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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05022641
Other study ID # HUM00192089
Secondary ID 5R01CA212147-02
Status Recruiting
Phase N/A
First received
Last updated
Start date December 1, 2021
Est. completion date August 2024

Study information

Verified date September 2023
Source University of Michigan
Contact Anee Sophia Jackson
Phone 734-647-1511
Email aneesoph@med.umich.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study will see if the use of near infrared autofluorescence (NIRAF) detection with an FDA-cleared device 'Parathyroid Eye (PTeye)' for identifying parathyroid glands (PGs) during parathyroidectomy (PTx) procedures is better than a surgeon's detection alone. It compares risk-benefits and outcomes in PTx patients where NIRAF detection with PTeye for parathyroid identification is either used or not used.


Recruitment information / eligibility

Status Recruiting
Enrollment 160
Est. completion date August 2024
Est. primary completion date August 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Primary hyperparathyroidism who will be undergoing parathyroid surgery - Persistent primary hyperparathyroidism after having undergone a failed prior parathyroid surgery who will be undergoing repeat parathyroid surgery Exclusion Criteria: - Pregnant women (Those patients who could potentially will receive preoperative pregnancy testing, as is standard before general anesthesia. Any patients with positive pregnancy test results will not be included in the study.) - Patients with concurrent parathyroid and thyroid disease that require total thyroidectomy - Patients with secondary or tertiary hyperparathyroidism

Study Design


Intervention

Device:
PTeye
The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console (see Figure 1), as per device functionality requirements.

Locations

Country Name City State
United States The University of Michigan Ann Arbor Michigan

Sponsors (3)

Lead Sponsor Collaborator
University of Michigan National Cancer Institute (NCI), Vanderbilt University

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Blood calcium levels Before surgery (baseline)
Primary Blood calcium levels 5-14 days after surgery
Primary Blood calcium levels 6 months after surgery
Primary Parathyroid hormone (PTH) levels Intraoperative levels, (e.g. baseline, excision, 5 minutes). Intraoperative levels (baseline, excision, 5 minutes)
Primary Parathyroid hormone (PTH) levels 5-14 days after surgery
Primary Parathyroid hormone (PTH) levels 6 months after surgery
Secondary Duration of Surgery in minutes Collected immediately following surgery
Secondary Number of frozen section analysis performed (by case) Collected immediately following surgery
Secondary Percent of frozen sections confirmed as parathyroid tissue Frozen results collected immediately after surgery.
Secondary Permanent histology - parathyroid tissue, cellularity, gland weight Permanent histology collected after report generated by pathologist (5-7 days)
Secondary Number of postsurgical complications Medical record review up to 30 days
Secondary Frequency of postoperative (within 30 days) Emergency Room visits or hospitalization Medical record review up to 30 days
Secondary Percent of repeat surgeries due to high calcium Repeat surgeries are documented as binary (yes or no) up to 6 months
Secondary Average number of minutes taken to identify first parathyroid gland Duration taken to identify 1st parathyroid gland in PTx procedure - timed from skin incision to finding parathyroid gland in each participant. Immediate. During PTx procedure
Secondary Average number of minutes taken to identify last parathyroid gland Duration taken to identify last parathyroid gland in PTx procedure - timed from skin incision to finding the last parathyroid gland in each participant. Immediate. During PTx procedure
Secondary Minutes taken for intraoperative parathyroid hormone (PTH) to normalize Time taken for PTH to attain cure criteria or normalize - timed from skin incision until the PTH levels drops > 50% of its baseline value and/or PTH drops < 65 pg/ml or 6.9 pmol/L. Immediate. During PTx procedure.
Secondary Number of nights spent in the hospital after parathyroidectomy Number of nights spent for postoperative recovery in the hospital after the surgical procedure. 0-72 hours after PTx procedure.
Secondary Overall number of parathyroid glands identified. Overall number of parathyroid glands identified (Experimental Group: Glands identified with naked eye + NIRAF; Control Group: Glands identified with naked eye) Time Frame: Immediate. During total thyroidectomy procedure.
Secondary Number of patients who have had repeat parathyroidectomy (PTx) procedure Number of patients with repeat PTx procedure performed after the current procedure 6 months after PTx procedure
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