Thyroid NoduleNCT01320813
Trial Comparing Complication Rates Associated With Robot-assisted Thyroidectomy to External Thyroidectomy
A study testing Robot-assisted thyroidectomy and Open thyroidectomy in people with Thyroid Nodule and Goiter, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.
Trial summary
The main objective is to compare 12 month complication rates between a new surgical method for thyroidectomy (robot-assisted endoscopic thyroidectomy via a sub-clavical approach) and open thyroidectomy. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Thyroid Nodule, Goiter, Thyroiditis
- What is being tested?
- Robot-assisted thyroidectomy and Open thyroidectomy
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5 participants
- Where
- 1 siteFrance
- Study dates
- Sep 2011to Sep 2013
- Phase
- Interventional
- 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 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is available for 12 months of follow-up
- The patient is a candidate for total thyroidectomy because of a nodular pathology, a diffuse goiter, thyroiditis, or Basedow's disease
- Patient has calcitoninemia < 9 ng/pl
- Patient has normal calcemia
- Patient has PTH level between 5 ng/l and 75 ng/l
- The subject has a normal laryngeal mobility
Who cannot join
- The patient is participating in another study
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, under tutorship or curatorship
- The patient refuses to sign the consent
- It is impossible to correctly inform the patient
- The patient is pregnant
Show all 14Show fewer
- The patient is breastfeeding
- The patient is not available for 12 months of follow-up
- Subject has a preoperative diagnosis of cancer on fine needle aspiration biopsy of the thyroid or cervical lymph node
- Lymph node metastasis strongly suspected clinically and/or sonographically
- The subject has an extension of substernal thyroid (diving goiter)
- Family history of medullary thyroid cancer
- The subject has a history of neck surgery
- Contraindication for general anesthesia
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Randomized Trial Comparing Complication Rates Associated With Robot-assisted Thyroidectomy to External Thyroidectomy
The main objective is to compare 12 month complication rates between a new surgical method for thyroidectomy (robot-assisted endoscopic thyroidectomy via a sub-clavical approach) and open thyroidectomy.
- Conditions
- Thyroid Nodule, Goiter, Thyroiditis, Graves Disease
- Being tested
- Robot-assisted thyroidectomy, Open thyroidectomy
- Keywords
- da vinci robot, Thyroidectomy
- Medical subject headings
- Thyroid Nodule, Goiter, Thyroiditis, Graves Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Robot-assisted thyroidectomyProcedure or surgery
Patients will have a thyroidectomy via a robot-assisted (da Vinci robot) endoscopic (subclavical entry)surgical technique.
Open thyroidectomyProcedure or surgery
Patients will have a conventional (non-endoscopic) thyroidectomy using an open surgical technique
| Study group | Role | What they receive |
|---|---|---|
| Robot arm | Experimental | Patients in this arm will have a thyroidectomy performed using a robot-assisted endoscopic technique. Receives: Procedure: Robot-assisted thyroidectomy |
| Open surgery | Active comparator | Patients in this arm will have a thyroidectomy using an open surgical technique. Receives: Procedure: Open thyroidectomy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Presence/absence of complications (composite score)
The per or post-operative occurrence of at least one of the following: postoperative hemorrhage requiring reintervention; cervical infection requiring antibiotics and/or surgical intervention; transient or persistent laryngeal paralysis; transient or persistent hypoparathyroidy (calcemia < 1.9 µmol/l). Transiient means < than and persistent means >= 12 months.
Measured: 12 months
Secondary outcomes (21)
Incision size (mm)
Length of incision in the open group, and sum of incision lengths in the robot group.
Measured: 12 months
Patient satisfaction score
Patient satisfaction as regards the incision scar measured using a visual analog scale from 0.0 to 10.0.
Measured: 12 months
Presence/absence of conversion to open technique
For patients in the robot arm: presence/absence of conversion to open technique.
Measured: 1 day
Operating room prep time (min)
Time in minutes necessary to prep the operating room
Measured: 1 day
Presence/absence of per-operative complications
Presence/absence of per-operative complications
Measured: 1 day
Hospital stay (d)
Length of hospitalization in days required after thyroidectomy
Measured: 7 to 15 days post-op
Change in thyroglobulinemia (ng/l)
Thyroglobulinemia at 12 months - Thryoglobulinemia as baseline
Measured: 12 months
Change in calcemia (mg/l)
Calcemia on Day 1 - Calcemia at inclusion
Measured: Day 1
Change in calcemia (mg/l)
Calcemia at the control visit (days 7 to 15) - Calcemia at inclusion
Measured: Day 7 to 15
Change in calcemia (mg/l)
Calcemia at 12 months - Calcemia at inclusion
Measured: 12 months
Change in phosphoremia (mg/l)
Phosphoremia at 1 day postop - Phosphoremia at inclusion
Measured: Day 1
Change in phosphoremia (mg/l)
Phosphoremia at control visit (days 7 to 15) - Phosphoremia at inclusion
Measured: Days 7 to 15
Change in phosphoremia (mg/l)
Phosphoremia at 12 months - Phosphoremia at inclusion
Measured: 12 months
Change in parathormonemia (ng/l)
Parathormonemia on Day 1 post-op - parathormonemia at inclusion
Measured: Day 1
Change in parathormonemia (ng/l)
Parathormonemia at control visit (days 7 to 15) - parathormonemia at inclusion
Measured: Days 7 to 15
Change in parathormonemia (ng/l)
Parathormonemia at 12 months - parathormonemia at inclusion
Measured: 12 months
Visual Analog Pain Score
Visual Analog Scale for pain (0.0 to 10.0)
Measured: Day 1
Visual Analog Pain Score
Visual Analog Scale for pain (0.0 to 10.0)
Measured: Days 7 to 15
Visual Analog Pain Score
Visual Analog Scale for pain (0.0 to 10.0)
Measured: 12 months
Direct medical costs (€)
Measured: 12 months
Indirect medical costs (€)
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Mar 2011 (estimated)
- Study startSep 2011
- Primary completionSep 2013
- Study completionSep 2013
Why it stopped: Unable to find enough patients who accept randomization of surgical procedures.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Thyroid NoduleStudies 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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 5 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Nīmes
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Benjamin Lallemant, MD, Principal investigator, Centre Hospitalier Universitaire de Nīmes
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01320813
- Sponsor's protocol ID
- PHRC-I/2010/BL-01
- Other IDs
- 2011-A00049-32
- Status last verified
- Mar 2015
- First submitted
- 22 Mar 2011
- Last updated
- 25 Mar 2015
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 25 Mar 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Trial Comparing Complication Rates Associated With Robot-assisted Thyroidectomy to External Thyroidectomy
- ClinicalTrials.gov ID
- NCT01320813
- Acronym / sponsor ID
- PHRC-I/2010/BL-01
- Conditions
- Thyroid Nodule, Goiter, Thyroiditis, Graves Disease
- Keywords
- da vinci robot, Thyroidectomy
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Unable to find enough patients who accept randomization of surgical procedures.
