Clinical trial • Phase III • Oncology|Gastroenterology

INDOCYANINE GREEN for Colorectal cancer

Phase III trial of INDOCYANINE GREEN for Colorectal cancer. Randomised. 1010 participants.

Overview

Trial Therapeutic Area
Oncology|Gastroenterology
Trial Disease
Colorectal cancer
Trial Stage
Phase III
Drug Modality
Diagnostic agent

Key dates

Initial CTIS Submission Date
19-08-2024
First CTIS Authorization Date
10-09-2024

Trial design

Randomised Phase III trial across 34 sites in France.

Randomised
Yes
Target Sample Size
1010
Trial Duration For Participant
90

Eligibility

Recruits 1010 Protected adults (individuals under guardianship by court order) are excluded; participation requires signed informed consent; refusal or inability to provide informed consent excludes participation..

Pregnancy Exclusion
Pregnant patients
Vulnerable Population
Protected adults (individuals under guardianship by court order) are excluded; participation requires signed informed consent; refusal or inability to provide informed consent excludes participation.

Inclusion criteria

  • {"criterion_text":"- Scheduled to undergo elective left colectomy or high rectal resection for cancer with intraperitoneal anastomosis."}
  • {"criterion_text":"- Signed informed consent"}
  • {"criterion_text":"- Affiliated to the French social security system (CMU included)."}
  • {"criterion_text":"- Adult patients (age >18 years)"}

Exclusion criteria

  • {"criterion_text":"- Emergent surgery"}
  • {"criterion_text":"- Inflammatory bowel disease"}
  • {"criterion_text":"- History of known allergy to indocyanine"}
  • {"criterion_text":"- Pregnant patients"}
  • {"criterion_text":"- Refusal to participate or inability to provide informed consent"}
  • {"criterion_text":"- Protected adults (individuals under guardianship by court order)."}
  • {"criterion_text":"- Rectal cancer requiring total mesorectal excision and anastomosis below the peritoneal reflexion"}
  • {"criterion_text":"- Colon cancer requiring total or subtotal colectomy defined as a right colectomy extended to the splenic flexure or more)"}
  • {"criterion_text":"- Colon cancer requiring transverse colectomy"}
  • {"criterion_text":"- Recurrent colorectal cancer"}
  • {"criterion_text":"- Locally advanced colorectal cancer requiring multi-visceral excision"}
  • {"criterion_text":"- History of colectomy"}
  • {"criterion_text":"- Associated concomitant resection of other organ (liver, etc.)"}
  • {"criterion_text":"- Previous pelvic radiotherapy for pathology unrelated to diagnosis with colon cancer e.g. treatment for prostate cancer"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoint is the occurrence of an anastomotic leakage 90-days post-operation. Anastomotic leakage is defined as any anastomotic dehiscence with leakage into the pelvic cavity diagnosed upon imaging or at surgical exploration or any isolated pelvic organ-space infection with no evidence of fistula as defined by the International Study Group of Rectal Cancer","definition_or_measurement_approach":"Occurrence of anastomotic leakage within 90 days post-operation; defined as any anastomotic dehiscence with leakage into the pelvic cavity diagnosed on imaging or at surgical exploration or any isolated pelvic organ-space infection with no evidence of fistula as defined by the International Study Group of Rectal Cancer."}

