New dye could help surgeons avoid a common, dangerous mistake
NCT ID NCT06101745
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a drug called Nizaracianine Triflutate that makes the ureters (tubes from kidneys to bladder) glow during surgery, so surgeons can see and avoid them. About 336 adults having abdominal or pelvic surgery will receive the drug or a placebo. The goal is to see if the drug is safe and helps prevent accidental ureter injury.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 336 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2024
- Expected to finish
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Aug 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years old * Scheduled to undergo a medically necessary abdominopelvic surgical procedure expected to last ≥ 2 hours (Phase 2) or any duration (Phase 3), during which one or more ureters should be visualized during the procedure. All abdominopelvic surgical procedures are eligible unless specifically excluded in the Exclusion Criteria. * For Phase 2, the procedure must require identification of one or both ureters using dissection, mobilization, or other surgical means. * The planned surgical procedure is open or minimally invasive surgery (MIS), including robotic. * Both ureters are expected to be present and functional. * Capable and willing to provide informed consent prior to study-specific procedures * Screening laboratory test results are within normal limits, or if any are outside of normal limits, they are considered by the site PI, and confirmed by the lead PI, to be clinically insignificant. * Negative pregnancy test in women of childbearing potential Exclusion Criteria: * Known cardiovascular or pulmonary disease, renal or liver dysfunction, immunological disease, diabetes, or active cancer that would render the study subject unfit for surgery * The planned surgical procedure is renal transplant or nephrectomy \[note: partial nephrectomy is permitted provided that estimated glomerular filtration rate (eGFR) is not expected to fall below normal age-based limits\] * Prior renal transplant * Impaired renal function defined as an estimated glomerular filtration rate (eGFR) \< 50 mL/min/1.73m2 * Impaired liver function defined as values \> 1.5 times the upper limit of normal (ULN) for alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), and total bilirubin, or \< lower limit of normal (LLN) for albumin * Coagulopathy as manifested by international normalized ration (INR) \> 1.3 (unless patient is on anti-coagulants) * Subjects with a marked baseline prolongation of QT/ corrected QT interval (QTc) interval (e.g., a QTc interval \> 480 msec \[CTCAE grade 1\] using Fridericia's QT correction factor (14) * History of a clinically significant allergy or anaphylaxis to a component of the investigational medicinal product (IMP) * Known sensitivity to fluorescent light * Alcohol or recreational drug use that meets diagnostic and statistical manual of mental disorders (DSM5) criteria for moderate or severe substance use disorder * Pregnant or breastfeeding, or lack of effective contraception for at least one week post-surgery in male or female subjects with reproductive potential: for males, condom use; for females, oral contraceptives, diaphragm, or intrauterine devices (IUDs) * Any condition that the investigator considers to be potentially jeopardizing to the study subject's well-being or the study's objectives. * Participated in an interventional clinical research study within the previous 30 days. * The planned use of an 800 nm NIR fluorophore that is not Nizaracianine (e.g., indocyanine green or Pafolacianine) immediately before, during, or immediately after the planned abdominopelvic procedure.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
10 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
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Locations
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AdventHealth Orlando
RECRUITINGOrlando, Florida, 32803, United States
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AdventHealth Tampa
RECRUITINGTampa, Florida, 33613, United States
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Board of Trustees of Leland Stanford Junior University
RECRUITINGRedwood City, California, 94063, United States
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Cedars Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
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Erasmus Medical Centre
RECRUITINGRotterdam, 3015 GD Rotterdam, Netherlands
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Isala Zwolle
RECRUITINGZwolle, 8000 GK Zwolle, Netherlands
Contact Email: •••••@•••••
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Leiden University Medical Centre (LUMC)
RECRUITINGLeiden, 2333 ZA Leiden, Netherlands
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Martini Hospital
RECRUITINGGroningen, 9728 NT Groningen, Netherlands
Contact Email: •••••@•••••
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University Medical Center Groningen
RECRUITINGGroningen, 9713 GZ Groningen, Netherlands
Contact Email: •••••@•••••
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University of Massachusetts Chan Medical School
RECRUITINGWorcester, Massachusetts, 01655, United States