The Dose of Radioactive Iodine Needed to Ablate the Thyroid Remnant Left Behind After Thyroidectomy

NCT ID: NCT00115895

Last Updated: 2018-03-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-01-31

Study Completion Date

2020-09-30

Brief Summary

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The thyroid cells take up iodine, and radioactive iodine is commonly used to irradiate residual thyroid tissue and thyroid cancer following surgical removal of the thyroid gland (thyroidectomy). A whole body radioactive iodine scanning is usually carried out after thyroidectomy to assess the amount of thyroid tissue left behind at surgery (that might still contain cancer), and to evaluate the presence of iodine avid lesions elsewhere in the body (that might be cancer metastases). A large dose of radioactive iodine is often given, still the optimal iodine dose to ablate the thyroid remnant after surgery is not known. In this study, two radioactive iodine doses are compared in the ablation of the thyroid remnant, a smaller (1110 MBq) dose and a larger (3700 MBq) dose. The study participants are randomly allocated using a 1:1 ratio to receive either the smaller or the larger radioactive iodine dose. These treatments are compared for safety, adverse effects, and the need for subsequent repeat treatments. The individual absorbed radiation doses are measured. The study hypothesis is that fewer repeat radioiodine treatments might be needed after the larger dose, but the larger dose might be associated with a higher frequency of adverse events.

Detailed Description

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The study participants are randomly allocated to receive either a 1110 MBq or a 3700 MBq dose of radioiodine (131I) approximately 5 weeks after thyroidectomy. Thyroxin substitution is initiated only after administration of radioactive iodine. Treatment efficacy is monitored using serum thyroglobulin measurements and whole body radioiodine scanning. The absorbed radiation dose at the thyroid remnant and the biological half-life of radioactive iodine are measured with SPECT, 131I iodine detector and a Geiger counter.

Treatment related adverse events are collected using structured forms 4 to 5 days, 2 weeks and 3 months after administration of radioiodine. The need for a repeat treatment is assessed 4 to 6 months after the first administration of radioiodine. The criteria for a repeat radioiodine treatment are serum thyroglobulin \> 1 ug/L and/or presence of abnormal radioiodine uptake in a whole body radioiodine scanning, which is carried out following a 4-week interruption of thyroxin supplementation or following administration of rhTSH.

Number of patients: 160

Aims of the study:

* To find out weather the risk for second radioiodine treatment differs with two dose levels of radioiodine: 1110 MBq or 3700 MBq.
* To study possible differences in the adverse effects in the treatment groups. Also days at hospital are counted.
* To analyse the effect of absorbed radiation dose to the treatment results

Conditions

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Thyroid Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Radioactive iodine 1,1 GBq

Low activity of radioiodine, 1,1 GBq

Group Type EXPERIMENTAL

Radioactive iodine

Intervention Type DRUG

Radioiodine is radionuclear treatment given in oral capsules in two activies 1,1 and 3,7 GBq

Radioactive iodine 3,7 GBq

Routine activity of radioiodine, 3,7 GBq

Group Type OTHER

Radioactive iodine

Intervention Type DRUG

Radioiodine is radionuclear treatment given in oral capsules in two activies 1,1 and 3,7 GBq

Interventions

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Radioactive iodine

Radioiodine is radionuclear treatment given in oral capsules in two activies 1,1 and 3,7 GBq

Intervention Type DRUG

Other Intervention Names

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radioiodine

Eligibility Criteria

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Inclusion Criteria

* Total or near total thyroidectomy performed for papillary or follicular thyroid cancer
* R0-1 resection, no macroscopic cancer left behind at surgery
* Physically and emotionally able to undergo radioiodine treatment
* A written informed consent

Exclusion Criteria

* Pregnancy
* Physical or psychiatric illness that may deteriorate during the isolation period required by radioiodine therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Helsinki University Central Hospital

OTHER

Sponsor Role collaborator

University of Helsinki

OTHER

Sponsor Role lead

Responsible Party

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Hanna Mäenpää

Chief of Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hanna O Mäenpää, M.D. Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Deputy Chief Physician

Locations

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Helsinki University Central Hospital, Department of Oncology

Helsinki, , Finland

Site Status

Countries

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Finland

References

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Roos DE, Smith JG. Randomized trials on radioactive iodine ablation of thyroid remnants for thyroid carcinoma--a critique. Int J Radiat Oncol Biol Phys. 1999 Jun 1;44(3):493-5.

Reference Type BACKGROUND
PMID: 10348276 (View on PubMed)

Maenpaa HO, Heikkonen J, Vaalavirta L, Tenhunen M, Joensuu H. Low vs. high radioiodine activity to ablate the thyroid after thyroidectomy for cancer: a randomized study. PLoS One. 2008 Apr 2;3(4):e1885. doi: 10.1371/journal.pone.0001885.

Reference Type DERIVED
PMID: 18382668 (View on PubMed)

Related Links

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http://www.hus.fi

Helsinki University Central Hospital

Other Identifiers

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SYTJ001T/2000

Identifier Type: -

Identifier Source: org_study_id

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