- Enrolment
- 5 participants (actual)
- Lead sponsor
- Centre Hospitalier Universitaire de NīmesUniversity, hospital or other
- Study start
- Sep 2011
- Primary completion
- Sep 2013 (actual)
- Study completion
- Sep 2013 (actual)
- First posted
- 23 Mar 2011 (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.
The main objective is to compare 12 month complication rates between a new surgical method for thyroidectomy (robot-assisted endoscopic thyroidectomy via a sub-clavical approach) and open thyroidectomy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Robot arm | Experimental | Procedure: Robot-assisted thyroidectomyPatients in this arm will have a thyroidectomy performed using a robot-assisted endoscopic technique. |
| Open surgery | Active comparator | Procedure: Open thyroidectomyPatients in this arm will have a thyroidectomy using an open surgical technique. |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is available for 12 months of follow-up
- The patient is a candidate for total thyroidectomy because of a nodular pathology, a diffuse goiter, thyroiditis, or Basedow's disease
- Patient has calcitoninemia < 9 ng/pl
Key exclusion criteria (14 listed)
- The patient is participating in another study
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, under tutorship or curatorship
- The patient refuses to sign the consent
- It is impossible to correctly inform the patient
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 |
|---|---|---|
| Robot-assisted thyroidectomyPatients will have a thyroidectomy via a robot-assisted (da Vinci robot) endoscopic (subclavical entry)surgical technique. | Procedure or surgery | Robot arm |
| Open thyroidectomyPatients will have a conventional (non-endoscopic) thyroidectomy using an open surgical technique | Procedure or surgery | Open surgery |
Primary outcome
Presence/absence of complications (composite score)
Time frame: 12 months
The per or post-operative occurrence of at least one of the following: postoperative hemorrhage requiring reintervention; cervical infection requiring antibiotics and/or surgical intervention; transient or persistent laryngeal paralysis; transient or persistent hypoparathyroidy (calcemia < 1.9 µmol/l). Transiient means < than and persistent means >= 12 months.
21 secondary outcomes
Incision size (mm)
Time frame: 12 months
Patient satisfaction score
Time frame: 12 months
Presence/absence of conversion to open technique
Time frame: 1 day
Operating room prep time (min)
Time frame: 1 day
Presence/absence of per-operative complications
Time frame: 1 day
Hospital stay (d)
Time frame: 7 to 15 days post-op
Change in thyroglobulinemia (ng/l)
Time frame: 12 months
Change in calcemia (mg/l)
Time frame: Day 1
Change in calcemia (mg/l)
Time frame: Day 7 to 15
Change in calcemia (mg/l)
Time frame: 12 months
Change in phosphoremia (mg/l)
Time frame: Day 1
Change in phosphoremia (mg/l)
Time frame: Days 7 to 15
Change in phosphoremia (mg/l)
Time frame: 12 months
Change in parathormonemia (ng/l)
Time frame: Day 1
Change in parathormonemia (ng/l)
Time frame: Days 7 to 15
Change in parathormonemia (ng/l)
Time frame: 12 months
Visual Analog Pain Score
Time frame: Day 1
Visual Analog Pain Score
Time frame: Days 7 to 15
Visual Analog Pain Score
Time frame: 12 months
Direct medical costs (€)
Time frame: 12 months
Indirect medical costs (€)
Time frame: 12 months
Results and safety
The study was stopped early (reason given: Unable to find enough patients who accept randomization of surgical procedures.). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Mar 2015.
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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.
Benjamin Lallemant, MD principal investigator
Centre Hospitalier Universitaire de Nīmes
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Robot-assisted thyroidectomy and Open thyroidectomy in people with Thyroid Nodule and Goiter, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.
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 8 inclusion and 14 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: stopped early, as of the sponsor's last update on 25 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. 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.
Are results available for this study?
The study was stopped early (reason given: Unable to find enough patients who accept randomization of surgical procedures.). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Presence/absence of complications (composite score) (time frame: 12 months). 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 25 Mar 2015.