TheraRadar
Data updated: May 26, 2026

SPY AGENT GREEN KIT (indocyanine green)

Other Approved 2018-11-21

Indocyanine Green for Injection USP is indicated: Indocyanine Green for Injection USP a tricarbocyanine dye, is indicated: • For visual assessment of blood vessels, blood flow and related tissue perfusion with OLYMPUS infrared compatible endoscopic imaging system • For visual assessment of the major extrahepatic bile ducts with OLYMPUS infrared imaging endoscopic imaging system • For viewing intra-operative blood flow in the cerebral area with OLYMPUS infrared compatible video microscopic imagin...

Source: FDA Label • NOVADAQ TECH
2
Indications
--
Phase 3 Trials
7
Years on Market

Details

Status
Prescription
First Approved
2018-11-21
Patent Cliff
2039

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Routes
INTRAVENOUS, INTERSTITIAL
Dosage Forms
POWDER

Companies

Active Ingredient: INDOCYANINE GREEN

SPY AGENT GREEN KIT Approval History

2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2018 to 2023 · 1 indication expansions
Jun 2023 SUPPL
Efficacy
Mar 2022 SUPPL
Mfg · Manufacturing (CMC)
Mar 2021 SUPPL
Mfg · Manufacturing (CMC)

What SPY AGENT GREEN KIT Treats

2 FDA approvals

Originally approved for its first indication in 2018 . Covers 2 distinct patient populations.

  • Other (2)
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Clinical Trial Registry

