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NCT Number: NCT07201376

Assessment of Skin Lesions Using a Tissue Oxygen Imager Based on Protoporphyrin IX (PPIX) Fluorescence. This is an Open-label, Non-randomized, Feasibility Study That Includes a One-time Application of an FDA Approved Medication Followed by Local Imaging for Benign Skin Growth and Lesions Clinically

The primary objective of this study is the evaluation of the efficacy of the tissue oxygen imager based on PpIX DF in differentiating benign skin growth from non-melanoma skin cancer (NMSC).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Dartmouth Hitchcock

Lebanon, New Hampshire, 03766, United States

Location status: Recruiting

Location contact

Dylan Parker, MD

CONTACT

[email protected]

6036532209

About this study

The present study is an open-label, non-randomized, feasibility study aiming to evaluate the ability of a non-significant risk tissue oxygen imager based on protoporphyrin IX (PpIX) delayed fluorescence (DF) for differentiating benign from malignant skin lesions and assessing tumor margins during Mohs micrographic surgery.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adults ≥ 18 years of age.
  • Histologic proof of non-melanoma skin cancer. Patients with different skin tones based on the Fitzpatrick Scale, who present with skin growth or lesions and are scheduled for resection.
  • As determined by the enrolling physician or study team member, the patient must have the willingness and ability to understand and comply with study procedures.
  • Women of childbearing potential (WOCBP): Premenopausal females who had at least one menstrual cycle in the past 12-months and capable to become pregnant, must have a negative serum beta-HCG pregnancy test result within seven days prior to start of study.
  • Lesions must measure between 5 mm and 3 cm in diameter.

Exclusion criteria

  • Patients who are <18 years of age
  • Adults who are unable to provide informed consent.
  • Known allergy to Ameluz
  • Photosensitivity or photodermatoses or similar conditions.
  • Patients with any serious underlying medical condition that would impair their ability to receive or tolerate the planned treatment and/or comply with study protocol, in the opinion of the investigator
  • Known hypersensitivity to porphyrins or to any component of Ameluz, including soya bean phosphatidylcholine.
  • Females who are currently breast-feeding

Treatment and study plan

Ameluz 10% Topical Gel

Drug

One-time topical application of 10% Ameluz gel for up to 1 hour

Protoporphyrin IX

Device

Tissue oxygen imaging using protoporphyrin IX (PIX), a non-significant risk device.

Primary outcomes

  1. Detecting cutaneous malignant lesions using a non-invasive technique

    Time frame: Six months after the first enrollment

    Advancing our understanding of these cancers and developing effective strategies for diagnosis. The study will use aminolaevulinic acid (ALA) as a source of protoporphyrin IX (PpIX) to allow the detection of hypoxia signal. More specifically, the oxygen imager gathers the delayed fluorescence (DF) of PpIX, which intensity is inversely proportional to tissue mitochondrial oxygen content. This provides qualitative contrast on hypoxic regions with submillimeter spatial resolution. Transient hypoxia is a clear indicator of tumor tissue. We will validate the combination of hypoxia imaging with palpation as a non-invasive technique to detect cutaneous malignant lesions.

Study contacts

Contact information is provided by the study sponsor or research team.

Dylan L Parker, MD

CONTACT

[email protected]

603-653-2209

Staci Shaw

CONTACT

[email protected]

603-650-3693

Sponsors and collaborators

Lead sponsor

Dartmouth-Hitchcock Medical Center

Other

Collaborators

  • Dartmouth College

Registry information

Official study title

Tissue Oxygen Imager

Acronym: PPIX

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Oct 1, 2025
Registry last updated
Feb 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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