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NCT04281875: NIRAF

Assessing Benefits of NIRAF Detection for Identifying Parathyroid Glands During Total Thyroidectomy.

Completed NA Results posted Last updated 17 October 2024
What this trial tests

NA trial testing NIRAF Detection Technology in Postoperative Hypoparathyroidism in 160 participants. Completed in 23 February 2024.

Timeline
16 March 2020
Primary endpoint
23 February 2024
23 February 2024

Quick facts

Lead sponsorVanderbilt-Ingram Cancer Center
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposeprevention
Enrollment160
Start date16 March 2020
Primary completion23 February 2024
Estimated completion23 February 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Vanderbilt-Ingram Cancer Center — full company profile →

Who can join

Adults 18 to 99, any sex, with Postoperative Hypoparathyroidism or Thyroid Neoplasms. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Average Number of Parathyroid Glands Identified With High Confidence Per Patient Primary · Immediate. During total thyroidectomy procedure.

Average number of parathyroid glands identified (Experimental Group: Glands identified with naked eye + NIRAF; Control Group: Glands identified with naked eye) per patient

GroupValue95% CI
NIRAF Detection Technology +2.81± 1.03
NIRAF Detection Technology -2.75± 0.95
Postoperative Hypoparathyroidism/Hypocalcemia (Permanent) Secondary · 6 months after total thyroidectomy

If blood calcium has not normalized at 1st postsurgical clinical visit, total calcium level and/or PTH is subsequently measured as necessary. Patient is defined to have permanent hypoparathyroidism if PTH \< 16 pg/mL and/or activated Vitamin D is required to be symptom free at or after the 6th postoperative month.

GroupValue95% CI
NIRAF Detection Technology +0
NIRAF Detection Technology -0
Postoperative Hypoparathyroidism/Hypocalcemia (Transient) Secondary · 5 days to 6 months after total thyroidectomy.

Undetectable postoperative PTH and/or low calcium (total calcium \< 2mmol/L or 8 mg/dL, serum intact PTH \< 16 pg/mL or 1 pmol/L) at first postoperative visit (usually 5-30 days after total thyroidectomy).

GroupValue95% CI
NIRAF Detection Technology +3
NIRAF Detection Technology -5
Postoperative Hypoparathyroidism/Hypocalcemia (Immediate) Secondary · Within 24 hours after total thyroidectomy.

Postoperative low calcium (total calcium \<8mg/dL or \<2mmol/L) and/or undetectable parathyroid hormone (PTH) (serum intact PTH \< 16 pg/mL or 1 pmol/L) within 24 hours after surgery

GroupValue95% CI
NIRAF Detection Technology +19
NIRAF Detection Technology -16
Number of Frozen Sections Sent for Analysis (of Suspected Parathyroid Tissue). Secondary · Immediate. During total thyroidectomy procedure.

Number of frozen sections sent for analysis during the procedure to confirm potential parathyroid tissue

GroupValue95% CI
NIRAF Detection Technology +0.08± 0.4
NIRAF Detection Technology -0.1± 0.3
Number of Auto-transplanted Parathyroid Glands Secondary · Immediate. During total thyroidectomy procedure.

Number of auto-transplanted parathyroid glands if the parathyroid gland was accidentally excised/devascularized.

GroupValue95% CI
NIRAF Detection Technology +43
NIRAF Detection Technology -39
Number of Nights Spent in the Hospital After Total Thyroidectomy Secondary · 0 - 4 nights after total thyroidectomy

Number of nights spent in the hospital after the surgical procedure. 0 nights, 1 night, \>1 night

GroupValue95% CI
NIRAF Detection Technology +1
NIRAF Detection Technology -4
NIRAF Detection Technology +77
NIRAF Detection Technology -72
NIRAF Detection Technology +2
NIRAF Detection Technology -4
Number of Inadvertently Resected Parathyroid Glands Secondary · Intraoperatively or on histology (within 24 hours post operation)

Number of inadvertently resected parathyroid glands when parathyroid tissue is found in the resected thyroid specimens.

GroupValue95% CI
NIRAF Detection Technology +0.09± 0.3
NIRAF Detection Technology -0.06± 0.2

Sponsor's own description

This study describes a single center, randomized, single-blinded clinical trial to assess the clinical benefits of the use of near infrared autofluorescence (NIRAF) detection with an FDA-cleared device 'Parathyroid Eye (PTeye)' for identifying parathyroid glands (PGs) during total thyroidectomy (TTx). It compares risk-benefits and outcomes in TTx patients where NIRAF detection with PTeye for parathyroid identification is either used or not used.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Current state of intraoperative use of near infrared fluorescence for parathyroid identification and preservation.
    Solórzano CC, Thomas G, Berber E, Wang TS, et al · · 2021 · cited 73× · PMID 33139065 · DOI 10.1016/j.surg.2020.09.014
  2. Update on the Diagnosis and Management of Medullary Thyroid Cancer: What Has Changed in Recent Years?
    Kaliszewski K, Ludwig M, Ludwig B, Mikuła A, et al · · 2022 · cited 34× · PMID 35892901 · DOI 10.3390/cancers14153643
  3. Near-Infrared Autofluorescence for Parathyroid Detection During Endocrine Neck Surgery: A Randomized Clinical Trial.
    Cousart AG, Kiernan CM, Willmon PA, Thomas G, et al · · 2025 · cited 3× · PMID 40668552 · DOI 10.1001/jamasurg.2025.2233

Verify or expand the search:

Other trials of NIRAF Detection Technology

Trials testing the same drug.

Other recruiting trials for Postoperative Hypoparathyroidism

Currently open trials in the same condition.

Other Vanderbilt-Ingram Cancer Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04281875.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing