Actively Recruiting

Phase 3
FEMALE
ID04878094

ARIA II: A Phase III Randomized Trial of Near-Infrared Angiography During Rectosigmoid Surgery in Women With Ovarian Cancer

Led by Memorial Sloan Kettering Cancer Center · Updated on 2026-05-20

310

Participants Needed

9

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying whether using the PINPOINT imaging system during surgery can lower the risk of complications like anastomotic leaks after bowel surgery in women with ovarian cancer. This system uses a special camera and glowing dye to check blood flow in the bowel in real time. The study compares this new imaging method with the usual surgical assessments to see if it improves outcomes. Participants will be randomly assigned to one of two groups: one group will receive the standard surgical technique without the imaging system, and the other will have the additional PINPOINT imaging to assess blood flow before and after the bowel connection is made. The imaging involves an intravenous injection of a fluorescent dye and the use of the PINPOINT camera to guide the surgeon during the operation. During the study, participants will be monitored for complications within 30 days after surgery, focusing on the occurrence of leaks at the bowel connection site. The main outcome is the reduction in risk of these leaks. The study involves assessments before, during, and after surgery, with follow-up up to 45 days after the procedure. The trial is conducted without masking, and it is sponsored by Memorial Sloan Kettering Cancer Center.

CONDITIONS

Brief Title

A Study of Intra-operative Imaging in Women With Ovarian Cancer

Who Can Participate

FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • 18 years or older
  • Diagnosed with primary or recurrent ovarian, fallopian tube, or primary peritoneal cancer
  • Scheduled for debulking or cytoreductive surgery
  • Suspected need for low anterior rectosigmoid resection during surgery
  • Enrolled and consented before the operation
  • Completed rectosigmoid resection intraoperatively
  • Surgeon plans to perform colorectal anastomosis
Not Eligible

You will not qualify if you...

  • Documented allergic reaction to Indocyanine Green (ICG)
  • Not approached for study enrollment before unexpected low anterior rectosigmoid resection
  • Did not undergo rectosigmoid resection during surgery
  • Rectosigmoid resection for other gynecologic cancers
  • Patient requires permanent colostomy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Surgery day

During surgery, participants undergo imaging assessments including intravenous Indocyanine Green injection and the use of the PINPOINT endoscopic fluorescence imaging system or standard endoscopy to evaluate anastomotic perfusion.

1 intraoperative visit

Long-term Monitoring

Duration - 45 days post surgery

Participants are monitored for 45 days after surgery to assess for postoperative outcomes such as anastomotic leaks.

Follow-up visits as scheduled up to 45 days

Trial Site Locations

Total: 9 locations

1

Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities)

Basking Ridge, New Jersey, United States, 07920

Actively Recruiting

2

Memorial Sloan Kettering Monmouth (Limited Protocol Activities)

Middletown, New Jersey, United States, 07748

Actively Recruiting

3

Memorial Sloan Kettering Bergen (Limited Protocol Activities)

Montvale, New Jersey, United States, 07645

Actively Recruiting

4

Memorial Sloan Kettering Cancer Center @ Suffolk - Commack (Limited Protocol Activities)

Commack, New York, United States, 11725

Actively Recruiting

5

Memorial Sloan Kettering Westchester (Limited Protocol Activities)

Harrison, New York, United States, 10604

Actively Recruiting

6

Memorial Sloan Kettering Cancer Center (All Protocol Activities)

New York, New York, United States, 10065

Actively Recruiting

7

Memorial Sloan Kettering Nassau (Limited Protocol Activities)

Uniondale, New York, United States, 11553

Actively Recruiting

8

Jefferson Abington Hospital

Willow Grove, Pennsylvania, United States, 19090

Actively Recruiting

9

Houston Methodist Cancer Center (Data Collection Only)

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

M

Mario Leitao, MD

D

Dennis Chi, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

DIAGNOSTIC

Number of Arms

2

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Published Research Related To This Trial

ARIA II: a randomized controlled trial of near-infrared Angiography during RectosIgmoid resection and Anastomosis in women with ovarian cancer.

Mario M Leitao, Alexia Iasonos, Morgan Tomberlin...

https://pubmed.ncbi.nlm.nih.gov/38514101