Primary Hyperparathyroidism Clinical Trial
Official title:
Evaluating Impact of Near Infrared Autofluorescence (NIRAF) Detection for Identifying Parathyroid Glands During Parathyroidectomy
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.
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 |
Country | Name | City | State |
---|---|---|---|
United States | The University of Michigan | Ann Arbor | Michigan |
Lead Sponsor | Collaborator |
---|---|
University of Michigan | National Cancer Institute (NCI), Vanderbilt University |
United States,
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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