Using advanced imaging during surgery for ovarian cancer

ARIA II: A Phase III Randomized Controlled Trial of Near-Infrared Angiography During Rectosigmoid Resection and Anastomosis in Women With Ovarian Cancer

Phase 3 Interventional Memorial Sloan Kettering Cancer Center · NCT04878094

This study is testing if a special imaging system can help surgeons during ovarian cancer surgery to spot and fix problems with blood flow in the bowel, potentially reducing complications for women undergoing the procedure.

Quick facts

PhasePhase 3
Study typeInterventional
Enrollment310 (estimated)
SexFemale
SponsorMemorial Sloan Kettering Cancer Center Academic / other
Locations9 sites (Basking Ridge, New Jersey and 8 other locations)
Trial IDNCT04878094 on ClinicalTrials.gov

What this trial studies

This study investigates the effectiveness of the PINPOINT imaging system during surgery for women with ovarian cancer. It aims to determine if this technology can reduce complications, such as anastomotic leaks, by providing real-time evaluation of blood flow in the bowel. Participants will receive an intravenous injection of a fluorescent dye, allowing surgeons to identify and address potential issues during the procedure. The study focuses on women scheduled for debulking or cytoreductive surgery who may require rectosigmoid resection.

Who should consider this trial

Good fit: Ideal candidates are women aged 18 or older with primary or recurrent ovarian, fallopian tube, or primary peritoneal cancer scheduled for specific surgical procedures.

Not a fit: Patients who have a documented allergy to the imaging dye or those requiring a permanent colostomy may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could lead to fewer surgical complications and improved outcomes for patients undergoing surgery for ovarian cancer.

How similar studies have performed: Other studies using intra-operative imaging technologies have shown promise in reducing surgical complications, suggesting potential success for this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Participant Inclusion Criteria

Part 1 (pre-operative):

* 18 years or older
* Diagnosed with primary or recurrent ovarian, fallopian tube, or primary peritoneal cancer
* Scheduled to undergo debulking or cytoreductive surgery
* Suspected need for a low anterior rectosigmoid resection at the time of a debulking procedure
* Enrolled and consented before the operation

Part 2 (intra-operative):

* Completed rectosigmoid resection
* Surgeon plans to perform colorectal anastomosis

Participant Exclusion Criteria

Part 1 (pre-operative):

* Documented history of allergic reaction to ICG
* Not approached for study enrollment before undergoing an unexpected low anterior rectosigmoid resection

Part 2 (intra-operative):

* Did not undergo rectosigmoid resection intraoperatively
* Surgical procedure with rectosigmoid resection for any other type of gynecologic malignancy
* Patient requires permanent colostomy

Where this trial is running

Basking Ridge, New Jersey and 8 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Ovarian CancerOvarian CarcinomaOvarian cancerPINPOINTrectosigmoid resectionanastomosis21-202Memorial Sloan Kettering Cancer Center
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.