Lumisight (pegulicianine)

To use as an optical imaging agent for the detection of cancerous tissue

FDA Approval: 4/17/2024

Research Synopsis

  • Lumisight (pegulicianine) is a novel imaging agent used in fluorescence-guided surgical techniques for improving outcomes in breast-conserving surgery.
  • A study published in JAMA Surgery (2022) involving 234 women demonstrated that pegulicianine helped in real-time identification of residual cancer, aiming to reduce the need for additional surgeries.
  • Intraoperative margin assessment with pegulicianine showcased minimal adverse reactions among participants during the trial, indicating a favorable safety profile.
  • A recent multicenter trial in NEJM Evidence (2023) highlighted the effectiveness of pegulicianine combined with an optical device to enhance surgical precision by targeting lumpectomy margins.
  • The trials aim to address challenges like incomplete tumor removal, which can lead to local recurrence and necessitate further surgeries.
  • Despite some success in avoiding additional surgeries, the overall sensitivity of pegulicianine fluorescence-guided surgery was lower than expected.
  • However, it still met specificity benchmarks, confirming its relevance in identifying cancerous tissue.
  • Researchers continue to explore the potential of pegulicianine to improve surgical outcomes and reduce recurrence rates in breast cancer treatment.
  • As of October 2023, research indicates a positive sentiment around pegulicianine's role in enhancing surgical techniques, although additional refinement and studies may be necessary to fully realize its potential.
  • Further investigations are encouraged to optimize the use of pegulicianine to overcome its current limitations in sensitivity.

Related articles

Research articles about Lumisight (pegulicianine)

Lumisight (pegulicianine)

Lumisight table: an interactive view-dependent tabletop display.

London, UK

2 hours ago

1 Received

Figma Sketch HTML5

$100 - $150

Hourly Rate

Something to Dye For: Toward Better Breast Lumpectomy Margins.

London, UK

2 hours ago

1 Received

  • The advancement of fluorescence imaging in cancer surgery allows for enhanced surgical precision with intraoperative devices.
  • A multicenter trial by Smith et al. tested intravenous pegulicianine combined with an optical device to identify cancerous lumpectomy margins during surgery.
  • This method aims to reduce the need for additional surgeries by immediately excising cancerous tissue identified during the operation.

Figma Sketch HTML5

$100 - $150

Hourly Rate

Intraoperative Fluorescence Guidance for Breast Cancer Lumpectomy Surgery.

London, UK

2 hours ago

1 Received

  • Lumpectomy and mastectomy have similar survival rates for breast cancer patients, but incomplete tumor removal indicated by positive lumpectomy margins can lead to local recurrence and increased mortality, often requiring a second surgery.
  • A clinical trial was conducted to determine the effectiveness of pegulicianine fluorescence-guided surgery (pFGS) in identifying cancerous margins during lumpectomy for various breast cancer stages, where patients were randomly assigned to pFGS or control groups to evaluate margin status.
  • Results showed that pFGS successfully identified residual tumors in some cases, avoiding second surgeries for some patients with positive margins; however, the overall sensitivity of pFGS was lower than hoped despite meeting specificity and successfully removing some remaining cancer.

Figma Sketch HTML5

$100 - $150

Hourly Rate