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NCT01291498 · REGISTRY CONDITION SEARCH

High Intensity Focused Ultrasound (HIFU) for Parathyroid Adenoma

Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.

Phase
NA
Status at capture
TERMINATED
Registry last update
2017-12-18

This study aims to determine whether HIFU treatment is a safe and effective alternative to an operation to remove all or part of the affected gland. The objective is to achieve biochemical cure (assessed by normal calcium level in the blood at six weeks, six months and one year after therapy) without affecting the patient's voice or ability to swallow.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

Who could take part
eligibility Criteria
Inclusion Criteria: * Primary Hyperparathyroidism (PHPT) * Moderate/severe hypercalcaemia (Ca\>2.8mmol/L) * Positive sestamibi scan demonstrating a cervical parathyroid adenoma * Adenoma visible on ultrasound scan Exclusion Criteria: * Large adenoma (\>15mm) * Deep adenoma (\>20mm from skin surface * Familial disease (eg members of MEN-1 families) * Inability to complete questionnaires in English without making mistakes or needing help with translation
healthy Volunteers
false
minimum Age
18 Years
sex
ALL
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    High Intensity Focused Ultrasound. This is not a comparative study
    intervention Names
    1. Device: High Intensity Focused Ultrasound
    label
    HIFU Treatment
    type
    OTHER
interventions
  1. arm Group Labels
    1. HIFU Treatment
    description
    One or two HIFU sessions
    name
    High Intensity Focused Ultrasound
    other Names
    1. TH-One HIFU device
    type
    DEVICE
Study design
allocation
NA
intervention Model
SINGLE_GROUP
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
1
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    Calcium in the blood is measured from venepuncture
    measure
    Eucalcaemia
    time Frame
    12 months post-treatment
secondary Outcomes
  1. description
    Ca in plasma
    measure
    Eucalcaemia
    time Frame
    Six weeks post-treatment.Six month data were also intended to be reported, however, six month data were not analyzed because only one subject was entered and this subject was withdrawn from the study before six months after treatment.
  2. description
    Voice Handicap Index. 30 questions rated on a five point scale from 'never' to 'always' and an overall score from 1 'normal' to 10 'severely impaired'
    measure
    Voice Morbidity
    time Frame
    Up to one year post-treatment
Full study description
brief Summary
This study aims to determine whether HIFU treatment is a safe and effective alternative to an operation to remove all or part of the affected gland. The objective is to achieve biochemical cure (assessed by normal calcium level in the blood at six weeks, six months and one year after therapy) without affecting the patient's voice or ability to swallow.
detailed Description
Primary hyperparathyroidism is a common endocrine condition in which one or more of the four parathyroid glands in the neck releases too much parathyroid hormone (PTH). this leads to excess calcium in the blood and if untreated it can cause osteoporosis, kidney stone formation, deterioration of kidney function and disturbance in heart rhythm. Surgery to remove all or part of the affected gland(s) is expected to cure 95% of such patients. In current practice all such patients undergo localisation techniques using sestamibi scanning and neck ultrasonography to demonstrate the position of the enlarged/overactive parathyroid gland. These radiological tests are positive in some two thirds of patients, who can be operated through a minimally invasive procedure focused on the exact localisation pinpointed by the scans. This study uses a procedure that does not require a surgical incision. Precise imaging of the parathyroid glands allows the exact position of the tumour to be found from outside the body. A High Intensity Focused Ultrasound beam produces heat, but only in a small specific area. Exact positioning of the ultrasound beam targets the tumour cells and kills them without harming the surrounding healthy tissues.
Source references
Source notices and limitations
    Discovery and provenance
    1. release id
      ctgov-registry-1336d216cbd1bbff780dac70
      edge id
      nct-edge-a30b1dbb04ec1c4ca1d6
      requested nct id
      NCT01291498
      primary nct id
      NCT01291498
      source kind
      ctgov_condition_query
      source record id
      Source null
      source file sha256
      2b4988b513f0b70e7c49c0c10cabf5241c1231b8e29e89b78dc9406bd8749c8a
      payload sha256
      fb7234543a71b1631eb5fb9b1326f090226d6765e5efb810906c0692866933a8
      payload
      clinical indication matching status
      condition_index_match_asserted_by_registry_not_reviewed
      end exclusive
      true
      id
      nct-edge-a30b1dbb04ec1c4ca1d6
      link basis
      returned_by_explicit_condition_and_posted_results_filter_query
      nct id
      NCT01291498
      occurrences
      1. context exact
        NCT01291498
        end
        11
        exact text
        NCT01291498
        start
        0
      offset unit
      unicode_code_points
      query cond
      Parathyroid Cancer
      query disease state id
      ds-parathyroid-cancer
      source file
      /Users/arunverma/Documents/ChatGPT/Cancer Statistics Website/research-data/2026-09-10/clinicaltrials-condition/round-0000/raw/cond-parathyroid-cancer-000.json
      source file sha256
      2b4988b513f0b70e7c49c0c10cabf5241c1231b8e29e89b78dc9406bd8749c8a
      source json pointer
      /studies/15/protocolSection/identificationModule/nctId
      source kind
      ctgov_condition_query
      source record id
      Source null
      source string basis
      parsed_JSON_string_unmodified
      source string sha256
      55aea330308c66630fb112323c261a643e1fcbe979a768742b30d07804f5aa9c

    Preserved source evidence · Not medical advice