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RecruitingNCT07250854Updated Feb 18, 2026

The Use of Near-Infrared Fluorescence Cholangiography With Indocyanine Green (ICG) in the Work Up of Neonatal Cholestasis

An Early Phase 1 interventional study of Indocyanine Green in Biliary Atresia, Kasai and Cholestasis in Newborn, sponsored by University of Alabama at Birmingham. Recruiting at 1 site in United States. Open to participants aged 2 Weeks to 4 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-18.

Sponsored by University of Alabama at Birmingham · Early Phase 1, Interventional, and Diagnostic

From the registry’s dates

  • Started Jan 2026; still recruiting 9 months later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
2 Weeks to 4 Months
Sex
All
01

Study summary

In infants that present with findings concerning for biliary atresia, along with other cholestatic work up which is standard, they will receive a one-time intravenous (IV) dose of Indocyanine Green (ICG). The infant's diapers will subsequently be examined for presence of the ICG, and if present, suggests bile flow. This was described as 97% accurate for assessing biliary patency and we would like to perform a similar study to assess biliary patency in the work up of neonatal cholestasis.

02

Conditions studied

  • Biliary Atresia
  • Kasai
  • Cholestasis in Newborn
  • Cholestasis in Newborn Infant

Keywords

  • biliary atresia
  • kasai
  • cholestasis
  • cholestasis in neonate
  • cholestasis in newborn
  • direct bilirubin
  • acholic stool
03

In context

Biliary Atresia

77 studies on the registry are indexed under Biliary Atresia; 25 are open to participants now.

This study's planned enrollment of 15 is below the median of 45 across 43 interventional studies indexed under Biliary Atresia.

Browse Biliary Atresia studies →

Lead sponsor

University of Alabama at Birmingham is the lead sponsor of 1,421 studies on the registry; 277 are open to participants now.

Of its 164 completed or terminated interventional studies of FDA-regulated products, 130 (79%) have results posted.

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

04

Who can participate

Ages eligible
2 Weeks to 4 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Infants admitted to the hospital (no matter their age, sex, race/ethnicity) who a hepatologist deems warrants inpatient work up of neonatal cholestasis suspected to be due to biliary atresia.

Exclusion criteria

Exclusion Criteria:

  • Infants that a hepatologist has not deemed to warrant inpatient admission for work up of neonatal cholestasis suspected to be due to biliary atresia.
  • Infants that are managed in the outpatient setting
  • Non-cholestatic infants
  • Patient who are on TPN AND NPO for reasons other than temporary imaging or surgical requirements
  • Infant with a history of bowel resection or other surgical procedures known to introduce blood into the gastrointestinal tract.
05

Study design

Phase
Early Phase 1
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (estimated)

Study arms

  • Experimental
    Cholestatic infants

    infants that are cholestatic needing further work up for biliary atresia

    Drug: Indocyanine Green

Interventions

06

What researchers measure

Primary outcomes

  1. The number and accuracy of ICG fluorescence in the diagnosis of biliary atresia

    Measuring stool fluorescence using near infrared imaging

    Time frame: Within 72 hours

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07250854
Responsible party
Sam Hagman (Fellow, University of Alabama at Birmingham) — Principal investigator
First posted
Nov 26, 2025
Start date
Jan 23, 2026
Primary completion
Mar 2027 (estimated)
Completion
Mar 2027 (estimated)
Last update
Feb 18, 2026

Study contacts

Samuel Hagman, DO, DO
Contact
sehagman@uabmc.edu
2056389801
Laura Stafman, MD
principal investigator · University of Alabama at Birmingham

Oversight

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

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