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Papillary Thyroid CancerPhase 3NCT06791005

A Clinical Study on the Benefits of Carbon Nanoparticles Injection Time in Patients With Thyroid Cancer.

A Phase 3 study testing Preoperative Injection of Carbon Nanoparticles and Intraoperative Injection of Carbon Nanoparticles in people with Papillary Thyroid Cancer, run by Second Affiliated Hospital of Xi'an Jiaotong University at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The detection rate of thyroid cancer (PTC) has increased rapidly in recent years. Except undifferentiated cancer, surgery is still one of the most important treatments for all types of thyroid cancer, and there is a consensus to use the lobes of the gland as the minimum extent of resection. Read more about this study

Who is it for?
Ages 16 to 80 years
Conditions the study is for
Papillary Thyroid Cancer
What is being tested?
Preoperative Injection of Carbon Nanoparticles and Intraoperative Injection of Carbon Nanoparticles
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
400 participants
Where
1 siteChina
Study dates
1 Jan 2025to 30 Sep 2025
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 16 to 80 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Preoperative pathological assessment indicated the presence of thyroid cancer with a maximum diameter of less than 4 cm.
  • Postoperative pathological evaluation confirmed bilateral thyroid cancer or lateral lymph node metastasis.
  • Vocal cord examination conducted one week prior to surgery revealed no abnormalities.
  • The patient had no history of prior thyroid surgery and required a total thyroidectomy.
  • Blood pressure was stably controlled.
  • The patient regained consciousness and was able to communicate normally.

Who cannot join

  • Prior to enrollment, the patient had received radiotherapy, chemotherapy, or isotope therapy.
  • A documented history of thyroid surgery.
  • Age under 16 years.
  • Known allergies to the medications under investigation or an inability to tolerate surgical intervention.
  • Presence of a retrosternal thyroid tumor.
  • Tumor invasion of the parathyroid glands and/or the recurrent laryngeal nerve during surgical procedures.
  • Postoperative pathology suggestive of medullary carcinoma or undifferentiated carcinoma.
  • Development of a postoperative tracheal fistula.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • The Second Affiliated Hospital of Xi'an Jiaotong University

    Xi'an, Shaanxi, 710000

    Yang Liu, doctor, 0086+029-13384986500, individualliu@163.com

    Recruiting

Other trials in China

About this study

Official title: A Comparative Study of Preoperative and Intraoperative Carbon Nanoparticles Injection in Patients Undergoing Thyroid Cancer Surgery

The detection rate of thyroid cancer (PTC) has increased rapidly in recent years. Except undifferentiated cancer, surgery is still one of the most important treatments for all types of thyroid cancer, and there is a consensus to use the lobes of the gland as the minimum extent of resection. In the meantime, a basic consensus has been reached that central zone lymph node (VI) dissection is the minimum extent of lymph node dissection. In clinical practice, neck surgery and lumpectomy are mostly performed. Hypoparathyroidism and recurrent laryngeal nerve injury are the most common complications of radical surgery for thyroid cancer, both in open surgery and the luminal approach. Once these complications occur, they have a serious impact on the quality of life of patients in the postoperative period. A number of contrast agents are now being used to help minimize complications. Carbon nanoparticles are an effective and non-harmful negative developer, and many studies have confirmed that carbon nanoparticles can be used to identify parathyroid glands in thyroid surgery. Intraoperative injection of nanocarbon is effective in increasing the quality of intraoperative parathyroid detection and lymph node clearance and reducing adverse effects, such as postoperative hypokalemia.However, there is no complete clinical guideline for preoperative intraglandular injection of carbon nanoparticles, and there is no standardized dosage for appropriate injection time, injection dose, and injection method. At the same time, there is still the problem of carbon nanoparticle leakage. At our medical center, we have found that preoperative injection of carbon nanoparticles via ultrasound-guided fine needle puncture may yield better results by reducing CNS exudation in the surgical area. In this study, we will collect more than 400 patients who underwent thyroidectomy in 2025 and underwent carbon nanoparticle injections at different time points and analyzed their intraoperative and postoperative conditions as a basis for analyzing the difference in patient benefits between preoperative and intraoperative carbon nanoparticle injections and to provide data to support the clinical use of carbon nanoparticles.

