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Last Updated: April 14, 2025

CLINICAL TRIALS PROFILE FOR INDOCYANINE GREEN


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505(b)(2) Clinical Trials for INDOCYANINE GREEN

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial TypeTrial IDTitleStatusSponsorPhaseStart DateSummary
New Formulation NCT00071227 ↗ Eye Injections of Triamcinolone Acetonide for Retinal Blood Vessel Disorders Completed National Eye Institute (NEI) Phase 1 2003-10-15 This study will evaluate the safety and effectiveness of a new formulation of triamcinolone acetonide for the treatment of retinal blood vessel disorders. Triamcinolone is a steroid drug that decreases inflammation and scarring and is routinely used to treat eye inflammation or swelling. The commercially available form of this drug is associated with potentially harmful side effects thought to be due to preservatives in the preparation. This study will use a formulation that does not contain these potentially harmful preservatives. Preliminary findings from other studies suggest that injection of steroids in the eye can reduce retinal thickening and improve vision. However, they may also cause mild discomfort and lead to vision-threatening conditions. The effects of the drug on the conditions under study in this protocol are not known. Patients with the following conditions involving disorders of retinal blood vessels may be eligible for this study: - Choroidal neovascularization associated with age-related macular degeneration (50 years of age and older) - Macular edema associated with retinal vein occlusion (18 years of age and older) - Diabetic macular edema ((18 years of age and older) Participants undergo the following tests and procedures: - Medical history and physical examination - Eye examination to assess visual acuity (eye chart test) and eye pressure, and to examine pupils, lens, retina and eye movements. The pupils will be dilated with drops for this examination. - Fluorescein angiography to evaluate the eye's blood vessels. A yellow dye is injected into an arm vein and travels to the blood vessels in the eyes. Pictures of the retina are taken using a camera that flashes a blue light into the eye. The pictures show if any dye has leaked from the vessels into the retina, indicating possible blood vessel abnormality. - Indocyanine green angiography to identify feeder vessels that may be supplying abnormal blood vessels. This procedure is similar to fluorescein angiography, but uses a green dye and flashes an invisible light. - Optical coherence tomography to measure retinal thickness. This test shines a light into the eye and produces cross-sectional pictures of the retina. These measurements are repeated during the study to determine if retinal thickening is getting better or worse, or staying the same. - Stereoscopic color fundus photography to examine the back of the eye. The pupils are dilated with eye drops to allow examination and photography of the back of the eye. - Triamcinolone acetonide injection to treat the eye. A numbing eye drop, an antibiotic eye drop, and an injected antibiotic are put in the eye before triamcinolone acetonide is injected into the eye's vitreous (jelly-like substance inside the eye). After the injection, the patient lies on his or her back for 30 minutes. An antibiotic eye ointment is used for 2 days following treatment. - Blood tests to measure liver and kidney function. Patients return to the clinic for follow-up visits 1, 4, and 7 days, and 1 month after the first treatment. Patients whose condition does not improve after 3 months do not receive any more injections, but return for eye examinations at least once a year for 3 years. Patients whose condition improves with treatment return for follow-up visits 6 and 9 months after the first injection and then every 6 months for 2 more years. At each visit, a determination is made whether another injection is needed. After each repeat injection, patients return for follow-up visits at 1, 4, and 7 days after the injection.
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 1 of 1 entries

