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Genetic Analysis in Diagnosing Thyroid Cancer in Patients With Thyroid Nodules

Gene Expression Analysis in Thyroid Nodule FNA Samples

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00316823
Enrollment
400
Registered
2006-04-21
Start date
2005-07-31
Completion date
Unknown
Last updated
2014-02-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Head and Neck Cancer

Keywords

thyroid cancer

Brief summary

RATIONALE: Finding genetic markers for thyroid cancer in a biopsy specimen may help doctors diagnose thyroid cancer. PURPOSE: This clinical trial is studying how well genetic analysis works in diagnosing thyroid cancer in patients with thyroid nodules.

Detailed description

OBJECTIVES: * Evaluate the diagnostic accuracy of biomarkers and mRNA expression analysis using fine-needle aspiration (FNA) biopsy samples from patients with thyroid nodules. * Correlate the level of gene expression with the aggressiveness of differentiated thyroid cancer in FNA biopsy samples. OUTLINE: Patients undergo fine-needle aspiration (FNA) biopsy as part of routine care. Additional thyroid tissue is collected during the biopsy for gene expression analysis. Patients who have already had a biopsy undergo FNA biopsy during thyroidectomy. Tissue samples will be examined for gene expression by reverse transcriptase-polymerase chain reaction (PCR), real-time quantitative PCR, and immunohistochemistry. PROJECTED ACCRUAL: A total of 400 patients will be accrued for this study.

Interventions

GENETICgene expression analysis
GENETICpolymerase chain reaction
GENETICreverse transcriptase-polymerase chain reaction
OTHERdiagnostic laboratory biomarker analysis
OTHERimmunohistochemistry staining method
PROCEDUREneedle biopsy

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
University of California, San Francisco
Lead SponsorOTHER

Study design

Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Diagnosis of a thyroid nodule that requires fine-needle aspiration biopsy or thyroidectomy to exclude a diagnosis of thyroid cancer PATIENT CHARACTERISTICS: * Platelet count ≥ 70,000/mm\^3 * PT (INR) ≤ 14.5 * PTT ≤ 35.2 * Not pregnant PRIOR CONCURRENT THERAPY: * No aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) 7 days before sample procurement

Design outcomes

Primary

MeasureTime frame
Diagnostic accuracy of biomarkers by mRNA expression analysis
Correlate levels of gene expression with the aggressiveness of differentiated thyroid cancer in FNA biopsy samples

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026