60 trials
Trial Sponsor ID Phase Status Title
NCT06169735 IRB-300011872 Stryker Ph 4 terminated Does Fluorescence With or Without Indocyanine Green Improve Parathyroid Identification and Preservation
NCT04084067 ICGLOW NCI-2019-06146 Ph 1 recruiting Indocyanine Green (ICG) Guided Tumor Resection
NCT04752137 2020P003481 Ph 2 recruiting Intraoperative Tumor Margin Identification With ICG Dye Imaging
NCT04723810 844554 Ph 1, Ph 2 recruiting TumorGlow Intraoperative Molecular Imaging (IMI)
NCT05038098 2021-0410 NCI-2021-08919, 2021-0410 Ph 1 not yet recruiting Magnetic Sentinel Lymph Node Mapping in Gastric Cancer
NCT06327490 UF-BRE-012 IRB202400626, OCR44989 Ph 2 recruiting A Study Evaluating the Feasibility and Compliance of Manual Lymphatic Drainage Comparing Indocyanine-Green (ICG) Guided vs. Traditional Guided in Patients Undergoing Axillary Node Dissection for the Treatment of Breast Cancer
NCT02570815 BFCRS-RP-001-1504-29 101 Ph 1 recruiting Near-Infrared Fluorescence Guided Robotic Pulmonary Segmentectomy for Early Stage Lung Cancer
NCT03262636 TumorGlow(TM) 0822231 Ph 1 completed Two-Part Study to Evaluate the Safety and Efficacy of Image Guided Surgery Using Indocyanine Green for Intramolecular Imaging of Nervous System Tumors Compared to Standard of Care, (TumorGlow)
NCT07315841 ICG-TGCT 2025-147 2025-147 Ph 4 recruiting Accuracy of Indocyanine Green (ICG) Fluorescence Imaging in Tenosynovial Giant Cell Tumor Surgery
NCT07315828 ICG-GCTB 2025-146 2025-146 Ph 4 recruiting Accuracy of Indocyanine Green (ICG) Fluorescence Imaging in Giant Cell Tumor of Bone Surgery
NCT06939946 IRB00224302 Ph 1 terminated Intraoperative Parathyroid Gland (PTG) Identification Using a Hand-Held Imager (HHI)
NCT05808140 Yuanlong Xie Ph 1, Ph 2 completed Fluorescence Imaging With Indocyanine Green(ICG) in Endoscopic Spinal Surgery
NCT07254845 cCeLL_II_2025_Cedars Ph 1 not yet recruiting A PROSPECTIVE, SINGLE-CENTERED, ASSESSOR-BLINDED STUDY TO EVALUATE THE CLINICAL EFFICACY OF THE PROPOSED CELL/TISSUE HISTOPATHOLOGY PROCESSOR CCELL (CONFOCAL FLUORESCENCE ENDOMICROSCOPY) FOR INTRAOPERATIVE DIAGNOSIS IN BRAIN TUMORS
NCT05346380 2020P000835 Ph 1, Ph 2 completed Near-Infrared Perfusion During Minimally Invasive Thoracic Surgery Download
NCT04842162 MAGNOLIA 2019-002442-20 2019/2886 Ph 2 recruiting Study Evaluating Near-infrared Imaging Coupled With Indocyanine Green for Intraoperative Control of Resection Margins in ENT Surgery
NCT06002906 20-5008 Ph 4 active not recruiting The Use of Indocyanine Green to Visualize Blood Flow to the Gastrojejunostomy During Bariatric Surgery.
NCT04340752 18-01995 Ph 1 active not recruiting Optimal Dosing of IC-Green for Visualization of Rotator Cuff Vascularity Using Advanced Imaging Modality Arthroscopy
NCT05197530 STUDY6830 2R01AR056702-11A1 Ph 1 recruiting Imaging of Lymphatic Vessels in People with Rheumatoid Arthritis (RA)
NCT06871787 INOCA 07.01.2025-3097444 Ph 4 not yet recruiting Near-Infrared Fluorescence Imaging With Indocyanine Green to Evaluate Bowel Anastomoses in Gynecologic Oncology Surgery
NCT06867978 PRECISION cCeLL_II_2024 Republic of Korea Ph 1 not yet recruiting Multi-center Study on CCeLL-In Vivo's Clinical Efficacy for Intraoperative Brain Tumor Diagnosis.
NCT06164392 STU00220008 Ph 4 withdrawn Evaluation of Neuroma Perfusion with Indocyanine Green Fluorescence Angiography
NCT03584633 results posted 201803867 Ph 4 completed Effect of Exercise on Indocyanine Green (ICG) Lymphography Imaging
NCT06629415 ICG PT (657) Ph 4 completed Using Indocyanine Green (ICG) to Outline Biliary Tree During Laparoscopic Cholecystectomy
NCT06398028 LIVERGREEN Ph 4 recruiting The Preoperative Administration of ICG Improves Tumor Detection in Patients Undergoing Minimally Invasive Hepatic Resection Guided by Conventional Intraoperative Ultrasound.
NCT05354856 H-20027060 Ph 4 terminated The Effect of Chemoradiotherapy on Gastric Perfusion in Patients With Gastric Cancer.
NCT05687617 MP-20-2023-6524 Ph 2 terminated Near-infrared Imaging With Indocyanine Green for Detection of Peritoneal Metastases for Gastric Adenocarcinoma.
NCT05926856 HQFC 20230420 Ph 2, Ph 3 completed High Quality Fluorescent Cholangiography
NCT02027818 BR-TUM-ICG-IV Ph 2 completed Study of the ICG Distribution in the Margins of Breast Cancer After Tumorectomy
NCT04891185 VIPIDO S65525 2021-002449-13 Ph 2 terminated Visualisation of Indocyanine Green in Primary and Interval Debulking for Ovarian Cancer
NCT04611997 FUGES-020 Ph 3 active not recruiting IGG Using in Laparoscopic Gastrectomy for Locally Advanced Gastric Cancer After Neoadjuvant Chemotherapy
NCT04942665 ICG results posted IRB202100388 OCR40380, PRO00043219 Ph 2 completed Low Dose ICG for Biliary Tract and Tumor Imaging
NCT04854018 20/BC/SME/PO/473 Ph 4 completed Indo-cyanine Green (ICG) in Paediatric Oncology MIS
NCT04591028 20-002747 Ph 4 withdrawn A Study to Evaluate Indocyanine Green Lymphangiography to Improve Lymphadenectomy in Gastric Cancer Patients
NCT05332405 21-01449 Ph 4 withdrawn SPY Angiography To Assist With Ulnar Nerve Transposition at the Elbow
NCT02479997 NCC-1410201-2 Ph 2 completed Clinical Application of Dual Sentinel Lymph Node Staining Method in Breast Cancer Patients
NCT02997553 GASVERT 2016-A00799-42 Ph 3 completed Fluorescence for Sentinel Lymph Node Identification in Cancer Surgery
NCT02680067 NIR-ICG RSRB 54038 R01AR056702 Ph 1 completed NIR Fluorescence Imaging of Lymphatic Transport Using ICG
NCT04973475 FUGES-023 Ph 2 not yet recruiting Indocyanine Green Tracer Using in Laparoscopic Distal Gastrectomy for Early Gastric Cancer
NCT04857346 KSU334 Ph 2, Ph 3 completed Antimicrobial Photodynamic Therapy in Chronic Periodontitis and Diabetes Mellitus
NCT04046146 NIR-ICG MRL STUDY3891 Ph 1 completed Near InfraRed Fluorescence Using Indocyanine Green and Magnetic Resonance Lymphography of Lymphatic Transport
NCT03935165 GRE-Endo-2 736513. A 287 / C.E./2013 Ph 2 completed Prospective Evaluation of Near-infrared Fluorescence Imaging Use as a Supportive Tool in Deep Infiltrating Endometriosis Surgery
NCT03155464 Pro00078686 Ph 4 withdrawn Intraoperative ICG for Systemic Sclerosis
NCT02775838 SPY-Kidney Ph 2 completed Measurements of Kidney Perfusion After Transplantation by Intraoperative Fluorescence Angiography
NCT03969108 19-5447 Ph 4 completed Diagnostic Accuracy Study of Indocyanine Green for Parathyroid Perfusion Assessment
NCT03204994 12451 Ph 1, Ph 2 terminated Fluorescence Targeted Pelvic Lymph Node Mapping
NCT01662752 results posted C/32/2012 Ph 2 completed Lymphatic Mapping for Sentinel Node Identification and Analysis
NCT03292757 FLOTOR 12968 Ph 1, Ph 2 completed FLOTOR Pilot Study
NCT02611245 2011CB707702 Ph 1 completed NIR Fluorescence Imaging Technique in Thoracic Surgery With ICG
NCT02279108 FLUOTECH results posted 1408153 2014-004005-32 Ph 3 completed Study Assessing The Interest of Indocyanine Green Fluorescence Imaging With Radioisotope Method For Sentinel Lymph Node Biopsy in Patients With Breast Cancer
NCT02621268 ICG 820766 Ph 1 completed Minimally Invasive Imagery With Indocyanine Green