Secondary endpoints

  • {"endpoint_text":"- Change in planned anastomosis during surgery defined as any decision change upon perfusion assessment such as modifying the initially planned transection level of the descending colon or refashioning anastomosis including the decision to undertake a permanent stoma rather than an anastomosis","definition_or_measurement_approach":"Defined as any intraoperative decision change following perfusion assessment (examples: modifying transection level, refashioning anastomosis, or deciding on permanent stoma instead of anastomosis)."}
  • {"endpoint_text":"- Rate of defunctioning stoma","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Overall 90-day postoperative morbidity, including all complications according to the Clavien-Dindo classification, and occurring within 90 days after surgery","definition_or_measurement_approach":"All complications occurring within 90 days after surgery, classified according to the Clavien-Dindo classification."}
  • {"endpoint_text":"- Postoperative mortality, including all deaths occurring within 90 days after surgery","definition_or_measurement_approach":"All-cause mortality within 90 days after surgery."}
  • {"endpoint_text":"- Duration of hospital stay, calculated from the day of surgery to the day of hospital discharge","definition_or_measurement_approach":"Calculated as number of days from day of surgery to day of hospital discharge."}
  • {"endpoint_text":"- Postoperative reintervention within 90 days","definition_or_measurement_approach":"Any surgical or interventional reoperation/intervention occurring within 90 days post-operation."}
  • {"endpoint_text":"- HRQoL using the QLQ-C30 and QLQ-CR29 at baseline and 90 days post-operation","definition_or_measurement_approach":"Health-related quality of life measured using EORTC QLQ-C30 and QLQ-CR29 instruments at baseline and at 90 days post-operation."}
  • {"endpoint_text":"- Medico-economic interest of IOFA with ICG use","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
1010
Recruitment Window Months
63
Consent Approach
Participation requires signed informed consent (Subject information and informed consent form available as a document). Refusal or inability to provide informed consent excludes the subject. Protected adults under guardianship are excluded. No paediatric/assent processes are indicated.

Geography

Total Number Of Sites
34
Total Number Of Participants
1010

France

Earliest CTIS Part Ii Submission Date
02-09-2024
Latest Decision Or Authorization Date
15-01-2026
Processing Time Days
500
Number Of Sites
34
Number Of Participants
1010

