Using low doses of Indocyanine Green in children during surgery
Official title: Investigating Micro-dosing of Indocyanine Green (ICG) for Intraoperative Perfusion Assessment in Children.
Run by Great Ormond Street Hospital for Children NHS Foundation Trust · NCT06421103 · Data updated 2026-11-12
This study is testing the lowest safe dose of a dye called Indocyanine Green to see if it can help doctors check blood flow during surgery in children.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | Any age to 18 Years |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Great Ormond Street Hospital for Children NHS Foundation Trust Academic / other |
| Locations | 1 site (London) |
| Status | Recruiting |
| Started | June 2024 |
| Main results expected | August 2028 |
| Study ends | August 2028 |
| Registry record updated | May 20, 2024 |
| Trial ID | NCT06421103 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are children aged 0 to 18 years who are undergoing elective surgery involving gastrointestinal or genitourinary tract perfusion assessment.
✕Probably not a fit
Patients with renal or liver dysfunction, active infections, or certain other medical conditions may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This cohort study aims to determine the lowest effective dose of Indocyanine Green (ICG) for assessing gastrointestinal and genitourinary tract perfusion in children during surgery. It will involve a single center, open-label, dose escalation approach to identify the minimal clinically useful dose while also evaluating the safety profile of ICG in pediatric patients. The study will characterize the intra-operative fluorescence of ICG to improve surgical outcomes in children undergoing elective procedures.
Why it matters
Potential benefit: If successful, this study could enhance surgical outcomes for children by optimizing the use of ICG in fluorescence-guided surgery.
How similar studies have gone: Previous studies in adults have shown that ICG can improve surgical outcomes, but this specific approach in children is novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Children aged ≤18 years of age * Elective surgery including gastrointestinal or genitourinary tract perfusion assessment Exclusion Criteria: * Renal and liver dysfunction * Active infection * Coagulopathy * Complex congenital heart defect * Previous documented allergy to ICG injection or other iodinated contrast agents * Patients suffering from hyperthyroidism or autonomic thyroid adenomas * Premature infants or neonates in whom exchange transfusion is indicated, due to the hyperbilirubinaemia risk * Concurrent use of sodium bisulphite-containing preparations, such as certain heparin preparations
Where it's running
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Great Ormond Street Hospital for Children
London, United Kingdom Recruiting
Study contacts
- Principal investigator: Stefano Giuliani — Great Ormond Street Hospital
- Study coordinator: Stefano Giuliani
- Email: stefano.giuliani@gosh.nhs.uk
- Phone: 02074059200
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.