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Indigotindisulfonate Sodium Injection, USP as an Aid in the Determination of Ureteral Patency

P

Provepharm

Status and phase

Enrolling
Phase 4

Conditions

Ureter Injury

Treatments

Other: Saline injection 0.9%
Drug: Indigotindisulfonate sodium 0.8%

Study type

Interventional

Funder types

Industry

Identifiers

NCT06054880
PVP-22IC04

Details and patient eligibility

About

This is a randomized, multicenter study to evaluate the efficacy and safety of two dose levels (2.5 mL and 5.0 mL) of Bludigo™ (indigotindisulfonate Sodium Injection, USP) 0.8% when used as an aid in the determination of ureteral patency.

Subjects scheduled for a surgical procedure in which the patency of the ureter must be assessed by cystoscopy following the procedure, age 18 to 85 years inclusive, will be screened for participation. Screening will occur within 30 days before study drug administration (Day of Surgery). After signing the informed consent, review of inclusion and exclusion criteria will be performed, the collection of concomitant medications, medical history, physical examination, baseline laboratory testing, 12-lead ECG, and vital sign measurements will be completed during the screening visit.

On the day of surgery (Day 1) subjects will be evaluated for eligibility for randomization. Eligible subjects will be stratified by BMI (<30.0 kg/m2or ≥ 30.0 kg/m2) and randomized in a 1:1 ratio to receive a dose of either Bludigo™ high dose (5.0 mL) or Bludigo™ low dose (2.5 mL). Each randomized subject will serve as his/her own control (i.e., intra-patient controlled) by receiving a dose of normal saline prior to receiving the randomized Bludigo™ dose.

All treated subjects will have a follow-up visit 7 to 30 days (± 2 days) after the procedure. A final telephone follow-up call will occur on Day 30 (± 2 days) in subjects who have the follow-up visit before Day 28. Safety assessments will include monitoring of AEs during and post the procedure, clinical laboratory tests, 12-Lead ECG, and vital sign measurements.

Enrollment

116 estimated patients

Sex

All

Ages

18 to 85 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Subjects between ≥ 18 and ≤ 85 years old
  • Subjects who signed a written IRB approved, informed consent form
  • Subjects scheduled for a surgical procedure in which the patency of the ureter must be assessed by cystoscopy following the procedure

Exclusion criteria

  • Subjects with stage 4 or 5 Chronic Kidney Failure as evidenced by a GFR <30 mL/min (calculated using the MDRD formula and standardized by using individual's body surface area) or need for dialysis in the near future, or having only 1 kidney
  • Subjects with known severe hypersensitivity reactions to Bludigo™ or other dyes, including contrast dyes
  • Known history of drug or alcohol abuse within 6 months prior to the time of screening visit
  • Subjects, as assessed by the Investigator, with conditions/concomitant diseases precluding their safe participation in this study (e.g. major systemic diseases)
  • Unable to meet specific protocol requirements (e.g., scheduled visits) or subject is uncooperative or has a condition that could lead to non-compliance with the study procedures
  • Subject is the Investigator or any Sub-Investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol
  • Subjects with life expectancy < 6 months
  • Requirement for concomitant treatment that could bias primary evaluation.
  • Subjects who are pregnant or breast-feeding

Trial design

Primary purpose

Diagnostic

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

Quadruple Blind

116 participants in 3 patient groups, including a placebo group

Saline
Placebo Comparator group
Description:
116 subjects treated with 5 ml of saline then crossover to treatment arm
Treatment:
Other: Saline injection 0.9%
High Dose
Experimental group
Description:
58 subjects randomly treated with 5 mL of drug
Treatment:
Drug: Indigotindisulfonate sodium 0.8%
Other: Saline injection 0.9%
Low Dose
Experimental group
Description:
58 subjects randomly treated with 2.5 mL of drug
Treatment:
Drug: Indigotindisulfonate sodium 0.8%
Other: Saline injection 0.9%

Trial contacts and locations

1

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Central trial contact

Michelle Boytim, P.hD.

Data sourced from clinicaltrials.gov

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