alanine aminotransferase (ALT) > 1.5 x ULN
  • Bilirubin > 1.5 x ULN
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Study design

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

Study arms

  • Experimental
    Diagnostic (tozuleristide, surgery, NIR imaging)

    Beginning 1 hour before surgery, patients receive tozuleristide intravenously (IV) over 1-5 minutes. Patients then surgical resection per standard of care and undergo near infrared (NIR) imaging with standard of care device.

    Procedure: Near Infrared Imaging · Procedure: Therapeutic Conventional Surgery · Drug: Tozuleristide

Interventions

  • ProcedureNear Infrared Imaging

    Undergo NIR imaging

    Also known as: Near-Infrared Imaging, NIR Imaging

  • ProcedureTherapeutic Conventional Surgery

    Undergo surgery

  • DrugTozuleristide

    Given IV

    Also known as: BLZ-100

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What researchers measure

Primary outcomes

  1. Number of Adverse Events (AEs)

    Adverse events will be summarized as the number of each type of adverse event, per Criteria for Adverse Events version 5.0.

    Time frame: 7-21 days after drug administration

Secondary outcomes

  1. Number of Subjects Without Tumor Fluorescence After Receiving Tozuleristide

    Number of subjects whose tumors did not show discernible fluorescence compared to background

    Time frame: Measured at time of surgery 1 to 30 hours after receiving tozuleristide

  2. Number of Participants for Which Negative Margins Were Achieved in Tozuleristide-guided Oral Cavity Tumor Excision

    To investigate the accuracy of tozuleristide fluorescent imaging in identifying tumor and achieving negative margins during excision of oral cavity squamous cell carcinoma and high-grade dysplasia.

    Time frame: Surgery performed following tozuleristide injection 1-30 hours prior to surgery

07

Results

Posted Sep 16, 2026
Limitations and caveats
This study was terminated early due to lack of consistent tozuleristide fluorescence of oral cavity tumors

Participant flow

Participant flow — Overall Study
MilestoneDiagnostic (Tozuleristide, Surgery, NIR Imaging)
Started8
Completed8
Not completed0

Outcome measures

PrimaryNumber of Adverse Events (AEs)

Adverse events will be summarized as the number of each type of adverse event, per Criteria for Adverse Events version 5.0.

Time frame:
7-21 days after drug administration
Reported as:
Number · Event
Number of Adverse Events (AEs)
EventDiagnostic (Tozuleristide, Surgery, NIR Imaging)
Acute hypoxemia, grade 31
Aspiration pneumonia, grade 31
Back wound, grade 31
Constipation, grade 21
Covid-19 infection, grade 31
Fatigue, grade 32
Ileus, grade 31
Neck infection, grade 21
Pulmonary embolism, grade 31
Seroma, grade 21
SecondaryNumber of Subjects Without Tumor Fluorescence After Receiving Tozuleristide

Number of subjects whose tumors did not show discernible fluorescence compared to background

Time frame:
Measured at time of surgery 1 to 30 hours after receiving tozuleristide
Reported as:
Count of participants · Participants
Number of Subjects Without Tumor Fluorescence After Receiving Tozuleristide
ParticipantsDiagnostic (Tozuleristide, Surgery, NIR Imaging)
Number of Subjects Without Tumor Fluorescence After Receiving Tozuleristide4
SecondaryNumber of Participants for Which Negative Margins Were Achieved in Tozuleristide-guided Oral Cavity Tumor Excision

To investigate the accuracy of tozuleristide fluorescent imaging in identifying tumor and achieving negative margins during excision of oral cavity squamous cell carcinoma and high-grade dysplasia.

Time frame:
Surgery performed following tozuleristide injection 1-30 hours prior to surgery
Reported as:
Count of participants · Participants
Number of Participants for Which Negative Margins Were Achieved in Tozuleristide-guided Oral Cavity Tumor Excision
ParticipantsDiagnostic (Tozuleristide, Surgery, NIR Imaging)
Number of Participants for Which Negative Margins Were Achieved in Tozuleristide-guided Oral Cavity Tumor Excision8

Adverse events

Collected over Time from administration of tozuleristide through the first postoperative follow-up visit occurring 7-21 days after study drug administration (End of Study Visit). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Diagnostic (Tozuleristide, Surgery, NIR Imaging)0/8 (0%)2/8 (25%)3/8 (37.5%)
Most frequent serious events
Most frequent serious events
EventDiagnostic (Tozuleristide, Surgery, NIR Imaging)
FatigueGeneral disorders2/8
Acute hypoxemiaRespiratory, thoracic and mediastinal disorders1/8
Aspiration pneumoniaRespiratory, thoracic and mediastinal disorders1/8
Back woundMusculoskeletal and connective tissue disorders1/8
Covid-19 infectionInfections and infestations1/8
IleusGastrointestinal disorders1/8
Pulmonary embolismRespiratory, thoracic and mediastinal disorders1/8
Most frequent other events
Most frequent other events
EventDiagnostic (Tozuleristide, Surgery, NIR Imaging)
ConstipationGastrointestinal disorders1/8
Neck infectionInfections and infestations1/8
SeromaBlood and lymphatic system disorders1/8

Baseline characteristics

Age, Continuous
Age, Continuous(years)Diagnostic (Tozuleristide, Surgery, NIR Imaging)
Median60.5 (31 to 75)
Sex: Female, Male
Sex: Female, Male(Participants)Diagnostic (Tozuleristide, Surgery, NIR Imaging)
Female4
Male4
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Diagnostic (Tozuleristide, Surgery, NIR Imaging)
Subsite
Subsite(Participants)Diagnostic (Tozuleristide, Surgery, NIR Imaging)
Oral tongue5
Floor of mouth1
Retromolar trigone1
Buccal mucosa1
Smoking
Smoking(Participants)Diagnostic (Tozuleristide, Surgery, NIR Imaging)
Current or former smokers6
Never smokers2
08

Study locations

1 site
  • Fred Hutch/University of Washington Cancer Consortium
    Seattle, Washington 98109, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Mar 11, 2025
  • Informed consent form · Mar 11, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05316688
Lead sponsor
University of Washington
Collaborators
Blaze Bioscience Inc.
Responsible party
Emily Marchiano (Assistant Professor, University of Washington) — Principal investigator
First posted
Apr 7, 2022
Start date
Apr 17, 2024
Primary completion
Sep 9, 2025
Completion
Sep 26, 2025
Results posted
Sep 16, 2026
Last update
Sep 16, 2026

Study contacts

Emily Marchiano
principal investigator · Fred Hutch/University of Washington Cancer Consortium

Oversight

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

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