Showing 50 of 60 trials

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

SPY AGENT GREEN KIT FDA Label Details

Indications & Usage

FDA Label (PDF)

Indocyanine Green for Injection USP is indicated: Indocyanine Green for Injection USP a tricarbocyanine dye, is indicated: • For visual assessment of blood vessels, blood flow and related tissue perfusion with OLYMPUS infrared compatible endoscopic imaging system • For visual assessment of the major extrahepatic bile ducts with OLYMPUS infrared imaging endoscopic imaging system • For viewing intra-operative blood flow in the cerebral area with OLYMPUS infrared compatible video microscopic imaging system 1.1 Visual assessment of blood vessels, blood flow and related tissue perfusion For visual ...

View full patent landscape →
5 OB patents · 5 families · 55 international docs across 8 countries

SPY AGENT GREEN KIT Patents & Exclusivity

Latest Patent: Jul 2039
Exclusivity: Jun 2026

Patents (5 active)

US11712320 Expires Jul 14, 2039
US10631746 Expires Aug 4, 2035
US8406860 Expires Apr 9, 2029
US8647605 Expires Feb 11, 2029
US8185176 Expires Jun 4, 2028

Exclusivity

I-911 Until Jun 2026
Source: FDA Orange Book

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Patent Timeline

  • Cliff: 2039
  • 6 active patents

Trial Analysis

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  • Development stage analysis

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.