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Minimally Invasive Radioguided Parathyroidectomy

Minimally Invasive Radioguided Parathyroidectomy

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01530919
Acronym
MIRP
Enrollment
856
Registered
2012-02-10
Start date
1998-09-30
Completion date
2017-04-30
Last updated
2017-05-04

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

Conditions

Primary Hyperparathyroidism

Brief summary

The main purpose of this research study is to evaluate the effectiveness of a minimally invasive surgical approach to removing parathyroid gland(s). The researchers are also interested in analyzing abnormal parathyroid tissue for changes in genes and proteins that may contribute to overactive parathyroid gland(s).

Detailed description

The specific aims of this study are to determine the safety and efficacy of minimally invasive radioguided parathyroidectomy, to determine the positive and negative predictive value of sestamibi scanning to detect parathyroid adenomas, and to differentiate adenomas from parathyroid hyperplasia. In addition, this study aims to determine the value of intraoperative parathyroid hormone assay to verify biochemical cure of primary hyperparathyroidism, to determine whether minimally invasive radioguided parathyroidectomy is cos-effective, and to collect abnormal parathyroid tissue at the time of surgery for tissue analysis.

Interventions

After the patient is prepared for surgery and under local anesthesia, the initial incision by the surgeon will be 2-3 cm. The surgeon will dissect in the designated quadrant until the parathyroid gland is identified.

Sponsors

Norton Healthcare
CollaboratorOTHER
Jewish Hospital and St. Mary's Healthcare
CollaboratorOTHER
University of Louisville
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* All patients with biochemical evidence of primary hyperparathyroidism

Design outcomes

Primary

MeasureTime frame
The positive and negative predictive value of sestamibi scanning to detect parathyroid adenomas.2-3days

Secondary

MeasureTime frame
The value of intraoperative parathyroid hormone assay to verify biochemical cure or primary hyperparathyroidism2-3 days
Collection of abnormal parathyroid tissue at the time of surgery for tissue analysisday of surgery (1 day)

Countries

United States

Outcome results

None listed

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