Panel Backs Lumisight Breast Surgical Imaging

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FDA’s Medical Imaging Drugs Advisory Committee has voted 16-2 in support of approving a Lumicell NDA for Lumisight (pegulicianine), an optical imaging agent for use in patients with breast cancer. The combination product is intended for use with the Lumicell Direct Visualization System as an intracavity, fluorescence-guided surgical imaging tool for detecting residual cancer in real-time during a lumpectomy surgery (breast conserving surgery), according to the company.

Currently, the company says the standard of care for a lumpectomy involves breast surgeons and pathologists examining excised breast tissue post-surgery to determine whether any residual cancer remains behind in the breast cavity. “As a result, 9-36% of lumpectomies have positive margins only identified days after surgery, necessitating the patient to undergo a second surgery or reoperation to obtain clear margins or removal of all cancerous tissue,” it says.

The panel’s positive vote was based on data presented by Lumicell, including efficacy data in over 350 patients in the pivotal study and safety findings from more than 700 patients across six clinical studies, according to the company. Data from the Investigation of Novel Surgical Imaging for Tumor Excision (INSITE) pivotal trial were published in NEJM Evidence.

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