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RecruitingNCT07773688Updated Aug 19, 2026

Two-photon Fluorescence Microscopy of Dermatologic Biopsies

An interventional study of Two photon microscopy imaging in Basal Cell Carcinoma of Skin, Squamous Cell Carcinoma and Melanocytic Lesion, Adult, sponsored by University of Rochester. Recruiting at 1 site in United States. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by University of Rochester · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Started Jun 2026; still recruiting 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
644
Allocation
Not applicable
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 171 studies in Carcinoma, Basal Cell with a site in United States — 23 open to participants now, 38 under way, 2 of them phase 3. Carcinoma, Basal Cell · United States.

Planned enrollment
6th of 139
644 · median 40
Started
2026
with 9 others
No phase
37 of 171
6 open now
Primary completion
2028-04
later than 28 of 37 live
Registered
171st of 171
by date

Among the 171 studies in Carcinoma, Basal Cell with a site in United States, this one is the 6th largest by planned enrollment of the 139 interventional ones, is one of 10 that started in 2026, is one of 37 with no phase, reaches primary completion later than 28 of the 37 other live ones, and was the 171st registered.

By phase

171 studies; the count open now beside each. This study's row is marked.

Phase 246 · 6 open
No phasethis study37 · 6 open
Phase 136 · 4 open
Observational27 · 2 open
Phase 1/212 · 3 open
Phase 37 · 1 open
Phase 45 · 1 open
Other kind1 · 0 open

By the year they started

First in 1977; this study’s year is marked. 10 started in 2026.

Size and results

Median enrollment 40 across the 139 interventional studies, 80 across the 26 observational. Of the 119 that completed or were terminated, 48 (40%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 171 studies in Carcinoma, Basal Cell with a site in United States, or all of them as a file.
02

Study summary

The goal of this study is to investigate the ability of two-photon fluorescence microscopy to evaluate dermatologic biopsies. The main questions it aims to answer are:

  • How well do two-photon fluorescence images of biopsies taken in a clinic and evaluated by a pathologist agree with conventional histology?
Read the detailed description

This study will image biopsy specimens using two-photon fluorescence microscopy (TPFM) and then assess how well the images predict the eventual clinical diagnosis using both an expert pathologist and a machine learning model. Because two-photon images can be acquired from small biopsy specimens within minutes of excision, they could potentially be used to immediately diagnose patients, but the accuracy of TPFM for various skin conditions is unknown.

Individual biopsy specimens in a clinic lab will be imaged using TPFM. Following histological processing and patient treatment, resulting histology slides will be scanned for comparison. Images of the histology slides will be read by a pathologist to establish a gold-standard diagnosis and the official diagnosis will be recorded. TPFM images will be evaluated by a pathologist and concordance with the gold-standard determined.

03

Conditions studied

  • Basal Cell Carcinoma of Skin
  • Squamous Cell Carcinoma
  • Melanocytic Lesion, Adult

Keywords

  • two-photon microscopy
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Punch, excisional or shave specimen

Exclusion criteria

Exclusion Criteria:

  • composed of multiple excisions or pieces
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

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

Study arms

  • Experimental
    TPFM imaging of biopsy

    Specimens will be imaged with TPFM

    Device: Two photon microscopy imaging

Interventions

  • DeviceTwo photon microscopy imaging

    Ex vivo tissues will be imaged with two photon microscopy

06

What researchers measure

Primary outcomes

  1. Specificity of TPFM for prediction of the official patient diagnoses

    Specificity is defined as the number of true negative diagnoses divided by the sum of true negative and false positive diagnoses among biopsy specimens for which the pathologist returned a definitive diagnosis. The patient's ultimate clinical diagnosis will serve as the reference standard.

    Time frame: After completion of patient diagnosis (typically 1-2 weeks after procedure)

  2. Sensitivity of TPFM for prediction of the official patient diagnoses

    Sensitivity is defined as the number of true positive diagnoses divided by the sum of true positive and false negative diagnoses among biopsy specimens for which the pathologist returns a definitive diagnosis.

    Time frame: After completion of patient diagnosis (typically 1-2 weeks after procedure)

Secondary outcomes

  1. Sensitivity of Two Photon Fluorescence Microscopy

    Sensitivity of two photon fluorescence microscopy images read by a pathologist blinded to the true diagnosis will be determined. Sensitivity is defined as the number of true positive diagnoses divided by the sum of true positive and false negative diagnoses among biopsy specimens for which there is a definitive diagnosis. A subsequent read of the corresponding conventional histology images after a delay for washout will serve as the ground truth.

    Time frame: After completion of patient diagnosis (typically 1-2 weeks after procedure)

  2. Specificity of two photon fluorescence microscopy

    Specificity of two photon fluorescence microscopy images read by a pathologist blinded to the true diagnosis will be determined. Specificity is defined as the number of true negative diagnoses divided by the sum of true negative and false positive diagnoses among biopsy specimens for which there is a definitive diagnosis. A subsequent read of the corresponding conventional histology images by the same pathologist after a delay for washout will serve as the ground truth.

    Time frame: After completion of patient diagnosis (typically 1-2 weeks after procedure)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Ching-Roa VD, Huang CZ, Ibrahim SF, Smoller BR, Giacomelli MG. Real-time Analysis of Skin Biopsy Specimens With 2-Photon Fluorescence Microscopy. JAMA Dermatol. 2022 Oct 1;158(10):1175-1182. doi: 10.1001/jamadermatol.2022.3628. PubMed 36069886 ↗

Individual participant data

Plan to share: Yes — Deidentified sets of two-photon images and corresponding conventional histology will be made available upon request. Links to full resolution image data will be included in publications.

Supporting information: Study protocol

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2026 (actual). Primary completion is estimated for Apr 2028, 22 months after the start.

Of 50 interventional studies with no phase under Carcinoma, Basal Cell, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 64. This study's planned 22 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 3, 2026
First posted
Aug 19, 2026
StartActual
Jun 1, 2026
Primary completionEst.
Apr 2028
CompletionEst.
Apr 2028
Last update
Aug 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07773688
Collaborators
National Cancer Institute (NCI), Rochester Dermatologic Surgery
Responsible party
Michael Giacomelli (Associate Professor, University of Rochester) — Principal investigator
First posted
Aug 19, 2026
Start date
Jun 1, 2026
Primary completion
Apr 2028 (estimated)
Completion
Apr 2028 (estimated)
Last update
Aug 19, 2026

Study contacts

Michael G Giacomelli, Ph.D
Contact
mgiacome@ur.rochester.edu
5852766260

Oversight

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

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