All Clinical Trials for INDOCYANINE GREEN

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00264602 ↗ Real-Time Image Guided Lymphatic Mapping and Nodal Targeting in Lung Cancer Active, not recruiting Beth Israel Deaconess Medical Center Phase 1 2009-02-18 The primary purpose of this study is to determine if we can identify the first lymph node that drains from the tumor, and thus would be the most likely site for metastatic disease, and remove it for analysis to improve the ability to detect tumor in this node and to remove this additional site that potentially contains tumor cells.
NCT00264602 ↗ Real-Time Image Guided Lymphatic Mapping and Nodal Targeting in Lung Cancer Active, not recruiting Brigham and Women's Hospital Phase 1 2009-02-18 The primary purpose of this study is to determine if we can identify the first lymph node that drains from the tumor, and thus would be the most likely site for metastatic disease, and remove it for analysis to improve the ability to detect tumor in this node and to remove this additional site that potentially contains tumor cells.
NCT00071227 ↗ Eye Injections of Triamcinolone Acetonide for Retinal Blood Vessel Disorders Completed National Eye Institute (NEI) Phase 1 2003-10-15 This study will evaluate the safety and effectiveness of a new formulation of triamcinolone acetonide for the treatment of retinal blood vessel disorders. Triamcinolone is a steroid drug that decreases inflammation and scarring and is routinely used to treat eye inflammation or swelling. The commercially available form of this drug is associated with potentially harmful side effects thought to be due to preservatives in the preparation. This study will use a formulation that does not contain these potentially harmful preservatives. Preliminary findings from other studies suggest that injection of steroids in the eye can reduce retinal thickening and improve vision. However, they may also cause mild discomfort and lead to vision-threatening conditions. The effects of the drug on the conditions under study in this protocol are not known. Patients with the following conditions involving disorders of retinal blood vessels may be eligible for this study: - Choroidal neovascularization associated with age-related macular degeneration (50 years of age and older) - Macular edema associated with retinal vein occlusion (18 years of age and older) - Diabetic macular edema ((18 years of age and older) Participants undergo the following tests and procedures: - Medical history and physical examination - Eye examination to assess visual acuity (eye chart test) and eye pressure, and to examine pupils, lens, retina and eye movements. The pupils will be dilated with drops for this examination. - Fluorescein angiography to evaluate the eye's blood vessels. A yellow dye is injected into an arm vein and travels to the blood vessels in the eyes. Pictures of the retina are taken using a camera that flashes a blue light into the eye. The pictures show if any dye has leaked from the vessels into the retina, indicating possible blood vessel abnormality. - Indocyanine green angiography to identify feeder vessels that may be supplying abnormal blood vessels. This procedure is similar to fluorescein angiography, but uses a green dye and flashes an invisible light. - Optical coherence tomography to measure retinal thickness. This test shines a light into the eye and produces cross-sectional pictures of the retina. These measurements are repeated during the study to determine if retinal thickening is getting better or worse, or staying the same. - Stereoscopic color fundus photography to examine the back of the eye. The pupils are dilated with eye drops to allow examination and photography of the back of the eye. - Triamcinolone acetonide injection to treat the eye. A numbing eye drop, an antibiotic eye drop, and an injected antibiotic are put in the eye before triamcinolone acetonide is injected into the eye's vitreous (jelly-like substance inside the eye). After the injection, the patient lies on his or her back for 30 minutes. An antibiotic eye ointment is used for 2 days following treatment. - Blood tests to measure liver and kidney function. Patients return to the clinic for follow-up visits 1, 4, and 7 days, and 1 month after the first treatment. Patients whose condition does not improve after 3 months do not receive any more injections, but return for eye examinations at least once a year for 3 years. Patients whose condition improves with treatment return for follow-up visits 6 and 9 months after the first injection and then every 6 months for 2 more years. At each visit, a determination is made whether another injection is needed. After each repeat injection, patients return for follow-up visits at 1, 4, and 7 days after the injection.
