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RecruitingNCT07825597Updated Nov 9, 2026

Indocyanine Green With Near Infrared Imaging for Intraoperative Visualization of Head and Neck Squamous Cell Carcinoma

A Phase 2 interventional study of Indocyanine green and Near-infrared fluorescence imaging in Head and Neck Squamous Cell Carcinoma, sponsored by Washington University School of Medicine. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Washington University School of Medicine · Phase 2, Interventional, and Diagnostic

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Nov 9, 2026Now RecruitingEligibility revised+5 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study will examine how closely first-window indocyanine green (ICG) fluorescence corresponds to the extent of head and neck squamous cell carcinoma identified by tissue biopsy. ICG is a fluorescent dye given into a vein during surgery. Patients receive ICG as part of their clinical care, independently of whether they participate in this study. The study plans to enroll 25 adults undergoing surgery for confirmed or strongly suspected cancer. Researchers will record near-infrared images obtained during clinical ICG use, compare them with tissue pathology, and measure the strength, timing, and duration of fluorescence. The research analysis will not guide clinical or surgical decisions. Participants will be followed through 24 hours after surgery.

Read the detailed description

This single-center, prospective study evaluates the relationship between first-window ICG fluorescence and the biopsy-defined extent of head and neck squamous cell carcinoma during surgical resection. The decision to use intraoperative ICG is made as part of clinical care independently of study enrollment. Research activities consist of recording fluorescence imaging data and correlating those data with standard-of-care histopathology. First-window imaging captures fluorescence during initial dye perfusion after intraoperative administration.

After tumor exposure and standard white-light inspection, the ICG regimen described for observation consists of a 2 mg intravenous bolus followed by a saline flush. Completion of the flush defines T0. Continuous near-infrared video is recorded from T0 through 3 minutes after T0 using an ICG-compatible imaging system. The described regimen includes three boluses totaling 6 mg ICG; actual doses and administration times are documented. Clinical dosing decisions remain with the treating team independently of study participation. Further dosing may be held for hypersensitivity or hemodynamic instability, and imaging may be stopped if it interferes with surgical workflow.

Biopsies are obtained according to standard clinical practice, and their locations relative to fluorescence are documented. The research correlation of fluorescence with histopathology does not direct clinical or surgical decisions. Fluorescence measurements are compared with histopathology to estimate tumor-to-background ratio, sensitivity, specificity, time to fluorescence onset, time to peak contrast, and dose-dependent fluorescence dynamics. De-identified imaging data will be analyzed by the University of Alabama at Birmingham Department of Otolaryngology.

Participants are followed through 24 hours after surgery. Adverse events considered at least possibly related to ICG are collected from the first dose through 24 hours after surgery.

02

Conditions studied

  • Head and Neck Squamous Cell Carcinoma

Keywords

  • Indocyanine green
  • ICG
  • First-window imaging
  • Near-infrared fluorescence imaging
  • Tumor-to-background ratio
  • Intraoperative imaging
03

In context

Squamous Cell Carcinoma of Head and Neck

2,018 studies on the registry are indexed under Squamous Cell Carcinoma of Head and Neck; 573 are open to participants now.

This study's planned enrollment of 25 is below the median of 48 across 1,653 interventional studies indexed under Squamous Cell Carcinoma of Head and Neck.

Browse Squamous Cell Carcinoma of Head and Neck studies →

Lead sponsor

Washington University School of Medicine is the lead sponsor of 1,803 studies on the registry; 271 are open to participants now.

Of its 329 completed or terminated interventional studies of FDA-regulated products, 216 (66%) 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

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

  • or cytologically confirmed, or strong clinical suspicion contingent on standard of care pre-operative assessment, of head and neck squamous cell carcinoma (HNSCC), preparing to undergo surgical resection.
  • At least 18 years of age.
  • The effects of ICG on the developing human fetus are unknown. For this reason, women of and men must agree to use adequate prior to surgery and for 1 week after surgery. Should a woman become pregnant or suspect she is pregnant during this time or should a man suspect he has fathered a child, s/he must inform her treating physician immediately.
  • Ability to understand and willingness to sign an IRB approved written document.

Exclusion criteria

Exclusion Criteria:

  • A history of allergic reactions attributed to compounds of similar chemical or biologic composition to ICG, sodium iodide, or other agents used in the study.
  • Thyroid radioactive uptake study within 1 week of ICG administration.
  • Pregnant and/or breastfeeding. Women of must have a negative serum or urine pregnancy test within 1 day of surgery.
Terms in these criteria, in plain language(4)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 2
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (estimated)

Study arms

  • Experimental
    Head and neck surgical resection cohort

    Patients receive up to three doses of ICG IV during SOC surgery and undergo continuous near infrared imaging from first dose of ICG to 3 minutes following the last dose in the absence of unacceptable toxicity.

