Thyroid NeoplasmPhase 4NCT00385983
Total Thyroidectomy With Harmonic Scalpel®
A Phase 4 study testing Harmonic Scalpel in people with Thyroid Neoplasm and Goiter, run by Brazilian Society of Head and Neck Surgery at 9 sites in Brazil.
Trial summary
Harmonic scalpel is a new surgical instrument. Its use has been recommended in patients submitted to total thyroidectomy. Few randomized controlled trials has been published. However they had small sample sizes, used intermediate outcomes and included different surgical procedures. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Thyroid Neoplasm, Goiter, Thyroid Nodule
- What is being tested?
- Harmonic Scalpel
- Type of treatment
- Medical device
- How many people
- 280 participants
- Where
- 9 sitesBrazil
- Study dates
- Start not givento not given
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult (>18 y/o)
- Benign or malignant thyroid disease
- Proposal of total thyroidectomy
- Normal thyroid function
Who cannot join
- Giant goiter
- Hyperthyroidism
- Non differentiated thyroid carcinoma
- Locally invasive tumors
- Neck dissection as a part of procedure
- Previous surgery, radiotherapy or I131 therapy on neck
Show all 9Show fewer
- Video-assisted or endoscopic thyroidectomy
- Severe comorbidities
- Coagulation disorders
Trial locations and contacts
9 sites in 1 country.
Andre L Carvalho contact
9 sites in 1 country
Brazil9 sites
Hospital Erasto Gaertner
Curitiba, Paraná
Paola Pedruzzi, MSc
Hospital Araujo Jorge
Goiânia, Goiás
Maria P Curado, PhD
Hospital do Cancer de Natal
Natal, Rio Grande do Norte
Fernando Pinto, MD
Instituto Nacional de Cancer INCA
Rio de Janeiro, Rio de Janeiro
Roberto Araujo Lima, PhD
Hospital do Cancer AC Camargo
São Paulo, São Paulo
Luiz P Kowalski, PhD
Hospital Heliopolis
São Paulo, São Paulo
Carlos Lehn, PhD
Hospital Sao Paulo-UNIFESP
São Paulo, São Paulo
Fernando Walder
Instituto Arnaldo Vieira de Carvalho
São Paulo, São Paulo
Jose de Gois Filho, MD
Santa Casa de Misericordia
São Paulo, São Paulo
Antonio J Gonçalves, PhD
About this study
Official title: Total Thyroidectomy With Harmonic Scalpel® Versus Standard Surgery. Open Multicentric Randomized Controlled Trial
Harmonic scalpel is a new surgical instrument. Its use has been recommended in patients submitted to total thyroidectomy. Few randomized controlled trials has been published. However they had small sample sizes, used intermediate outcomes and included different surgical procedures.
Our objective is to asses the use of Harmonic scalpel in patients submitted to total thyroidectomy using surgical complications, operative time, drainage volume, postoperative pain, length of stay and costs as outcomes. Our hypothesis is that Harmonic scalpel decreases operative time,drainage volume, postoperative pain, length of stay and costs without increasing surgical complications
Read the detailed description
This is a multicentric open phase IV randomized controlled trial comparing patients submitted to total thyroidectomy comparing standard surgical procedure versus Harmonic scalpel assisted procedure. Adult patients with benign or malignant thyroid disease and normal function will be included. Patients with giant goiter, hyperthyroidism, non differentiated thyroid carcinoma, locally invasive tumors, neck dissection, previous neck radiotherapy or chemotherapy, video assisted surgery and severe comorbidities will be excluded. calculated sample size was 280 patients. Outcomes will be assessed by an independent monitor. All centers will made a previous standardization of surgical procedures.
- Conditions
- Thyroid Neoplasm, Goiter, Thyroid Nodule
- Being tested
- Harmonic Scalpel
- Keywords
- thyroidectomy, thyroid neoplasm, postoperative complications, cost effectiveness
- Medical subject headings
- Thyroid Neoplasms, Goiter, Thyroid Nodule, Postoperative Complications
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Harmonic ScalpelDevice
What is being measured
The primary outcome is the main question the study is designed to answer.
Postoperative complications
Secondary outcomes (5)
Operative time
Drainage volume
Postoperative pain
Length of stay
Direct Costs
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Oct 2006 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Thyroid NeoplasmStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Enrolment
- 280 participants
Sponsor and investigators
- Lead sponsor
- Brazilian Society of Head and Neck Surgery
- Sponsor type
- University, hospital or other
- Collaborators
- Johnson & Johnson
- Investigators
- Luiz P Kowalski, PhD, Principal investigator, Brazilian Society of Head and Neck Surgery
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00385983
- Sponsor's protocol ID
- CP005
- Status last verified
- Oct 2006
- First submitted
- 10 Oct 2006
- Last updated
- 11 Oct 2006
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Oct 2006. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Total Thyroidectomy With Harmonic Scalpel® Versus Standard Surgery. Open Multicentric Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT00385983
- Acronym / sponsor ID
- CP005
- Conditions
- Thyroid Neoplasm, Goiter, Thyroid Nodule
- Keywords
- thyroidectomy, thyroid neoplasm, postoperative complications, cost effectiveness
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 280 participants
- Lead sponsor
- Brazilian Society of Head and Neck SurgeryUniversity, hospital or other
- Collaborators
- Johnson & Johnson
- First posted
- 11 Oct 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Harmonic scalpel is a new surgical instrument. Its use has been recommended in patients submitted to total thyroidectomy. Few randomized controlled trials has been published. However they had small sample sizes, used intermediate outcomes and included different surgical procedures.
Our objective is to asses the use of Harmonic scalpel in patients submitted to total thyroidectomy using surgical complications, operative time, drainage volume, postoperative pain, length of stay and costs as outcomes. Our hypothesis is that Harmonic scalpel decreases operative time,drainage volume, postoperative pain, length of stay and costs without increasing surgical complications
Detailed description
This is a multicentric open phase IV randomized controlled trial comparing patients submitted to total thyroidectomy comparing standard surgical procedure versus Harmonic scalpel assisted procedure. Adult patients with benign or malignant thyroid disease and normal function will be included. Patients with giant goiter, hyperthyroidism, non differentiated thyroid carcinoma, locally invasive tumors, neck dissection, previous neck radiotherapy or chemotherapy, video assisted surgery and severe comorbidities will be excluded. calculated sample size was 280 patients. Outcomes will be assessed by an independent monitor. All centers will made a previous standardization of surgical procedures.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Adult (>18 y/o)
- Benign or malignant thyroid disease
- Proposal of total thyroidectomy
- Normal thyroid function
Key exclusion criteria (9 listed)
- Giant goiter
- Hyperthyroidism
- Non differentiated thyroid carcinoma
- Locally invasive tumors
- Neck dissection as a part of procedure
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Harmonic Scalpel | Device | – |
Primary outcome
Postoperative complications
5 secondary outcomes
Operative time
Drainage volume
Postoperative pain
Length of stay
Direct Costs
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Oct 2006.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Andre L Carvalho contact
Luiz P Kowalski, PhD principal investigator
Brazilian Society of Head and Neck Surgery
9 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Harmonic Scalpel in people with Thyroid Neoplasm and Goiter, run by Brazilian Society of Head and Neck Surgery at 9 sites in Brazil.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 11 Oct 2006. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Luiz P Kowalski, PhD (55-11-33410325, lp_kowalski@uol.com.br), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Postoperative complications. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Oct 2006.