Sites

Site Name
Les Hopitaux Universitaires De Strasbourg
Department Name
Chirurgie digestive
Principal Investigator Name
Benoit ROMAIN
Principal Investigator Email
benoit.romain@chru-strasbourg.fr
Contact Person Name
Benoit ROMAIN
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Chirurgie Digestive et Oncologique
Principal Investigator Name
Gilles MANCEAU
Principal Investigator Email
gilles.manceau@aphp.fr
Contact Person Name
Gilles MANCEAU
Contact Person Email
gilles.manceau@aphp.fr
Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
chirurgie digestive
Principal Investigator Name
Etienne BUSCAIL
Principal Investigator Email
ebuscail@me.com
Contact Person Name
Etienne BUSCAIL
Contact Person Email
ebuscail@me.com
Site Name
CHU Besancon
Department Name
Chirurgie digestive
Principal Investigator Name
Zaher LAKKIS
Principal Investigator Email
zlakkis@chu-besancon.fr
Contact Person Name
Zaher LAKKIS
Contact Person Email
zlakkis@chu-besancon.fr
Site Name
Institut Gustave Roussy
Department Name
chirurgie viscérale
Principal Investigator Name
Léonor Benhaim
Principal Investigator Email
leonor.benhaim@gustaveroussy.fr
Contact Person Name
Léonor Benhaim
Site Name
Centre Hospitalier Universitaire Grenoble Alpes
Department Name
Chirurgie digestive
Principal Investigator Name
Bertrand TRILLING
Principal Investigator Email
BTrilling@chu-grenoble.fr
Contact Person Name
Bertrand TRILLING
Contact Person Email
BTrilling@chu-grenoble.fr
Site Name
Centre Hospitalier Universitaire De Dijon
Department Name
Chirurgie générale et digestive
Principal Investigator Name
Nathan MORENO-LOPEZ
Principal Investigator Email
nathan.moreno-lopez@chu-dijon.fr
Contact Person Name
Nathan MORENO-LOPEZ
Site Name
Centre Hospitalier Annecy Genevois
Department Name
Chirurgie digestive
Principal Investigator Name
Olivier OULIE
Principal Investigator Email
ooulie@ch-annecygenevois.fr
Contact Person Name
Olivier OULIE
Contact Person Email
ooulie@ch-annecygenevois.fr
Site Name
Centre Hospitalier William Morey
Department Name
Chirurgie digestive et oncologique
Principal Investigator Name
Jeanne CAILLOT
Principal Investigator Email
jeanne.caillot@ch-chalon71.fr
Contact Person Name
Jeanne CAILLOT
Contact Person Email
jeanne.caillot@ch-chalon71.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
chirurgie digestive
Principal Investigator Name
Stéphane BENOIST
Principal Investigator Email
stephane.benoist@aphp.fr
Contact Person Name
Stéphane BENOIST
Contact Person Email
stephane.benoist@aphp.fr
Site Name
Centre Hospitalier Regional De Marseille
Department Name
Chirurgie digestive
Principal Investigator Name
Diane MEGE
Principal Investigator Email
diane.mege@ap-hm.fr
Contact Person Name
Diane MEGE
Contact Person Email
diane.mege@ap-hm.fr
Site Name
Centre Hospitalier Regional De Marseille
Department Name
Chirurgie Viscérale et Digestive
Principal Investigator Name
Laura BEYER-BERJOT
Principal Investigator Email
laura.beyer@ap-hm.fr
Contact Person Name
Laura BEYER-BERJOT
Contact Person Email
laura.beyer@ap-hm.fr
Site Name
Centre Hospitalier Regional Universitaire De Tours
Department Name
chirurgie digestive
Principal Investigator Name
Mehdi OUAÏSSI
Principal Investigator Email
m.ouaissi@chu-tours.fr
Contact Person Name
Mehdi OUAÏSSI
Contact Person Email
m.ouaissi@chu-tours.fr
Site Name
Clinique Tivoli Ducos
Department Name
Chirurgie Digestive
Principal Investigator Name
Quentin DENOST
Principal Investigator Email
q.denost@bordeaux-colorectal-institute.fr
Contact Person Name
Quentin DENOST
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
Chirurgie digestive
Principal Investigator Name
Guillaume PIESSEN
Principal Investigator Email
guillaume.piessen@chru-lille.fr
Contact Person Name
Guillaume PIESSEN
Site Name
Centre Hospitalier Universitaire De Rennes
Department Name
Chirurgie digestive
Principal Investigator Name
Véronique DESFOURNEAUX
Principal Investigator Email
veronique.desfourneaux@chu-rennes.fr
Contact Person Name
Véronique DESFOURNEAUX
Site Name
Hopital Europeen Marseille
Department Name
Chirurgie digestive
Principal Investigator Name
Régis FARA
Principal Investigator Email
r.fara@hopital-europeen.fr
Contact Person Name
Régis FARA
Contact Person Email
r.fara@hopital-europeen.fr
Site Name
Centr Georges Francois Leclerc
Department Name
chirurgie idgestive
Principal Investigator Name
David ORRY
Principal Investigator Email
dorry@cgfl.fr
Contact Person Name
David ORRY
Contact Person Email
dorry@cgfl.fr
Site Name
