Near Infrared Fluorescent Imaging in Thyroid and Parathyroid Surgery With the Fluobeam(TM) System of Fluoptics

NCT ID: NCT01598727

Last Updated: 2013-08-26

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-31

Study Completion Date

2013-04-30

Brief Summary

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Hypothesis: Intraoperative use of near infrared fluorescent imaging technology and detection of Methylene Blue fluorescence will improve outcomes following thyroid and parathyroid surgery.

Aims: The aims of this phase of the study are to determine the feasibility of using near infrared fluorescent technology in the detection of parathyroid tissue and its differentiation from adjacent soft tissue during surgery on parathyroid glands.

Objectives of the phase I study:

1. To familiarise surgical teams with the intraoperative use of the 'Fluobeam(TM)' device (Fluoptics).
2. To understand the patterns (onset, intensity and duration) of fluorescent staining of normal parathyroid glands, thyroid glands and other soft tissue structures encountered during parathyroidectomy.

Further research:

This will be followed by a phase II study during which fluorescent imaging will be used in conjunction with intraoperative incremental dose of IV methylene blue in both thyroid and parathyroid surgery. Phase II will enable us to develop a protocol for the use of a minimum possible dose of MB for the identification of parathyroid glands. This will then be tested in the pilot phase of a randomized clinical trial.

Detailed Description

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As above

Conditions

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Primary Hyperparathyroidism

Keywords

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parathyroid surgery

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Fluobeam(TM) Imaging System (Fluoptics)

Single arm observational pilot study

Group Type EXPERIMENTAL

Fluobeam(TM) Imaging System (Fluoptics)

Intervention Type DEVICE

Use of 'Fluobeam(TM)' (Fluoptics) as an intraoperative real time fluorescence detection system during surgery

Interventions

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Fluobeam(TM) Imaging System (Fluoptics)

Use of 'Fluobeam(TM)' (Fluoptics) as an intraoperative real time fluorescence detection system during surgery

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* all patients undergoing parathyroid surgery

Exclusion Criteria

* patients undergoing re-do procedures
* patients unable to give adequate informed consent
* patients with a history of intolerance or sensitivity to MB
* patients with G6PD deficiency
* patients on serotonin reuptake inhibitors and patients undergoing thoracic exploration
* either alone or in combination with a neck exploration.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fluoptics Ltd, Grenoble, France

UNKNOWN

Sponsor Role collaborator

Sheffield Teaching Hospitals NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Saba P Balasubramanian, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Sheffield

Locations

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Department of General Surgery

Sheffield, South Yorkshire, United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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STH16019

Identifier Type: -

Identifier Source: org_study_id