NCT00043680 ↗ Celecoxib to Treat Macular Degeneration in Patients Receiving Photodynamic Therapy Completed National Eye Institute (NEI) Phase 2 2002-08-01 This study will determine whether the drug celecoxib (Celebrex® (Registered Trademark)) can help stabilize or improve vision in patients with age-related macular degeneration (AMD) who are receiving photodynamic therapy, or PDT (also called cold laser treatment). The macula is the part of the retina in the back of the eye that determines central or best vision. AMD can severely impair central vision, affecting a person's ability to read, drive, and carry out daily activities. This vision loss is caused by the formation of abnormal new blood vessels in the choroid-a thin, pigmented vascular layer of the eye behind the retina-that leak blood under the macula. PTD stops the growth of these blood vessels and slows the rate of vision loss. However, the treatment usually does not cause vision to improve, and it has only a temporary effect, requiring several treatments over 2 years. Furthermore, PDT does not work in all patients and may actually cause some swelling and re-growth of blood vessels. Celecoxib is an anti-inflammatory drug that, in animal studies, has prevented the growth of abnormal blood vessels associated with tumors and with injury to the cornea. Thus, the drug might reduce swelling and prevent vessel re-growth in AMD, enhancing the effectiveness of PDT. Patients 55 years of age and older with AMD and visual acuity of 20/20 to 20/200 may be eligible for this study. Participants will be randomly assigned to take either celecoxib or a placebo (a look-alike pill with no active drug) twice a day and undergo the various tests and procedures detailed below. Not every examination will be done at every visit, but all may be required at one visit. - Medical history and physical examination - Blood drawing: A blood sample is drawn from an arm vein to evaluate liver and kidney function - Eye examination: Visual acuity and eye pressure are measured, and the lens, retina, pupils and eye movements are examined - Photography: Photographs of the eye are taken using a special camera with a bright flash - Fluorescein angiography: Pictures of the retina are taken to look for abnormal blood vessels. A yellow dye is injected into an arm vein and travels to the blood vessels in the eyes. The retina is photographed using a camera that flashes a blue light into the eye. The pictures show if any dye has leaked from the vessels into the retina, indicating possible blood vessel abnormality. - Indocyanine green angiography: This procedure, similar to fluorescein angiography, uses a green dye to photograph the retina and identify portions of abnormal vessels in the deepest part of the retina. - Optical coherence tomography: This new technique uses light to produce a 2-dimensional cross-sectional picture of the retina. The patient looks into a machine called an optical coherence tomograph at a pattern of flashing and rotating red and green lights, first with one eye and then the other. One week after starting the study medications, laser treatment will begin. For this procedure, a needle is placed in an arm vein and a chemical called verteporfin (Visudyne® (Registered Trademark)) is infused into the vein over 10 minutes. After 15 minutes, the eye is anesthetized with numbing drops. A special contact lens is then placed on the eye and the laser beam is directed to the eye for 83 seconds. Patients will be followed in the clinic every 6 weeks for 36 weeks for various examinations and possible re-treatment, if needed. Some patients will be asked to return 1 to 2 weeks after the first PDT for an eye examination and fluorescein angiography.
NCT00121407 ↗ Visudyne® in Occult (VIO) Completed QLT Inc. Phase 3 2002-03-01 The purpose of this study is to demonstrate that Visudyne therapy in patients who have occult with no classic subfoveal choroidal neovascularization (CNV) lesions will, with an acceptable safety profile, significantly reduce the risk of vision loss compared with placebo (sham treatment).
NCT00002901 ↗ Docetaxel in Treating Patients With Solid Tumors and Abnormal Liver Function Completed National Cancer Institute (NCI) Phase 1 1996-12-01 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase I trial to study the effectiveness of docetaxel in treating patients with advanced solid tumors that have not responded to standard therapy or for which there is no effective therapy.
NCT00002901 ↗ Docetaxel in Treating Patients With Solid Tumors and Abnormal Liver Function Completed City of Hope Medical Center Phase 1 1996-12-01 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase I trial to study the effectiveness of docetaxel in treating patients with advanced solid tumors that have not responded to standard therapy or for which there is no effective therapy.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 7 of 7 entries

