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Medical Dye for Abdominal Surgery

Phase 3
Recruiting
Research Sponsored by Astellas Pharma Global Development, Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 45 minutes after asp5354 administration (day 1)
Awards & highlights
No Placebo-Only Group
Pivotal Trial

Summary

This trial is testing a new medical dye called ASP5354 that can help surgeons see the ureter more clearly during abdominal surgery. The dye is injected into the patient at the start of surgery and is

Who is the study for?
This trial is for adults needing certain abdominal surgeries, with normal or mildly impaired kidney function (eGFR ≥ 60 mL/min) or moderate to severe impairment (eGFR ≥ 15 to < 60 mL/min). Women must not be pregnant, breastfeeding, or donating eggs and agree to use contraception. Men must not donate sperm and if their partner can bear children, they should use contraception.
What is being tested?
The study tests a new medical dye called ASP5354 designed to help surgeons see the ureter more clearly during surgery using near infrared fluorescence imaging. Participants will receive the dye and have their ureters imaged with standard white light and/or NIR-F technology depending on their group assignment.
What are the potential side effects?
Potential side effects of ASP5354 are not detailed in the provided information but may include reactions at the injection site, allergic responses, or interference with kidney function especially in those who already have kidney problems.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 45 minutes after asp5354 administration (day 1)
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 45 minutes after asp5354 administration (day 1) for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Intra-participant comparison in ureter conspicuity for white light (WL) versus near -infrared fluorescence (NIR F) at the first time point for participants with normal renal function or mild renal impairment.
Secondary study objectives
CCC, inter-rater reliability between the investigators and BICR for the WL at the first time point versus the end of surgery time point score with NIR-F for participants with normal renal function or mild renal impairment
CCC, the inter-rater reliability between the investigators and BICR for the WL at the first timepoint versus the average of all NIR-F time points for participants with normal renal function or mild renal impairment
Concordance Correlation Coefficient (CCC), the inter-rater reliability between the investigators and BICR for the WL versus NIR-F at the first time point for participants with normal renal function or mild renal impairment
+32 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

3Treatment groups
Experimental Treatment
Group I: White Light/near-infrared fluorescence - Adults with normal renal function or mild renal impairmentExperimental Treatment1 Intervention
Adult participants with normal renal function or mild renal impairment will receive a single dose of ASP5354
Group II: White Light/near-infrared fluorescence - Adults with moderate or severe renal impairmentExperimental Treatment1 Intervention
Adult participants with moderate or severe renal impairment will receive a single dose of ASP5354
Group III: White Light - Adults with normal renal function or mild renal impairmentExperimental Treatment1 Intervention
Adult participants with normal renal function or mild renal impairment will receive a single dose of ASP5354
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
pudexacianinium chloride
2022
Completed Phase 1
~30

Find a Location

Who is running the clinical trial?

Astellas Pharma Global Development, Inc.Lead Sponsor
200 Previous Clinical Trials
122,090 Total Patients Enrolled
Medical MonitorStudy DirectorAstellas Pharma Global Development, Inc.
1,678 Previous Clinical Trials
990,004 Total Patients Enrolled
~54 spots leftby Dec 2025