Radiofrequency Ablation Study in LatinX Patients

NCT ID: NCT05903196

Last Updated: 2025-09-23

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 44 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-03-12
• Study Completion Date: 2025-12-30

Brief Summary

Benign thyroid nodules can still create cosmetic, compressive, or hormonal issues for patients. In the past, surgery was typically used to treat thyroid nodules causing the above issues through partial or complete thyroidectomy. More recently, minimally-invasive techniques have been developed to treat these issues. This study is investigating the use of one of these techniques, radiofrequency ablation, in Latinx patients with benign symptomatic thyroid nodules. This procedure is of interest because it avoids the risks of surgery and can be done outside an operating room. The study hypothesis is that the use of RFA is an effective and safe therapeutic option for LatinX patients with a symptomatic benign nodule wishing to avoid surgery.

Detailed Description

Thyroid nodules can create issues for individuals such as affecting the level of their thyroid hormones, causing an unwanted physical appearance, or pressing on other important structures in the neck (for example, trachea and esophagus). In the past, surgery was typically used to treat thyroid nodules causing the above issues, either taking out some or all of the thyroid. More recently, new techniques that do not require surgery have been developed to treat these issues. This study is investigating the use of one of these newer techniques, called radiofrequency ablation in Latinx patients with non-cancerous symptomatic thyroid nodules. This procedure is of interest because it avoids the risks of surgery (like bleeding, infection, scars) and can be done in a clinic setting. The theory is that this procedure will be a safe and effective alternative to surgery for non-cancerous thyroid nodules that are causing symptoms in Latinx patients, which is a population in which this treatment has not yet been studied. Patients who decide to enroll in the study will be required to fill out questionnaires, have blood tests, have ultrasounds of the thyroid, and undergo the radiofrequency ablation minimally-invasive treatment instead of surgery. Patients will be evaluated at 1 month, 3 months, 6 months, 12 months, and 18 months after the procedure to assess for effectiveness of the procedure and any side effects.

Most evidence supporting RFA of thyroid nodules comes from international cohorts. In a recent meta-analysis, RFA accomplished volume reduction ranging from 68 to 87% in over 1100 treated nodules. This reduction was sustained for up to 5 years. In terms of its safety, a recent systematic review of 2700 nodules showed only 41 major complications and 48 minor complications from RFA. Of note, most complications were transient, only 4 patients developed permanent voice changes, while 1 required rescue lobectomy after a nodule ruptured. Published data in the United States also showed RFA to be an effective and safe strategy. However, of the 47 studied patients, none were LatinX. Furthermore, lack of coverage by insurance companies means this procedure is typically only available as an out-of-pocket expense and is therefore out of reach for underserved patients. Data to establish the safety/feasibility of this novel intervention is needed for the LatinX population.

Conditions

Thyroid Nodule

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: DIAGNOSTIC
• Blinding Strategy: NONE

Study Groups

Mygen V-1000 RF system

The Mygen V-1000, a microprocessor-based generator of RF Medical Co., Ltd., provides up to 140 watts of radio-frequency (RF) energy to be used for coagulation \& ablation of vessel, tissue \& bone

Group Type: EXPERIMENTAL

Mygen V-1000 RF system

Intervention Type: DEVICE

The Mygen V-1000, a microprocessor-based generator of RF Medical Co., Ltd., provides up to 140 watts of radio-frequency (RF) energy to be used for coagulation \& ablation of vessel, tissue \& bone

Interventions

Mygen V-1000 RF system

The Mygen V-1000, a microprocessor-based generator of RF Medical Co., Ltd., provides up to 140 watts of radio-frequency (RF) energy to be used for coagulation \& ablation of vessel, tissue \& bone

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• Subject capable of giving informed consent
• Stated willingness to comply with all study procedures and availability for the duration of the study
• Subjects over 18 years of age
• Subject who self-identifies as LatinX
• Subjects who have a benign, symptomatic thyroid nodule
• Subjects whose nodule has well-defined margin on ultrasound and is surrounded by at least 2mm of normal thyroid parenchyma in all directions

Exclusion Criteria

• Patients who are pregnant, trying to become pregnant, or breastfeeding
• Patient who have a cardiac pacemaker,defibrillator , or other electromedical equipment
• Patients who have a nodule that is malignant or not predominantly solid (must be >50% solid by ultrasound)
• Patients who cannot give consent
• Patients on anticoagulation or dual antiplatelet therapy
• Patients with acute illness
• People with BP > 140/90 prior to the scheduled procedure

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 90 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Northwell Health

OTHER

Sponsor Role: lead

Responsible Party

Daniel Kuriloff

Director, Center for Thyroid & Parathyroid Surgery

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Daniel Kuriloff, MD

Role: PRINCIPAL_INVESTIGATOR

Northwell Health

Locations

Northwell Health Physician Partners

New York, New York, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Karina Ziskovich, BBA

Role: CONTACT

kziskovich@northwell.edu

212-434-3715

Jose Sanchez, MD

Role: CONTACT

jsanchez17@northwell.edu

212-434-4972

Facility Contacts

Karina Ziskovich, BBA

Role: primary

kziskovich@northwell.edu

212-434-3715

Jose Sanchez Escobar, MD

Role: backup

jsanchez17@northwell.edu

212-434-4972

Other Identifiers

22-0711

Identifier Type: -

Identifier Source: org_study_id