Read the detailed description
  1. Use of drugs: Carbon nanoparticles, Chongqing Lemay Pharmaceutical Co. Ltd., production license, Food and Drug Administration Production License No. (China) 2007204, Registration No.: State prescription H20041829. The product is a stable suspension of carbon particles with a diameter of 150 nm.2. Preoperative injection method: The preoperative subgroup was injected with carbon nanoparticles 2-6 hours before surgery, with the patient in the position of padded shoulder, and disinfection around the puncture point was prepared prior to the injection of carbon nanoparticles. Under ultrasound guidance, a fine needle was used to puncture the lower 1/3 of the ventral surface, and no blood was detected on aspiration, i.e., 0.1 mL of carbon nanoparticles was injected into each of the 2 sites of each gland, and the total volume of carbon nanoparticles injected was 0.4 mL, and the depth of injection was approximately within the upper third of the gland.
Being tested
Preoperative Injection of Carbon Nanoparticles, Intraoperative Injection of Carbon Nanoparticles
Keywords
Papillary Thyroid Cancer, thyroid surgery, developer, complication
Medical subject headings
Thyroid Cancer, Papillary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Preoperative Injection of Carbon NanoparticlesDrug

    1.Medication: Carbon nanoparticles, Chongqing Lemay Pharmaceutical Co. Ltd., production license, Food and Drug Administration Production License No. (China) 2007204, Registration No.: State prescription H20041829. The product is a stable suspension of carbon particles with a diameter of 150 nm.2. 2.Preoperative injection method: The preoperative subgroup was injected with carbon nanoparticles 2-6 hours before surgery, with the patient in the position of padded shoulder, and disinfection around the puncture point was prepared prior to the injection of carbon nanoparticles. Under ultrasound guidance, a fine needle was used to puncture the lower 1/3 of the ventral surface, and no blood was detected on aspiration, i.e., 0.1 mL of carbon nanoparticles was injected into each of the 2 sites of each gland, and the total volume of carbon nanoparticles injected was 0.4 mL, and the depth of injection was approximately within the upper third of the gland.

  • Intraoperative Injection of Carbon NanoparticlesDrug

    Intraoperative injection of carbon nanoparticles: After exposing the thyroid peritoneum, 0.1 mL of carbon nanoparticles was injected into both sides of normal thyroid tissue using a syringe (1 mL). Two spots were needed for each flap, and the total volume of injected carbon nanoparticles was 0.4 mL. Finally, the needle was gently backed up under negative pressure to prevent the leakage of carbon nanoparticles.

Study groups in NCT06791005
Study groupRoleWhat they receive
Preoperative Injection Before Partial Thyroidectomy GroupExperimentalPatients in this group will undergo partial thyroidectomy and preoperative injection of carbon nanoparticles.
Receives: Drug: Preoperative Injection of Carbon Nanoparticles
Intraoperative Injection During Partial Thyroidectomy GroupActive comparatorPatients in this group will undergo partial thyroidectomy and intraoperative injection of carbon nanoparticles.
Receives: Drug: Intraoperative Injection of Carbon Nanoparticles
Preoperative Injection Before Total Thyroidectomy GroupExperimentalPatients in this group will undergo total thyroidectomy and preoperative injection of carbon nanoparticles.
Receives: Drug: Preoperative Injection of Carbon Nanoparticles
Intraoperative Injection During Total Thyroidectomy GroupActive comparatorPatients in this group will undergo total thyroidectomy and intraoperative injection of carbon nanoparticles.
Receives: Drug: Intraoperative Injection of Carbon Nanoparticles

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. age

    Age will be aggregated using "years" as the unit of measurement.

    Measured: up to three years

  2. Genders

    Data will be summarized in terms of "male" and "female" as units of measurement.

    Measured: up to three years

  3. Height

    The height indicator will summarize the data in "meters".

    Measured: up to three years

  4. Weight

    The weight indicator will summarize data in "kilograms".

    Measured: up to three years

  5. BMI

    BMI will be summarized in "kg/m^2".

    Measured: up to three years

  6. Tumor Diameter Size

    Tumor diameter size will be summarized in "millimeters".

    Measured: up to three years

  7. Tumor Location

    Data will be summarized in terms of "Upper pole of left lobe" , "middle pole of left lobe" , "lower pole of left lobe" , "upper pole of right lobe" , "middle pole of right lobe" , "lower pole of right lobe" , "isthmus" and "multifocal" as units of measurement.

    Measured: up to three years

  8. Pathological Results

    Data will be summarized in terms of detailed pathological results and "none" .

    Measured: up to three years

  9. Preoperative Serum Calcium

    The Calcium indicator will summarize data in "mmol/L".

    Measured: up to three years

  10. Preoperative Serum Thyroid Hormone

    The thyroid hormone indicator will summarize data in "pmol/L".

    Measured: up to three years

  11. Preoperative Serum Parathyroid Hormone

    The parathyroid hormone will summarize data in "pmol/L".

    Measured: up to three years

  12. Preoperative serum TSH

    The TSH indicator will summarize data in "mlU/L".

    Measured: up to three years

  13. Preoperative Vocal Cord Movement Problems or Laryngoscopy Result

    Data will be summarized in terms of "normal" , "symptomatic" and "laryngoscopy abnormal" as units of measurement.

    Measured: up to three years

  14. Carbon Nanoparticles Injection Site

    Data will be summarized in terms of "Upper pole of left lobe" , "middle pole of left lobe" , "lower pole of left lobe" , "upper pole of right lobe" , "middle pole of right lobe" , "lower pole of right lobe" , "isthmus" and "multi-site injection" as units of measurement.

