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)
Mechanism and Biochemical Profile
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>).