Status:

COMPLETED

Safety and Feasibility Study of Methylene Blue Photodynamic Therapy to Sterilize Deep Tissue Abscess Cavities

Lead Sponsor:

University of Rochester

Conditions:

Abscess

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

The objectives of this Phase 1 study are to evaluate the safety and feasibility of methylene-blue-mediated photodynamic therapy (MB-PDT) performed at the time of abscess drainage to treat deep tissue ...

Detailed Description

Deep tissue abscesses remain a significant cause of morbidity, mortality, and hospital stay despite improved surgical techniques and increasing use of perioperative antibiotics. Mortality ranges from ...

Eligibility Criteria

Inclusion

  • Adults 18 years or older
  • If female, patient must have negative pregnancy test
  • All patients with clinical symptoms (ex: fever, chills, pain, tachycardia, hypotension), laboratory (leukocytosis) and radiologic findings (thick walled, rim-enhancing collection with gas bubbles or air-fluid levels) compatible with an abscess that requires image-guided percutaneous drainage
  • Abscess cavity diameters will be less than or equal to 8 cm. However, abscess can be complex or loculated
  • Approval by the primary care team to pursue PDT and discuss enrollment with the patient

Exclusion

  • Pregnancy
  • Lactation
  • Allergy to contrast media, narcotics, sedatives, atropine or eggs
  • Necrotic tissue that requires surgical debridement
  • Severely compromised cardiopulmonary function or hemodynamic instability
  • Thrombocytopenia (\<50,000/mm3)
  • Uncorrectable coagulopathy
  • Poor kidney function (serum creatinine \>3mg/dl)
  • Lack of a safe pathway to the abscess or fluid collection
  • Unable or unwilling to understand or to provide informed consent
  • Unable or unwilling to undergo study procedures
  • Patient unable to cooperate with, or to be positioned for the procedure
  • Unable to comply with necessary follow up
  • Abscesses greater than 8 cm in diameter, multiple separate abscesses in different locations, and abscesses not amenable to safe percutaneous image-guided drainage.
  • Patient is currently taking serotonergic psychiatric medication

Key Trial Info

Start Date :

September 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2023

Estimated Enrollment :

21 Patients enrolled

Trial Details

Trial ID

NCT02240498

Start Date

September 1 2014

End Date

September 1 2023

Last Update

March 6 2024

Active Locations (1)

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Page 1 of 1 (1 locations)

1

University of Rochester Medical Center

Rochester, New York, United States, 14642