Clinical Trials

Multiple clinical trials evaluate indigo carmine as a chromoendoscopic contrast agent for diagnostic gastrointestinal procedures in conditions such as Lynch syndrome, inflammatory bowel diseases, colonic polyps, and ulcerative colitis. Encompassing Phase 1, non-interventional, and unclassified trial phases, these investigations are sponsored by academic medical centers and research foundations, including the Mayo Clinic, Assistance Publique - Hôpitaux de Paris, the ARC Foundation for Cancer Research, and Hillel Yaffe Medical Center. Overall recruitment is predominantly completed, with certain studies remaining under an unknown status.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02570516 Completed
Lynch Syndrome
Assistance Publique - Hôpitaux de Paris|ARC Foundation for Cancer Research
2015-11 Not Applicable
NCT01914445 Unknown status
Inflammatory Bowel Diseases
Hillel Yaffe Medical Center
2013-08 Not Applicable
NCT01901510 Completed
Colonic Polyps
Mayo Clinic
2013-05 Phase 1
NCT00961948 Completed
Ulcerative Colitis
Mayo Clinic
2009-06 --

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the Indigo carmine product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

As a non-absorbed pH indicator dye, indigo carmine pools within gastrointestinal mucosal crevices without penetrating epithelial cells. This contrast distribution delineates surface microarchitecture and tissue topography, facilitating the endoscopic identification and clinical evaluation of colonic polyps, ulcerative colitis, inflammatory bowel diseases, and lesions in Lynch syndrome.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.