Clinical Trials

Isosulfan blue has been investigated in numerous clinical trials evaluating its utility as a diagnostic dye for intraoperative lymphatic mapping and sentinel lymph node detection. Clinical investigations encompass a broad range of oncological conditions, including breast cancer, endometrial carcinoma, cervical cancer, colorectal cancer, head and neck cancer, and recurrent melanoma. These studies span Early Phase I through Phase III evaluations sponsored by academic institutions, research consortia, and medical technology companies such as the Gynecologic Oncology Group, Ohio State University Comprehensive Cancer Center, and Stanford University. Protocol recruitment statuses across these studies include completed, active not recruiting, and terminated, with several trials comparing isosulfan blue to alternative fluorescence imaging agents like indocyanine green.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT03927027 ACTIVE_NOT_RECRUITING
Breast Cancer Stage I; Breast Cancer Stage II; Breast Cancer Stage III
Alliance for Clinical Trials in Oncology
2019-07-29 PHASE3
NCT07269860 COMPLETED
Breast Cancer
University of Arizona
2025-07-09
NCT05663112 COMPLETED
Sentinel Lymph Node; Breast Cancer
Manisa Celal Bayar University
2021-12-06
NCT05859971 COMPLETED
Breast Cancer
University of Wisconsin, Madison
2023-04-13 EARLY_PHASE1
NCT01818739 COMPLETED
Endometrial Cancer
Ohio State University Comprehensive Cancer Center
2013-03
NCT01939028 TERMINATED
Stage I Endometrial Carcinoma; Stage II Endometrial Carcinoma; Stage III Endometrial Carcinoma; Stage IV Endometrial Carcinoma
Case Comprehensive Cancer Center
2013-07
NCT02336737 COMPLETED
Breast Cancer
Endomagnetics Inc
2015-01
NCT02368067 UNKNOWN
Endometrial Carcinoma
Southeastern Regional Medical Center
2014-06
NCT01771666 COMPLETED
Breast Cancer
Stanford University
2012-07 PHASE2
NCT02068820 COMPLETED
Endometrial Cancer
AdventHealth
2012-09
NCT01038908 UNKNOWN
Breast Cancer
University of British Columbia
2013-06 PHASE2
NCT01898403 COMPLETED
Recurrent Melanoma
Stanford University
2013-06
NCT00932035 TERMINATED
Breast Cancer
City of Hope Medical Center
2009-06 PHASE1; PHASE2
NCT00070317 TERMINATED
Cervical Adenocarcinoma; Cervical Adenosquamous Carcinoma; Cervical Squamous Cell Carcinoma; Stage I Cervical Cancer
Gynecologic Oncology Group
2004-06
NCT00450723 COMPLETED
Breast Cancer
University of Miami
2004-05
NCT00717886 COMPLETED
Breast Cancer; Axillary Lymph Node Dissection
Memorial Sloan Kettering Cancer Center
2008-06
NCT00625625 UNKNOWN
Colorectal Cancer
Saint John's Cancer Institute
2004-03 PHASE2
NCT00438477 COMPLETED
Breast Cancer
M.D. Anderson Cancer Center
2005-06
NCT00003186 COMPLETED
Colorectal Cancer; Metastatic Cancer
Roswell Park Cancer Institute
1997-04
NCT00012168 COMPLETED
Head and Neck Cancer
NYU Langone Health
1999-05

(data from https://clinicaltrials.gov, updated on 2026-04-21)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Following interstitial administration, isosulfan blue selectively binds to serum proteins such as albumin and drains into interstitial lymphatic vessels, accumulating in regional lymph nodes. This localized lymphatic uptake provides direct visual delineation of nodal anatomy, facilitating accurate intraoperative sentinel lymph node mapping in patients with breast cancer, endometrial cancer, cervical cancer, and colorectal cancer.

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.