    Measured: up to three years

  15. Number of Carbon Nanoparticles Injections

    Number of Carbon Nanoparticles Injections

    Measured: up to three years

  16. Carbon Nanoparticles Injection Dose

    Injection dose will be summarized in "milliliter".

    Measured: up to three years

  17. Duration of The Operation

    The duration of the operation will summarize data in "h". The time interval from the induction of anesthesia to the end of surgery was selected as the length of surgery, according to the surgical care records

    Measured: up to three years

  18. Number of Lymph Node Dissection

    Record the total number of lymph nodes dissected, the number of lymph nodes dissected in the central region, the number of lymph nodes dissected in the lateral cervical region and the number of metastatic lymph nodes detected.

    Measured: up to three years

  19. Intraoperative Hemorrhage

    The intraoperative hemorrhage will summarize data in "milliliter".

    Measured: up to three years

  20. Thyroid Staining

    Data will be summarized in terms of "A" ,"B" and "C" as units of measurement. A.The stained thyroid is good in the center and at the margins, with clear staining at the edges; B.The stained thyroid gland has good central staining, and the margins are grossly stained, so that the marginal pattern can be roughly observed; C.The stained thyroid stains well, with poorly stained margins;

    Measured: up to three years

  21. Lymph node staining

    Data will be summarized in terms of "A" ,"B" and "C" as units of measurement. A.The center and margins of the stained lymph nodes are well stained, and the margins are clearly stained; B. The stained lymph nodes have good central staining and grossly stained margins; the marginal pattern can be roughly observed, and the lymph nodes are definite on palpation; C.Good central staining of the stained lymph nodes, unclear staining of the margins, and precise palpation of the lymph nodes.

    Measured: up to three years

  22. Parathyroid Glands Staining

    Data will be summarized in terms of "A" ,"B" and "C" as units of measurement. A.Good central infiltration, uniform and clear staining throughout the gland; B.Central infiltration is good, staining of the entire gland is still uniform, but flaky stained areas are seen, and the gland is exact on palpation; C.Central infiltration is fair, staining of the entire gland is stellate with no obvious shape, and the gland is exact on palpation.

    Measured: up to three years

  23. Nanocarbon Leakage

    Data will be summarized in terms of "A" ,"B" and "C" as units of measurement. A.no visible leakage, only slight leakage at the injection site, not affecting the parathyroid glands or the recurrent laryngeal nerve; B.leakage is present and visible to the naked eye, but less than 1/2 of the entire operative field, with staining of the trachea, thyroid peritoneum, and anterior cervical musculature; C.Leakage is present and reaches 1/2 of the entire operative field or Carbon Nanoparticles results in staining of the parathyroid glands or the recurrent laryngeal nerve, affecting identification.

    Measured: up to three years

  24. Duration of Postoperative Pain

    The duration of postoperative pain will summarize data in "days".

    Measured: up to three years

  25. Postoperative Drainage

    The postoperative drainage will summarize data in "milliliter".

    Measured: up to three years

  26. Length of Postoperative Hospitalization

    The length of postoperative hospitalization will summarize data in "days"

    Measured: up to three years

  27. Postoperative Serum Parathyroid Hormone

    The parathyroid hormone will summarize data in "pmol/L".

    Measured: up to three years

  28. Numbness of The Hands and Feet

    The numbness of the hands and feet will be summarized with a "yes" or "no" to the data.

    Measured: up to three years

  29. Postoperative Laryngeal Recurrent Nerve Irritation and Injury

    Postoperative laryngeal recurrent nerve irritation and injury will be summarized with a "yes" or "no" to the data.

    Measured: up to three years

  30. Postoperative Hematoma

    The postoperative hematoma will be summarized with a "yes" or "no" to the data.

    Measured: up to three years

  31. Postoperative Tracheocutaneous Fistula

    The postoperative tracheocutaneous fistula will be summarized with a "yes" or "no" to the data.

    Measured: up to three years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jan 2025
  2. Study start1 Jan 2025
  3. Primary completion30 Jun 2025 (estimated)
  4. Study completion30 Sep 2025 (estimated)

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Care provider, Investigator, Outcomes assessor
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06791005
Sponsor's protocol ID
nanoc
Status last verified
Jan 2025
First submitted
18 Jan 2025
Last updated
24 Jan 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Preoperative Injection of Carbon Nanoparticles and Intraoperative Injection of Carbon Nanoparticles in people with Papillary Thyroid Cancer, run by Second Affiliated Hospital of Xi'an Jiaotong University at 1 site in China.

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 6 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 24 Jan 2025. 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 China. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Yang Liu, doctor (0086+029-13384986500, individualliu@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

age (time frame: up to three years). The study lists 31 primary outcomes in all. 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 24 Jan 2025.

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