Indocyanine Green Fluorescence Imaging in Prevention of Colorectal Anastomotic Leakage

NCT ID: NCT03602677

Last Updated: 2023-03-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

1062 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-24

Study Completion Date

2023-12-01

Brief Summary

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This is a randomized, controlled, parallel, multicenter trial to determine the difference in post-operative anastomotic leakages in colorectal surgery, where anastomosis perfusion is evaluated using indocyanine green fluorescence imaging as an addition to standard surgical practice compared to surgical practice alone.

Detailed Description

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Conditions

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Colorectal Cancer Colorectal Neoplasms Gastrointestinal Cancer Gastrointestinal Neoplasms Diverticulosis, Colonic Gastrointestinal Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ICG fluorescence imaging

Colorectal surgery and anastomosis will be performed according to standard practice with the addition of intraoperative indocyanine green fluorescence imaging.

Group Type EXPERIMENTAL

ICG fluorescence imaging

Intervention Type DEVICE

The use of indocyanine green fluorescence imaging as an addition to standard surgical procedure.

Standard procedure

Standard colorectal surgery and anastomosis.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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ICG fluorescence imaging

The use of indocyanine green fluorescence imaging as an addition to standard surgical procedure.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* All consenting patients in the catchment area of participating hospitals who undergo elective colorectal surgery with planned primary anastomosis are eligible for this study.
* Of rectal cancer patients only those with pathology in the proximal third will be included in the study (defined by area proximal from peritoneal fold).

Exclusion Criteria

* Emergent patients
* Patients with proven diverticular abscess and colonic fistulas are excluded
* Patients with planned open surgery are excluded.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Oulu

OTHER

Sponsor Role collaborator

Central Finland Hospital District

OTHER

Sponsor Role collaborator

Tampere University Hospital

OTHER

Sponsor Role collaborator

Turku University Hospital

OTHER_GOV

Sponsor Role collaborator

Hospital District of Helsinki and Uusimaa

OTHER

Sponsor Role collaborator

Päijänne Tavastia Central Hospital

OTHER

Sponsor Role collaborator

Seinäjoki Central Hospital, Seinäjoki, Finland

UNKNOWN

Sponsor Role collaborator

Oulu University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Olli Helminen

MD, PhD, Resident, Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jyrki Kössi, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Päijänne Tavastia Central Hospital

Olli Helminen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Oulu University Hospital, Oulu, Finland and Central Finland Central Hospital, Jyväskylä, Finland

Heikki Huhta, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Oulu University Hospital

Juha Rinne, MD

Role: PRINCIPAL_INVESTIGATOR

Päijänne Tavastia Central Hospital

Matti Kairaluoma, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Central Finland Central Hospital, Jyväskylä, Finland

Tero Rautio, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Oulu University Hospital

Locations

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Central Finland Central Hospital

Jyväskylä, , Finland

Site Status RECRUITING

Päijät Häme Central Hospital

Lahti, , Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Jyrki Kössi, MD, PhD

Role: CONTACT

+358381911

Olli Helminen, MD, PhD

Role: CONTACT

+358142691811

Facility Contacts

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Olli Helminen, MD, PhD

Role: primary

Jyrki Kössi, MD, PhD

Role: primary

References

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Rinne JKA, Huhta H, Pinta T, Turunen A, Mattila A, Tahkola K, Helminen O, Ohtonen P, Rautio T, Kossi J. Indocyanine Green Fluorescence Imaging in Prevention of Colorectal Anastomotic Leakage: A Randomized Clinical Trial. JAMA Surg. 2025 May 1;160(5):486-493. doi: 10.1001/jamasurg.2025.0006.

Reference Type DERIVED
PMID: 40042831 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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ICG-COLORAL

Identifier Type: -

Identifier Source: org_study_id

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