Clinical Trial Conditions for INDOCYANINE GREEN

Condition Name

1596600246810121416Breast CancerPolypoidal Choroidal VasculopathyLung CancerGastric Cancer[disabled in preview]
Condition Name for INDOCYANINE GREEN
Intervention Trials
Breast Cancer 15
Polypoidal Choroidal Vasculopathy 9
Lung Cancer 6
Gastric Cancer 6
[disabled in preview] 0
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Condition MeSH

19131212002468101214161820Breast NeoplasmsMacular DegenerationVascular DiseasesLung Neoplasms[disabled in preview]
Condition MeSH for INDOCYANINE GREEN
Intervention Trials
Breast Neoplasms 19
Macular Degeneration 13
Vascular Diseases 12
Lung Neoplasms 12
[disabled in preview] 0
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Clinical Trial Locations for INDOCYANINE GREEN

Trials by Country

+
Trials by Country for INDOCYANINE GREEN
Location Trials
United States 105
China 22
Korea, Republic of 14
France 11
Belgium 10
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Trials by US State

+
Trials by US State for INDOCYANINE GREEN
Location Trials
California 14
New York 11
Texas 11
Maryland 11
Pennsylvania 9
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Clinical Trial Progress for INDOCYANINE GREEN

Clinical Trial Phase

12.7%8.6%74.1%0020406080100120140Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for INDOCYANINE GREEN
Clinical Trial Phase Trials
Phase 4 25
Phase 3 17
Phase 2/Phase 3 9
[disabled in preview] 146
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Clinical Trial Status

48.8%16.6%13.3%21.3%030405060708090100110CompletedRecruitingNot yet recruiting[disabled in preview]
Clinical Trial Status for INDOCYANINE GREEN
Clinical Trial Phase Trials
Completed 103
Recruiting 35
Not yet recruiting 28
[disabled in preview] 45
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Clinical Trial Sponsors for INDOCYANINE GREEN

Sponsor Name

trials024681012141618202224National Cancer Institute (NCI)National Eye Institute (NEI)M.D. Anderson Cancer Center[disabled in preview]
Sponsor Name for INDOCYANINE GREEN
Sponsor Trials
National Cancer Institute (NCI) 19
National Eye Institute (NEI) 11
M.D. Anderson Cancer Center 8
[disabled in preview] 22
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Sponsor Type

76.4%12.2%11.0%0050100150200250OtherIndustryNIH[disabled in preview]
Sponsor Type for INDOCYANINE GREEN
Sponsor Trials
Other 256
Industry 41
NIH 37
[disabled in preview] 1
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Indocyanine Green: Clinical Trials, Market Analysis, and Projections

Introduction to Indocyanine Green

Indocyanine Green (ICG) is a small molecule drug and fluorescent dye that has been widely used in medical imaging for several decades. First approved in the US on February 9, 1959, ICG has evolved from a simple diagnostic tool to a versatile agent in various medical fields, including oncology, ophthalmology, and cardiovascular surgery[1].

Clinical Trials and Applications

ICG is currently involved in numerous clinical trials, particularly in the field of cancer imaging and image-guided surgery. There are approximately 194 clinical trials focused on ICG imaging for cancers, highlighting its significance in oncology[4].

Cancer Imaging and Surgery

ICG is used as a near-infrared fluorescent (NIRF) probe for cancer imaging. It helps surgeons identify tumors and ensure precise surgical interventions during minimally invasive and robotic surgeries. However, ICG has limitations such as poor photostability, high concentration toxicity, and short circulation time, which are being addressed through the development of nanoconstructs like ICG-Glow NPs[4].

Ophthalmology

In ophthalmology, ICG is used in retinal angiography to diagnose and monitor conditions like macular degeneration and diabetic retinopathy. Its ability to penetrate deeper into tissues makes it an invaluable tool for early diagnosis and management of vision-related disorders[2].

Cardiovascular Procedures

ICG is also utilized in cardiovascular procedures to assess blood flow and ensure accurate surgical interventions. Its infrared absorption properties make it ideal for fluorescence-guided surgery, enhancing the precision of surgical outcomes[2].

Market Analysis

The global Indocyanine Green market is experiencing significant growth driven by several key factors.

Market Size and Growth

The global ICG market was estimated to be around USD 52 million in 2024 and is projected to grow to USD 68 million by 2030, with a Compound Annual Growth Rate (CAGR) of 4.8% during the forecast period[2][5].

Regional Dominance

North America and Europe are the dominant regions in the ICG market, thanks to their advanced healthcare infrastructure and strong focus on research and development. However, emerging economies in Asia-Pacific and Latin America are also showing promising growth, driven by substantial investments in healthcare and research institutions[3].

