A Study of Near-Infrared Fluorescence Imaging With ICG During Reconstructive Gynecologic Surgery
Near-infrared FluORescencE Assessment of Myocutaneous Flap Microperfusion for Gynecologic RecONstrucTion (FOREFRONT): A Pilot Study
1 other identifier
interventional
15
1 country
7
Brief Summary
The objective of this study is to assess whether Near-Infrared Fluorescence/NIR Imaging perfusion alters intraoperative management of the flap or of the participant wound bed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Sep 2021
Longer than P75 for not_applicable
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 24, 2021
CompletedFirst Submitted
Initial submission to the registry
September 28, 2021
CompletedFirst Posted
Study publicly available on registry
October 8, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 24, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 24, 2026
October 31, 2025
October 1, 2025
5.1 years
September 28, 2021
October 30, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of cases in which intraoperative ICG-NIR angiography altered surgical flap reconstruction plans
The primary purpose of this study is to introduce ICG-NIR angiography in abdominopelvic skin and myocutaneous pedicle flap-based reconstruction during gynecologic oncology surgery and determine the percentage of cases in which intraoperative ICG-NIR angiography altered surgical flap reconstruction plans.
Up to 24 months
Study Arms (1)
Participants undergoing a pelvic or abdominal wall reconstruction procedure
EXPERIMENTALWomen undergoing a pelvic or abdominal wall reconstruction procedure after radical gynecologic surgery for any indication at Memorial Sloan Kettering Cancer Center
Interventions
Capture NIR video of flap site beginning at time of ICG injection. At time of subjective peak intensity, capture video of flap and recipient wound bed. Measure rate of ICG egress from the global flap at 60, 120, and 180 seconds after initial dye injection from intraoperative video
Eligibility Criteria
You may qualify if:
- Women undergoing a pelvic reconstruction procedure after radical gynecologic surgery for any indication at MSK.
- Age ≥18 years.
You may not qualify if:
- Women with hepatic dysfunction as evidenced by elevated transaminases (two times the upper limit of normal).
- Women with a history of cirrhosis or other chronic liver disease.
- Women with a documented severe or life threatening allergy to iodine.
- Women with an allergy to ICG or severe allergy to iodinated contrast.
- Women undergoing any free flap (non-pedicled) reconstruction.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Memorial Sloan Kettering Basking Ridge (Consent and Followup)
Basking Ridge, New Jersey, 07920, United States
Memorial Sloan Kettering Monmouth (Consent and Followup)
Middletown, New Jersey, 07748, United States
Memorial Sloan Kettering Bergen (Consent and Followup)
Montvale, New Jersey, 07645, United States
Memorial Sloan Kettering Suffolk - Commack (Consent and Followup)
Commack, New York, 11725, United States
Memorial Sloan Kettering Westchester (Consent and Followup)
Harrison, New York, 10604, United States
Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
Memorial Sloan Kettering Nassau (Consent and Followup)
Rockville Centre, New York, 11553, United States
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Nadeem Abu-Rustum, MD
Memorial Sloan Kettering Cancer Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 28, 2021
First Posted
October 8, 2021
Study Start
September 24, 2021
Primary Completion (Estimated)
October 24, 2026
Study Completion (Estimated)
October 24, 2026
Last Updated
October 31, 2025
Record last verified: 2025-10
Data Sharing
- IPD Sharing
- Will share
Memorial Sloan Kettering Cancer Center supports the international committee of medical journal editors (ICMJE) and the ethical obligation of responsible sharing of data from clinical trials. The protocol summary, a statistical summary, and informed consent form will be made available on clinicaltrials.gov when required as a condition of Federal awards, other agreements supporting the research and/or as otherwise required. Requests for deidentified individual participant data can be made beginning 12 months after publication and for up to 36 months post publication. Deidentified individual participant data reported in the manuscript will be shared under the terms of a Data Use Agreement and may only be used for approved proposals. Requests may be made to: crdatashare@mskcc.org.