    Drug: Indocyanine green · Procedure: Near-infrared fluorescence imaging

Interventions

  • Clinical exposure of interest: intraoperative ICG. The regimen described for observation is three 2 mg IV boluses, each followed by a saline flush, totaling 6 mg. Actual doses and times are recorded; clinical dosing is determined independently of study participation.

    Also known as: ICG

  • ProcedureNear-infrared fluorescence imaging

    Continuous video from completion of the saline flush (T0) through 3 minutes after each bolus, using an FDA-cleared ICG-compatible NIR imaging system.

06

What researchers measure

Primary outcomes

  1. Tumor-to-background ratio (TBR)

    TBR is calculated as the mean fluorescence intensity (MFI) within a region of interest (ROI) drawn over pathology-confirmed tumor tissue divided by the MFI within an ROI drawn over adjacent clinically normal tissue, as measured on intraoperative near-infrared fluorescence imaging. The mean TBR with 95% confidence intervals will be reported.

    Time frame: During surgery, from completion of each post-ICG saline flush through 3 minutes after the flush, for three planned boluses (1 day)

Secondary outcomes

  1. Sensitivity of Indocyanine Green (ICG) fluorescence for tumor detection

    Defined as the proportion of histopathologically confirmed tumor regions correctly identified as fluorescent. A standardized fluorescence ratio (SFR) threshold, determined by receiver operating characteristic (ROC) analysis using the maximum Youden's J index, will be used to classify tissue as fluorescent-positive or fluorescent-negative.

    Time frame: During surgery, from completion of each post-ICG saline flush through 3 minutes after the flush, for three planned boluses (1 day)

  2. Specificity of Indocyanine Green (ICG) fluorescence for tumor detection

    Defined as the proportion of histopathologically confirmed normal tissue regions correctly identified as non-fluorescent. A standardized fluorescence ratio (SFR) threshold, determined by receiver operating characteristic (ROC) analysis using the maximum Youden's J index, will be used to classify tissue as fluorescent-positive or fluorescent-negative.

    Time frame: During surgery, from completion of each post-ICG saline flush through 3 minutes after the flush, for three planned boluses (1 day)

  3. Time to first detectable tumor fluorescence

    Time in seconds from completion of the saline flush after intravenous ICG administration (T0) to the first visible tumor fluorescence above background on serial intraoperative NIR imaging.

    Time frame: During surgery, from completion of each post-ICG saline flush through 3 minutes after the flush, for three planned boluses (1 day)

  4. Time to peak tumor-to-background ratio

    Time in seconds from completion of the saline flush after intravenous ICG administration (T0) to the first visible tumor fluorescence above background on serial intraoperative NIR imaging.

    Time frame: During surgery, from completion of each post-ICG saline flush through 3 minutes after the flush, for three planned boluses (1 day

  5. Association between ICG dose and tumor-to-background ratio

    Association between administered ICG dose, expressed in mg/kg after adjustment for body weight, and tumor-to-background ratio (TBR), evaluated using Pearson or Spearman correlation. TBR is the mean fluorescence intensity in pathology-confirmed tumor divided by that in adjacent clinically normal tissue.

    Time frame: During surgery, from completion of each post-ICG saline flush through 3 minutes after the flush, for three planned boluses (1 day)

  6. Association between ICG dose and fluorescence washout kinetics

    Relationship between administered ICG dose and the decline in tumor-to-background ratio over time, characterized by fitting exponential decay models to serial TBR measurements.

    Time frame: During surgery, from completion of each post-ICG saline flush through 3 minutes after the flush, for three planned boluses (1 day)

07

Study locations

1 of 1 sites recruiting
08

References and documents

09

Updates

2 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 9, 2026
Sites
Washington University School of Medicine is now Recruiting
Oct 9, 2026
Start date
Oct 31, 2026→Sep 30, 2026 (actual)
Oct 9, 2026
Primary completion
Apr 30, 2028→Mar 31, 2028
Oct 9, 2026
Study completion
Apr 30, 2028→Mar 31, 2028
Oct 9, 2026
Eligibility
Revised
Nov 9, 2026
Design
Study type Observational→Interventional
Nov 9, 2026
Show all 2 updates
  1. Nov 9, 2026
    Eligibility Revised
    Design Study type Observational→Interventional
    + 4 other changes: verification date, oversight details, description and arm descriptions
  2. Oct 9, 2026
    Not yet recruiting→Recruiting
    Washington University School of Medicine is now Recruiting
    Start date Oct 31, 2026→Sep 30, 2026 (now actual)
    Primary completion Apr 30, 2028→Mar 31, 2028
    Study completion Apr 30, 2028→Mar 31, 2028
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07825597
Responsible party
Sponsor
First posted
Sep 17, 2026
Start date
Sep 30, 2026
Primary completion
Mar 31, 2028 (estimated)
Completion
Mar 31, 2028 (estimated)
Last update
Nov 9, 2026

Study contacts

Bharat Panuganti, MD, FACS
Contact
bharatp@wustl.edu
314-362-7522
Bharat Panuganti, MD, FACS
principal investigator · Washington University School of Medicine

Oversight

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

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