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

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

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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%