Trial Comparing 2 Diagnostic Strategies for Preoperative Localization of Parathyroid Adenoma in Primary Hyperparathyroidism:TEMP / CT With Tc99m-sestaMIBI or PET / CT With F18-choline in First Intention

NCT ID: NCT04040946

Last Updated: 2023-08-01

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

PHASE3

Total Enrollment

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-19

Study Completion Date

2023-06-30

Brief Summary

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The investigators hypothesize that positron emission tomography with fluorocholline (F18-choline PET) will reduce the proportion of unnecessary invasive surgery decisions and that the higher cost of positron emission tomography versus MIBI scintigraphy (Tc99m-sestaMIBI ) will be offset by lower cost in terms of type. surgery performed wisely and complications.

Detailed Description

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Conditions

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Parathyroid Adenoma Hyperparathyroidism F18-choline

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Open, randomized, phase III study
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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TEMP-TDM with MIBI

Performing a MIBI scintigraphy, then, in the case of negativity, a F18-choline PET

Group Type OTHER

MIBI scintigraphy

Intervention Type DIAGNOSTIC_TEST

Performing a MIBI scintigraphy, then, in the case of negativity, a single F18-choline PET

F18-choline PET

Intervention Type DIAGNOSTIC_TEST

Realization of a F18-choline PET, then, in case of negativity, a MIBI scintigraphy

F18-choline PET

Realization of F18-choline PET, then, in case of negativity, a MIBI scintigraphy

Group Type OTHER

MIBI scintigraphy

Intervention Type DIAGNOSTIC_TEST

Performing a MIBI scintigraphy, then, in the case of negativity, a single F18-choline PET

F18-choline PET

Intervention Type DIAGNOSTIC_TEST

Realization of a F18-choline PET, then, in case of negativity, a MIBI scintigraphy

Interventions

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MIBI scintigraphy

Performing a MIBI scintigraphy, then, in the case of negativity, a single F18-choline PET

Intervention Type DIAGNOSTIC_TEST

F18-choline PET

Realization of a F18-choline PET, then, in case of negativity, a MIBI scintigraphy

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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F18-choline PET MIBI scintigraphy

Eligibility Criteria

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Inclusion Criteria

* Patient 18 years old
* Patient presenting with primary hyperparathyroidism and for whom an excisional surgery is planned
* For women of childbearing age, negative pregnancy test at Baseline
* Biological assessment confirming the diagnosis of primary hyperparathyroidism (high serum PTH and calcium concentrations)
* Affiliation to a social security scheme
* Patient having signed his written consent

Exclusion Criteria

* Patient deprived of liberty, under tutorship or curatorship
* Hypersensitivity to TECNESCAN SESTAMIBI
* Any associated medical or psychological condition that could compromise the patient's ability to participate in the study
* Pregnant or lactating woman
* History of parathyroid surgery
* Patient with multiple endocrine neoplasia 1 (NEM1)
* Known hypersensitivity to fluorocholine or to any of the excipients (sodium chloride, water for injections)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondation de l'Avenir

OTHER

Sponsor Role collaborator

Centre Francois Baclesse

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU Brest

Brest, , France

Site Status

Centre François Baclesse

Caen, , France

Site Status

Centre Eugène Marquis

Rennes, , France

Site Status

CHU

Rennes, , France

Site Status

Countries

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France

References

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Quak E, Lasne-Cardon A, Cavarec M, Lireux B, Bastit V, Roudaut N, Salaun PY, Keromnes N, Potard G, Vaduva P, Esvant A, Jegoux F, de Crouy-Chanel O, Devillers A, Guery C, Lasnon C, Ciappuccini R, Legrand B, Estienne A, Christy F, Grellard JM, Bardet S, Clarisse B. F18-Choline PET/CT or MIBI SPECT/CT in the Surgical Management of Primary Hyperparathyroidism: A Diagnostic Randomized Clinical Trial. JAMA Otolaryngol Head Neck Surg. 2024 Aug 1;150(8):658-665. doi: 10.1001/jamaoto.2024.1421.

Reference Type DERIVED
PMID: 38900416 (View on PubMed)

Quak E, Lasne Cardon A, Ciappuccini R, Lasnon C, Bastit V, Le Henaff V, Lireux B, Foucras G, Jaudet C, Berchi C, Grellard JM, Lequesne J, Clarisse B, Bardet S. Upfront F18-choline PET/CT versus Tc99m-sestaMIBI SPECT/CT guided surgery in primary hyperparathyroidism: the randomized phase III diagnostic trial APACH2. BMC Endocr Disord. 2021 Jan 7;21(1):3. doi: 10.1186/s12902-020-00667-5.

Reference Type DERIVED
PMID: 33413316 (View on PubMed)

Other Identifiers

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APACH2

Identifier Type: -

Identifier Source: org_study_id

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