Key Players

The market is led by companies such as Diagnostic Green, SERB, Daiichi Sankyo Company, Santen Pharmaceutical Co., Ltd., Aurolab, Yichuang, and Eisai. These companies collectively hold a significant market share, with the top three companies occupying about 60% of the market[2].

Market Trends

Advancements in Medical Imaging

The integration of ICG into advanced imaging technologies, such as hybrid imaging systems, is transforming diagnostic practices. These systems combine multiple imaging modalities, offering enhanced visualization and comprehensive diagnostic insights[2].

Growing Demand for Minimally Invasive Surgeries

The increasing adoption of minimally invasive surgeries is a significant trend driving the demand for ICG. Surgeons rely on ICG to identify tumors and assess blood flow, ensuring precise and effective surgical interventions[2].

Research and Development

The growing focus on research and development is introducing new applications for ICG, including regenerative medicine and tissue engineering. This versatility is expanding the market potential for ICG beyond traditional medical imaging[2].

Post-COVID-19 Market Recovery

The COVID-19 pandemic had a significant impact on the ICG market, but as medical facilities resumed elective procedures, the demand for ICG began to recover. Governments and medical institutions emphasized enhancing medical research and bolstering healthcare frameworks, which further invigorated the market. Companies adapted by optimizing supply chains, pivoting towards local sourcing, and enhancing their digital outreach[3].

Latest Innovations

Nanoconstructs

To overcome the limitations of ICG, such as poor photostability and short circulation time, researchers have developed nanoconstructs like ICG-Glow NPs. These nanoparticles are designed for superior cancer/tumor cell-specific targeted binding and NIRF imaging, offering improved diagnostic and therapeutic outcomes[4].

Hybrid Imaging Systems

The integration of ICG into hybrid imaging systems is a key innovation. These systems combine multiple imaging modalities, providing enhanced visualization and comprehensive diagnostic insights, which is particularly beneficial in complex medical procedures[2].

Key Takeaways

  • Clinical Trials: ICG is involved in approximately 194 clinical trials for cancer imaging and image-guided surgery.
  • Market Growth: The global ICG market is projected to grow from USD 52 million in 2024 to USD 68 million by 2030, with a CAGR of 4.8%.
  • Regional Dominance: North America and Europe are the dominant regions, but emerging economies are showing promising growth.
  • Key Players: Companies like Diagnostic Green, SERB, and Daiichi Sankyo Company are leading the market.
  • Market Trends: Advancements in medical imaging, growing demand for minimally invasive surgeries, and research in new applications are driving the market.
  • Post-COVID-19 Recovery: The market has recovered with a focus on enhanced medical research and healthcare frameworks.

FAQs

What is the projected market size of Indocyanine Green by 2030?

The global Indocyanine Green market is expected to reach USD 68 million by 2030[2].

What is the CAGR of the Indocyanine Green market from 2024 to 2030?

The Indocyanine Green market is expected to exhibit a CAGR of 4.8% during the forecast period[2][5].

Which regions dominate the Indocyanine Green market?

North America and Europe are the dominant regions, but emerging economies in Asia-Pacific and Latin America are also growing[3].

What are the primary applications of Indocyanine Green in medical imaging?

ICG is primarily used in ophthalmology, oncology, and cardiovascular procedures for diagnostic and surgical purposes[2].

What are the limitations of Indocyanine Green and how are they being addressed?

ICG has limitations such as poor photostability and short circulation time, which are being addressed through the development of nanoconstructs like ICG-Glow NPs[4].

How has the COVID-19 pandemic impacted the Indocyanine Green market?

The pandemic initially reduced demand but has since recovered as medical facilities resumed elective procedures and emphasized medical research and healthcare framework enhancements[3].

Sources

  1. Synapse: Indocyanine Green - Drug Targets, Indications, Patents.
  2. Valuates Reports: Global Indocyanine Green Market Insights, Forecast to 2030.
  3. Global Growth Insights: Global Indocyanine Green Industry Research Report, In-depth Analysis.
  4. NTNO: Indocyanine Green-based Glow Nanoparticles Probe for Cancer Imaging.
  5. Business Research Insights: Indocyanine Green Market 2024 To 2031 | Research Report.

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