Evidence map›Paper›PMID 41656494›Full record

ArticleBritish journal of clinical pharmacology2026

Pharmacokinetics, safety, tolerability and fluorescence imaging of nizaracianine triflutate administered in three divided doses to healthy volunteers.

Lisanne K A Neijenhuis, Cedric M W Pesch, John V Frangioni, Alexander L Vahrmeijer, Jacobus Burggraaf, Naomi B Klarenbeek

Abstract readClinical Trial, Phase I
In one paragraph

Article in British journal of clinical pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lisanne K A NeijenhuisDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Cedric M W PeschDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0009-0009-7712-7556
John V FrangioniCuradel Surgical Innovations, Inc., Bonita Springs, Florida, USA.
Alexander L VahrmeijerDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Jacobus BurggraafDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Naomi B KlarenbeekCentre for Human Drug Research, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimFluorescence-guided surgery enhances intraoperative visualization of anatomical structures. Nizaracianine is a near-infrared fluorescent agent that is exclusively renally cleared in animal models. It enables real-time ureteral imaging and identification, potentially reduces risk of injury and facilitates assessment before surgical closure. While a single dose has shown to be safe, repeated administration may be necessary during prolonged abdominopelvic procedures.

methodsThis Phase 1 study evaluated the safety, pharmacokinetics and fluorescence properties of repeated nizaracianine dosing in healthy volunteers. Participants received three doses at 0, 1 and 2 h across four dose cohorts: 3 × 0.5, 3 × 1.0, 3 × 2.5 and 3 × 5.0 mg. Safety assessments included vital signs, electrocardiography and laboratory testing. Plasma and urine samples were collected to determine pharmacokinetics. A Foley catheter was used for urine collection and measurement of fluorescence intensity over time.

resultsTwenty-one participants were included in the final analysis. Thirty-six adverse events were reported, mostly related to catheter placement. Nine events were possibly related to nizaracianine. In all cohorts, geometric means of C

conclusionRepeated intravenous doses of nizaracianine were well tolerated. PK suggests dose proportionality for C

Indexed as

Fluorescent DyesOptical ImagingAdultArea Under CurveDose-Response Relationship, DrugDrug Administration ScheduleFemaleHealthy VolunteersHumansMaleMiddle AgedYoung AdultFluorescent Dyesclinical pharmacologyfluorescencegynaecology/obstetricsnear‐infrared fluorescence imagingsurgeryuretersurology

Identifiers

PMID41656494
PMCPMC13304265

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.