Prophylactic Infusion of Calcium Gluconate Reducing the Rate of Hypocalcaemia After Total Thyroidectomy

NCT ID: NCT04491357

Last Updated: 2020-07-31

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

PHASE4

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-01

Study Completion Date

2022-06-01

Brief Summary

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Post-total thyroidectomy hypocalcaemia is a common complication with the rate ranging from 13-49% in a meta-analysis. However, the rate in UMMC in 2018 and 2019 were 40% and 23% respectively. It lead to prolonged hospital stay and patient dissatisfaction in the event of hypocalcaemia.

Research question: Does prophylactic intravenous calcium infusion reduces the rate of post-total thyroidectomy hypocalcaemia? This study will conduct in UMMC endocrine surgery unit with the target population who scheduled for total thyroidectomy in UMMC between 1/6/2020-1/6/2022.

After obtaining consent from participants, they will be randomised into intervention and placebo group with the ratio of 1:1. Intervention group will receive the intravenous calcium gluconate infusion and placebo group will receive saline infusion within 4 hour of skin closure. Both groups will have their serum calcium measure at 6,12,24,36,48-hour mark post surgery. Both groups will receive same oral calcium supplements.

Detailed Description

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All participating patients will be randomised into intervention and placebo arm with 1:1 ratio. Intervention group will receive 1 ampoule of intravenous calcium gluconate within 4 hours of post total thyroidectomy, whereas the placebo group will received 100ml of normal saline only. Both groups will receive same oral calcium supplements post surgery. Both groups will have their serum calcium measure at 6,12,24,36,48-hour mark post surgery.

Conditions

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Hypocalcemia

Keywords

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Hypocalcaemia Total thyroidectomy Calcium gluconate

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Intervention arm

Intervention arm will receive 1 ampoule of intravenous calcium gluconate within 4 hours of skin closure post total thyroidectomy

Group Type EXPERIMENTAL

Calcium Gluconate

Intervention Type DRUG

Intravenous calcium gluconate within 4 hours of skin closure after total thyroidectomy

Placebo arm

Placebo arm will receive 100ml of normal saline within 4 hours of skin closure post total thyroidectomy

Group Type PLACEBO_COMPARATOR

Normal saline

Intervention Type DRUG

Normal saline within 4 hours of skin closure after total thyroidectomy

Interventions

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Calcium Gluconate

Intravenous calcium gluconate within 4 hours of skin closure after total thyroidectomy

Intervention Type DRUG

Normal saline

Normal saline within 4 hours of skin closure after total thyroidectomy

Intervention Type DRUG

Other Intervention Names

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Intravenous calcium gluconate

Eligibility Criteria

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Inclusion Criteria

* Age between 18-80 years old
* Scheduled for total thyroidectomy in UMMC

Exclusion Criteria

* Their age outside the range of 18-80
* Have parathyroid disorders or end stage renal failure
* On calcium or vitamin D supplements prior to surgery
* Have deranged calcium homeostasis (outside the normal range of 2.2-2.6 mmol/L)
* Scheduled for total thyroidectomy plus lymph node dissection
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Malaya

OTHER

Sponsor Role lead

Responsible Party

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Khoo Kah Seng

Surgical Resident, Department of Surgery, Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kah Seng Khoo

Role: PRINCIPAL_INVESTIGATOR

University of Malaya

Locations

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University Malaya Medical Centre

Kuala Lumpur, , Malaysia

Site Status RECRUITING

Countries

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Malaysia

Central Contacts

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Kah Seng Khoo

Role: CONTACT

Phone: +60172489272

Email: [email protected]

Facility Contacts

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Kah Seng Khoo

Role: primary

Department of Surgery University of Malaya

Role: backup

References

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Khoo KS, Yeo A, Mirzan Asfian MRB, Ng KL. The use of prophylactic infusion of calcium gluconate compared to placebo in reducing the rate of early hypocalcaemia after total thyroidectomy: a double-blinded, randomized controlled trial. Gland Surg. 2024 Aug 31;13(8):1378-1386. doi: 10.21037/gs-24-190. Epub 2024 Aug 28.

Reference Type DERIVED
PMID: 39282041 (View on PubMed)

Other Identifiers

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2020225-8316

Identifier Type: -

Identifier Source: org_study_id