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Medical imaging using radioactive pharmaceuticals to localize abnormal parathyroid glands in patients with negative convenctional imaging, as a necessary condition for planning an optimal surgical treatment

Phase 1
Conditions
Primary hyperthyroidism
MedDRA version: 20.0 Level: LLT Classification code 10036693 Term: Primary hyperparathyroidism System Organ Class: 100000004860
Therapeutic area: Diseases [C] - Hormonal diseases [C19]
Registration Number
EUCTR2019-002729-31-ES
Lead Sponsor
Fundación para la Investigación y la Innovación Biosanitaria del Principado de Asturias (FINBA)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
Not specified
Target Recruitment
30
Inclusion Criteria

Patients with primary hyperparathyroidism
Eligible for parathyroid surgery
Negative, inconclusive or discordant preoperative imaging (both parathyroid scintigraphy and cervical ultrasound), performed within 6 months before PET-CT scan with 18F-Fluorocholine
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 15
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 15

Exclusion Criteria

Patients with familial isolated primary hyperparathyroidism
Patients with multiple endocrine neoplasia (MEN)
Patients with secondary or terciary hyperparathyroidism
Patients with suspected thyroid or parathyroid cancer

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To evaluate the usefulness of PET-CT with 18F-Fluorocholine for preoperative localization of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism and negative conventional imaging (parathyroid scintigraphy and cervical ultrasound);<br> Secondary Objective: To investigate the correlation between SUVmax and clinical, analytical and pathological parameters.<br> To perform a cost-effectiveness analysis<br> ;Primary end point(s): Surgical resection of the hyperfunctioning parathyroid glands detected by PET-CT scan with 18F-Fluorocholine;Timepoint(s) of evaluation of this end point: Surgery must be performed within 3 months after the PET-CT scan
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Percentage of cured patients after surgery;Timepoint(s) of evaluation of this end point: 3 months after surgery
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