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CompletedNCT06714292FLARECLIPUpdated Aug 5, 2026

Fluorescent Approach for Refined Endoscopic Marking With Clip Localization and Identification Procedure

A Phase 2 interventional study of Endoscopic Clipping and ICG injection in Colon Cancer, sponsored by Seoul National University Hospital. Completed at 3 sites in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-08-05.

Sponsored by Seoul National University Hospital · Phase 2, Interventional, and Other

Phase
Phase 2
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

  • Title of the Study Testing a Fluorescent Surgical Marker Clip for Tumor Localization in Minimally Invasive Colorectal Surgery
  • Purpose of the Study This study aims to determine if a fluorescent surgical marker clip can accurately and safely localize tumor locations in the colon during minimally invasive colorectal surgery. The study will compare the effectiveness of this clip to the current method using a dye called Indocyanine Green (ICG).

The main questions the investigators aim to address are:

Can the clip safely and effectively localize tumor sites compared to ICG dye? What side effects or medical issues might arise with the use of the clip?

-Study Design Assignment

Participants will be randomly assigned to one of two groups:

The clip group: A fluorescent clip will be placed near the tumor. The dye group: ICG dye will be injected near the tumor.

Procedures Participants will undergo a colonoscopy to mark the tumor location before surgery using either the fluorescent clip or ICG dye.

  • Follow-Up Participants will attend follow-up visits after surgery to monitor for any side effects or complications.
  • Eligibility Inclusion Criteria

Participants may qualify if:

They are 19 years or older. They are scheduled for minimally invasive colorectal surgery for a tumor or suspected tumor.

Exclusion Criteria

Participants cannot enroll if:

They have certain medical conditions, such as blood clotting disorders or allergies to metals or iodine.

They are pregnant or breastfeeding.

-Participant Role By participating, individuals will contribute to advancing research aimed at improving methods for tumor localization during surgery, potentially leading to enhanced surgical outcomes in the future.

For questions or concerns, participants are encouraged to contact the investigators or the research team.

02

Conditions studied

  • Colon Cancer

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Keywords

  • tattooing
  • localization
  • colon cancer
03

In context

Colonic Neoplasms

1,432 studies on the registry are indexed under Colonic Neoplasms; 357 are open to participants now.

This study's enrollment of 110 is above the median of 90 across 1,034 interventional studies indexed under Colonic Neoplasms.

Browse Colonic Neoplasms studies →

Lead sponsor

Seoul National University Hospital is the lead sponsor of 1,860 studies on the registry; 275 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 2 (17%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Aged 19years or more
  • With colonic neoplasm planning minimally invasive surgery
  • Need localization of lesion before surgery

Exclusion criteria

Exclusion Criteria:

  • Planned total proctocolectomy
  • Contraindication of colonoscopy
  • On pregnancy or breast-feeding
05

Study design

Phase
Phase 2
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
110 participants (actual)

Study arms

  • Experimental
    Clip group

    Patients who are underwent localization of colon lesion with fluorescent clip

    Procedure: Endoscopic Clipping

  • Active comparator
    ICG group

    Patients who are underwent localization of colon lesion with ICG(indocyanine green) through tattooing method

    Procedure: ICG injection

Interventions

  • ProcedureEndoscopic Clipping

    localization of colon lesion with fluorescent clip

  • ProcedureICG injection

    localization of colon lesion with ICG(indocyanine green) through endoscopic tattooing

    Also known as: ICG tattooing

06

What researchers measure

Primary outcomes

  1. Success rate of localization

    Accuracy of Identifying the Exact Tumor Location Experimental Group: Considered successful when the tumor can be observed through the applied clips using fluorescence imaging. Control Group: Considered successful when the ICG-tattooed tumor can be observed.

    Time frame: In operation

Secondary outcomes

  1. Reconfirmation Rate via Intraoperative Colonoscopy (%)

    The proportion of cases where intraoperative colonoscopy was performed.

    Time frame: In operation

  2. Total Operation Time (minutes)

    The time from skin incision to skin closure.

    Time frame: From start of operation to end of operation.

  3. Time Required for Endoscopic Marking Procedure (minutes)

    The time from identifying the tumor to completing the attachment of all required clips for marking the tumor or completing the injection of ICG.

    Time frame: From identifying of tumor in colonoscopy to completing the clipping or injection of ICG

  4. Longitudinal Length of ICG Spread in the Control Group (mm)

    In ICG group, measure the length of tattooed area using a disposable paper ruler on the serosa side of colon.

    Time frame: After resection of colon, in operation

07

Study locations

3 sites
  • National Cancer Center
    Goyang-si, Gyeonggi-do 10408, South Korea
  • Seoul National University Hospital
    Seoul, 03080, South Korea
  • Seoul Boramae Medical Center
    Seoul, 07061, South Korea
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06714292
Lead sponsor
Seoul National University Hospital
Responsible party
Sponsor
First posted
Dec 3, 2024
Start date
Dec 10, 2024
Primary completion
Oct 23, 2025
Completion
Nov 19, 2025
Last update
Aug 5, 2026

Study contacts

Ji Won Park, M.D.
principal investigator · Seoul National University Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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