Active Surveillance Versus Surgery in Thyroid Papillary Microcarcinoma

NCT ID: NCT04129281

Last Updated: 2023-03-24

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

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-23

Study Completion Date

2024-02-23

Brief Summary

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The primary objective of this study is to evaluate the outcome of two treatment approaches (immediate surgery or close follow-up) in patients with papillary thyroid microcarcinoma (mPTc) .

Detailed Description

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The primary objective of this study is to evaluate the outcome of two treatment approaches (immediate surgery or close follow-up) in patients with papillary thyroid microcarcinoma (mPTc) .

A further objective is to identify events associated with high risk of local recurrence and distant metastases.

Patients will be randomized to surgery or active surveillance. Patients who refuse the randomization process will be followed according to the treatment choice according to clinical practice.

Conditions

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Papillary Microcarcinoma of the Thyroid

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be randomized to surgery or active surveillance. Patients who refuse the randomization process will be followed according to the treatment choice according to clinical practice.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Surgery

Surgery

Group Type OTHER

Surgery

Intervention Type PROCEDURE

Surgery acconding to clinical practice

Active surveillance

Follow up

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Surgery

Surgery acconding to clinical practice

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age \>or =18
* Suspicious nodule \< or = or 13 mm in the maximum size of thyroid ultrasound (not older than 3 months after the screening visit)
* Cytology consistent with the TIR4 or TIR 5 class
* Sieric TSH in th standard range (with or without levo-tyroxin therapy)
* Normal string motility to fibrolaringoscopy
* Written informed consent

Exclusion Criteria

* Ultrasound evidence of suspicious lump located on the posterior side of the lobe close to neurogene structures
* Calcitonin increase above normal levels
* Clinical or instrumental evidence of locoregional lymph node metastases (central or laterocervical compartment) or remote
* any Contraindications to surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute, Naples

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Luciano Pezzullo

Role: PRINCIPAL_INVESTIGATOR

IRCCS Study Principal Investigator

Locations

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Istitute Nazionale Tumori - Fondazione G. Pascale

Napoli, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Luciano Pezzullo

Role: CONTACT

+39 0815903462

Clorinda Schettino

Role: CONTACT

+39 081 590 1791

Other Identifiers

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MITICA

Identifier Type: -

Identifier Source: org_study_id

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