BREAKING NEWS: We are pleased to announce FDA approval of LUMISIGHT™ (pegulicianine) and Lumicell™ DVS. To the hundreds of women and dedicated investigators who participated in this important clinical work that brought us to where we are today, THANK YOU! We wouldn’t be here without your support. 

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NEWTON, Massachusetts – Lumicell, Inc., a privately held company focused on innovative fluorescence-guided imaging technologies for cancer, today announced the Medical Imaging Drugs Advisory Committee (MIDAC) of the U.S Food and Drug Administration (FDA) voted in support of the benefit-risk profile of LUMISIGHT™ (pegulicianine) during the March 5, 2024 meeting.

The positive 16 to 2 vote (with 1 abstain vote) was based on the independent review of LUMISIGHT™, an optical imaging agent used in combination with the Lumicell™ Direct Visualization System (DVS) for use in patients with breast cancer. This combination product is an intracavity, fluorescence-guided surgical imaging tool used to detect residual cancer in real-time during a lumpectomy surgery, also known as breast conserving surgery.

“The MIDAC’s discussion underscored the need for better tools to achieve a more complete cancer resection and improve surgical outcomes,” said Dr. Shelley Hwang, Leader of the Breast Oncology Program at Duke University. “The use of LUMISIGHT™ and Lumicell™ DVS, in the pivotal trial, enabled real-time assessment of the breast cavity to remove residual cancer tissue that otherwise would have been missed, unlike any other surgical tool available on the market today.”

The MIDAC’s positive decision was based on the totality of evidence presented by Lumicell and the FDA including efficacy data in over 350 patients in the pivotal study and safety findings from more than 700 patients across six clinical studies. Results of the Investigation of Novel Surgical Imaging for Tumor Excision (INSITE) pivotal trial were published in NEJM Evidence.

“This MIDAC vote, supported by more than 10 years of clinical evidence, is an exciting further validation of our work,” said Jorge Ferrer, Chief Scientific Officer, Lumicell. “We appreciate the valuable insights shared by the FDA, patients and the advisory community about the need for surgical advances in breast conserving surgery, and we look forward to working with the FDA as it completes its review of LUMISIGHT’s New Drug Application (NDA) and Lumicell DVS’ Premarket Approval (PMA) application.”

MIDAC is responsible for providing independent advice that contributes to the quality of the FDA’s regulatory decision-making, lending credibility to the product review process.

The FDA is expected to make a decision on Lumicell’s NDA and PMA in the near future.

About Breast Cancer Lumpectomy

The standard of care for a lumpectomy involves breast surgeons and pathologists examining the margins of excised breast tissue post-surgery to infer 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.[i],[ii]. According to published literature, approximately 14% of patients determined by pathology to have negative margins, implying that no cancer remained inside the cavity, had residual cancer left behind, leading to worse outcomes.[i]

About LUMISIGHT™ and Lumicell™ Direct Visualization (DVS) System

LUMISIGHT is an optical imaging agent that is used in combination with Lumicell DVS, a fluorescence-guided imaging system. This combination product is an intracavity, fluorescence-guided surgical imaging tool used to detect residual cancer in real-time during a lumpectomy surgery, also known as breast conserving surgery. LUMISIGHT and Lumicell DVS are for investigational use only and are not commercially available.

About Lumicell Inc.

Lumicell Inc. is a privately held company focused on improving surgical outcomes by advancing innovative fluorescence-guided surgical technologies to detect cancer intraoperatively. For more information, please visit www.lumicell.com and follow the company on Facebook, X, and LinkedIn.

[i] Dupont, et al, 2021, Ann Surg; 273; 876-88
[ii] Bundred et al. 2022 BMJ 2022;378: e070346

Contacts

Media inquiries – media@lumicell.com

What is LumiSystem™?

LumiSystem is the combination of the following FDA approved products – LUMISIGHT™, an optical imaging agent, and Lumicell™ DVS, a fluorescence imaging device. These products are used as an adjunct by surgeons to intraoperatively detect residual breast cancer, in real-time, during lumpectomy surgery.

Indications for Use (Test)

LUMISIGHT, an optical imaging agent, and Lumicell DVS, a fluorescence imaging device, are indicated for fluorescence imaging in adults with breast cancer as an adjunct for the intraoperative detection of cancerous tissue within the resection cavity following removal of the primary specimen during lumpectomy surgery.

IMPORTANT SAFETY INFORMATION FOR LUMICELL™ DVS and LUMISIGHT™

LUMISIGHT may cause serious hypersensitivity reactions, including anaphylaxis. Anaphylaxis has occurred in 4/726 (0.6%) of patients in clinical studies. Tell your doctor if you have any history of hypersensitivity reactions to pegulicianine or to contrast media or products containing polyethylene glycol (PEG).

Your healthcare provider should have emergency resuscitation drugs, equipment, and trained personnel available during use of LUMISIGHT. Healthcare providers should monitor all patients for hypersensitivity reactions and if one is suspected, immediately discontinue the injection and initiate appropriate therapy.

LUMISIGHT™ (pegulicianine) Important Safety Information

What is LUMISIGHT (pegulicianine)?

LUMISIGHT (pegulicianine) is an optical fluorescence imaging agent used in adults with breast cancer to help detect any remaining cancerous tissue at the surgical site following removal of the primary specimen during a lumpectomy procedure.

Important Safety Information

  • Risk of Misdiagnosis: The absence of a signal in surgery does not rule out cancer. Additionally, a positive signal may be seen in non-cancerous tissue.
  • Interference from Dyes Used for Sentinel Lymph Node Mapping: Your healthcare provider should avoid using dyes before imaging with LUMISIGHT.

What are the most common side effects of LUMISIGHT?

The most common side effects (≥1%) include hypersensitivity and an abnormal color in urine.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit MedWatch or call 1-800-FDA-1088. Please see full Prescribing Information, including Boxed Warning.

Lumicell™ Direct Visualization System (DVS) Important Safety Information

What is the Lumicell™ DVS?

The Lumicell™ Direct Visualization System (DVS) is for use in patients with breast cancer to help detect cancerous tissue within the lumpectomy cavity after the removal of the primary specimen during surgery. The Lumicell DVS is used with LUMISIGHT™ (pegulicianine), an imaging agent to visualize the lumpectomy cavity.

Important Safety Information

  • Adjunctive use: Lumicell DVS is for use as part of the lumpectomy procedure and is not a replacement for the standard of care procedures and pathology. Your healthcare provider must be trained on proper use of the Lumicell DVS, and breast conserving surgery prior to performing any procedures.
  • Risk of Misdiagnosis: The absence of a signal in surgery does not rule out cancer. Additionally, a positive signal may be seen in non-cancerous tissue.
  • Interference from Dyes Used for Sentinel Lymph Node Mapping: Your healthcare provider should avoid use of dyes before imaging the lumpectomy cavity who have received LUMISIGHT.
  • Tissue perforation or damage: During the procedure, your healthcare provider should avoid excessive pressure or torque with the handheld probe while inside the cavity as it can cause tissue perforation or damage.
  • Infection risk: To avoid infection risk, the reusable handheld probe and cables should be properly and completely disinfected and reprocessed after each use by your healthcare provider. Your healthcare provider should also ensure proper use of the sterile, single-use probe cover.
  • Eye discomfort: Your healthcare provider should avoid direct eye exposure to handheld light probe as it may cause pain.

Please see the LUMISIGHT Prescribing Information, including Boxed Warning, and Lumicell DVS Instructions for Use.  For complete product information visit www.LumiSystem.com