Centre Hospitalier Universitaire Rouen
Department Name
Chirurgie viscérale et digestive
Principal Investigator Name
Jean-Jacques TUECH
Principal Investigator Email
jean-jacques.tuech@chu-rouen.fr
Contact Person Name
Jean-Jacques TUECH
Site Name
Hospices Civils De Lyon
Department Name
Chirurgie digestive
Principal Investigator Name
Eddy COTTE
Principal Investigator Email
eddy.cotte@chu-lyon.fr
Contact Person Name
Eddy COTTE
Contact Person Email
eddy.cotte@chu-lyon.fr
Site Name
Centre Oscar Lambret
Department Name
Chirurgie digestive
Principal Investigator Name
Mehrdad JAFARI
Principal Investigator Email
m-jafari@o-lambret.fr
Contact Person Name
Mehrdad JAFARI
Contact Person Email
m-jafari@o-lambret.fr
Site Name
Centre Hospitalier Universitaire Reims
Department Name
chirurgie digestive
Principal Investigator Name
Koceila Amine AMROUN
Principal Investigator Email
lamroun@chu-reims.fr
Contact Person Name
Koceila Amine AMROUN
Contact Person Email
lamroun@chu-reims.fr
Site Name
Institut De Cancerologie De Lorraine
Department Name
chirurgie digestive
Principal Investigator Name
Cécilia Ceribelli
Principal Investigator Email
c.ceribelli@nancy-unicancer.fr
Contact Person Name
Cécilia Ceribelli
Contact Person Email
c.ceribelli@nancy-unicancer.fr
Site Name
Institut Paoli Calmettes
Department Name
Chirurgie digestive
Principal Investigator Name
Cécile DE CHAISEMARTIN
Principal Investigator Email
dechaisemartinc@ipc.unicancer.fr
Contact Person Name
Cécile DE CHAISEMARTIN
Site Name
Assistance Publique Hopitaux De Paris
Department Name
chirurgie digestive
Principal Investigator Name
Jérémie LEFEVRE
Principal Investigator Email
mahaut.leconte@cch.aphp.fr
Contact Person Name
Jérémie LEFEVRE
Contact Person Email
mahaut.leconte@cch.aphp.fr
Site Name
Centre Hospitalier Universitaire Amiens Picardie
Department Name
Chirurgie digstive
Principal Investigator Name
Jean-Marc REGIMBEAU
Principal Investigator Email
regimbeau.jean-marc@chu-amiens.fr
Contact Person Name
Jean-Marc REGIMBEAU
Site Name
Sante Atlantique
Department Name
chirurgie digestive
Principal Investigator Name
Antoine SINA
Principal Investigator Email
antoine.sina@elsan.care
Contact Person Name
Antoine SINA
Contact Person Email
antoine.sina@elsan.care
Site Name
Clinique De La Sauvegarde
Department Name
Chirurgie digestive
Principal Investigator Name
Benoît GIGNOUX
Principal Investigator Email
gignoux@chirurgien-digestif.com
Contact Person Name
Benoît GIGNOUX
Site Name
Assistance Publique Hopitaux De Paris
Department Name
chirurgie digestive
Principal Investigator Name
Gilles MANCEAU
Principal Investigator Email
gilles.manceau@aphp.fr
Contact Person Name
Gilles MANCEAU
Contact Person Email
gilles.manceau@aphp.fr
Site Name
Hopital Saint Joseph
Department Name
chirurgie digestive
Principal Investigator Name
Caroline ROSSI
Principal Investigator Email
carossi@hopital-saint-joseph.fr
Contact Person Name
Caroline ROSSI
Site Name
Hopital NOVO
Department Name
chirurgie digestive
Principal Investigator Name
Nelson TRELLES
Principal Investigator Email
nelson.trelles@ght-novo.fr
Contact Person Name
Nelson TRELLES
Contact Person Email
nelson.trelles@ght-novo.fr
Site Name
GIE Groupe hospitalier Paris Saint-Joseph/Vinci
Department Name
chirurgie digestive
Principal Investigator Name
Jérôme LORIAU
Principal Investigator Email
jloriau@ghpsj.fr
Contact Person Name
Jérôme LORIAU
Contact Person Email
jloriau@ghpsj.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Chirurgie digestive
Principal Investigator Name
Mahaut LECONTE
Principal Investigator Email
mahaut.leconte@cch.aphp.fr
Contact Person Name
Mahaut LECONTE
Contact Person Email
mahaut.leconte@cch.aphp.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Chirurgie Digestive Oncologique
Principal Investigator Name
Léon MAGGIORI
Principal Investigator Email
leon.maggiori@aphp.fr
Contact Person Name
Léon MAGGIORI
Contact Person Email
leon.maggiori@aphp.fr

Sponsor

Primary sponsor

Full Name
Centre Hospitalier Regional Universitaire
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Investigational products

Investigational Product Name
INFRACYANINE 25 mg/10 mL, poudre et solvant pour solution injectable
Active Substance
INDOCYANINE GREEN
Modality
Diagnostic agent
Routes Of Administration
INTRAVENOUS BOLUS USE
Route
Intravenous bolus
Authorisation Status
Marketing authorisation: 34009 360 841 7 9 (France)
Starting Dose
0.2 mg/kg
Maximum Dose
0.2 mg/kg

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