Trial Outcomes & Findings for Evaluating Impact of Near Infrared Autofluorescence (NIRAF) Detection for Identifying Parathyroid Glands During Parathyroidectomy (NCT NCT05022641)

NCT ID: NCT05022641

Last Updated: 2025-08-27

Results Overview

Average number of parathyroid glands identified between the Experimental Group: Glands identified with naked eye + NIRAF vs. the Control Group: Glands identified with naked eye.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

160 participants

Primary outcome timeframe

Measured within the procedure, generally not more than 2 hours

Results posted on

2025-08-27

Participant Flow

Participant milestones

Participant milestones
Measure
PTeye
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the parathyroid surgery. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console (see Figure 1), as per device functionality requirements.
Standard of Care
The surgeon will rely solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Overall Study
STARTED
81
79
Overall Study
COMPLETED
81
79
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluating Impact of Near Infrared Autofluorescence (NIRAF) Detection for Identifying Parathyroid Glands During Parathyroidectomy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PTeye
n=81 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the parathyroid surgery. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console (see Figure 1), as per device functionality requirements.
Standard of Care
n=79 Participants
The surgeon will rely solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Total
n=160 Participants
Total of all reporting groups
Age, Continuous
61.3 years
STANDARD_DEVIATION 15.2 • n=93 Participants
61.1 years
STANDARD_DEVIATION 15.5 • n=4 Participants
61.2 years
STANDARD_DEVIATION 15.3 • n=27 Participants
Sex: Female, Male
Female
59 Participants
n=93 Participants
65 Participants
n=4 Participants
124 Participants
n=27 Participants
Sex: Female, Male
Male
22 Participants
n=93 Participants
14 Participants
n=4 Participants
36 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
81 Participants
n=93 Participants
78 Participants
n=4 Participants
159 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race/Ethnicity, Customized
White
76 Participants
n=93 Participants
69 Participants
n=4 Participants
145 Participants
n=27 Participants
Race/Ethnicity, Customized
Black
3 Participants
n=93 Participants
6 Participants
n=4 Participants
9 Participants
n=27 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=93 Participants
3 Participants
n=4 Participants
4 Participants
n=27 Participants
Race/Ethnicity, Customized
Other
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Region of Enrollment
United States
81 participants
n=93 Participants
79 participants
n=4 Participants
160 participants
n=27 Participants
Final Diagnosis
Primary sporadic hyperparathyroidism
78 Participants
n=93 Participants
77 Participants
n=4 Participants
155 Participants
n=27 Participants
Final Diagnosis
Recurrent/persistent hyperparathyroidism
3 Participants
n=93 Participants
0 Participants
n=4 Participants
3 Participants
n=27 Participants
Final Diagnosis
Other
0 Participants
n=93 Participants
2 Participants
n=4 Participants
2 Participants
n=27 Participants
Preoperative PTH (pg/mL)
125.9 pg/mL
STANDARD_DEVIATION 78 • n=93 Participants
124.1 pg/mL
STANDARD_DEVIATION 66.4 • n=4 Participants
125 pg/mL
STANDARD_DEVIATION 72.3 • n=27 Participants
Preoperative calcium (pg/dL)
11.5 pg/dL
STANDARD_DEVIATION 4.4 • n=93 Participants
10.8 pg/dL
STANDARD_DEVIATION 0.6 • n=4 Participants
11.2 pg/dL
STANDARD_DEVIATION 3.2 • n=27 Participants
Preoperative vitamin D (mcg)
37.7 mcg
STANDARD_DEVIATION 16 • n=93 Participants
35.8 mcg
STANDARD_DEVIATION 15.2 • n=4 Participants
36.8 mcg
STANDARD_DEVIATION 15.6 • n=27 Participants

PRIMARY outcome

Timeframe: Measured within the procedure, generally not more than 2 hours

Average number of parathyroid glands identified between the Experimental Group: Glands identified with naked eye + NIRAF vs. the Control Group: Glands identified with naked eye.

Outcome measures

Outcome measures
Measure
PTeye
n=81 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the parathyroid surgery. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console (see Figure 1), as per device functionality requirements.
Standard of Care
n=79 Participants
The surgeon will rely solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Average Number of Parathyroid Glands Identified
2.7 parathyroid glands per patient
Interval 2.4 to 2.9
2.6 parathyroid glands per patient
Interval 2.3 to 2.8

SECONDARY outcome

Timeframe: 5-14 days after surgery

Population: Not all participants returned for this lab assessment during the 5-14 day data collection period. As such, no data for these participants was collected.

Parathyroid hormone (PTH) levels 5-14 days after surgery. Higher levels could indicate failure of operation. Low levels could indicate temporary or permanent parathyroid damage.

Outcome measures

Outcome measures
Measure
PTeye
n=52 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the parathyroid surgery. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console (see Figure 1), as per device functionality requirements.
Standard of Care
n=58 Participants
The surgeon will rely solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Parathyroid Hormone (PTH) Levels 5-14 Days After Surgery
23 pg/mL
Standard Deviation 26.9
25.3 pg/mL
Standard Deviation 23.4

SECONDARY outcome

Timeframe: baseline to 10 minutes

Population: Some participants' data was not collected by the surgeons during the baseline-to-10-minute time frame.

\>50% drop from baseline at 10 minutes post-resection

Outcome measures

Outcome measures
Measure
PTeye
n=80 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the parathyroid surgery. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console (see Figure 1), as per device functionality requirements.
Standard of Care
n=75 Participants
The surgeon will rely solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Appropriate Intraoperative Parathyroid Hormone Drop
Yes
45 Participants
56 Participants
Appropriate Intraoperative Parathyroid Hormone Drop
No
35 Participants
19 Participants

SECONDARY outcome

Timeframe: Measured within the procedure, generally not more than 2 hours

Surgery duration in minutes

Outcome measures

Outcome measures
Measure
PTeye
n=81 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the parathyroid surgery. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console (see Figure 1), as per device functionality requirements.
Standard of Care
n=79 Participants
The surgeon will rely solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Duration of Surgery
92.3 minutes
Standard Deviation 40.2
88.8 minutes
Standard Deviation 42.3

SECONDARY outcome

Timeframe: 0-72 hours after PTx procedure.

Number of nights spent for postoperative recovery in the hospital after the surgical procedure.

Outcome measures

Outcome measures
Measure
PTeye
n=81 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the parathyroid surgery. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console (see Figure 1), as per device functionality requirements.
Standard of Care
n=79 Participants
The surgeon will rely solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Number of Nights Spent in the Hospital After Parathyroidectomy
0 nights
77 Participants
76 Participants
Number of Nights Spent in the Hospital After Parathyroidectomy
1 night
4 Participants
3 Participants

SECONDARY outcome

Timeframe: Immediate

Total number of frozen sections conducted for patients undergoing repeat surgery or bilateral neck explorations. Frozen sections were conducted to confirm that the parathyroid tissue for the targeted over-acting parathyroid was removed. Results reflect whether participants had a frozen section conducted.

Outcome measures

Outcome measures
Measure
PTeye
n=81 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the parathyroid surgery. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console (see Figure 1), as per device functionality requirements.
Standard of Care
n=79 Participants
The surgeon will rely solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Number of Frozen Sections
0 frozen sections taken
49 Participants
47 Participants
Number of Frozen Sections
1 or more frozen sections taken
32 Participants
32 Participants

Adverse Events

PTeye

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard of Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Paul Gauger

University of Michigan

Phone: 734-936-0231

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place