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Not yet recruiting NCT07584447

Clinical Utility of Preoperative Thyroid GuidePx® Testing

— Observational Papillary Thyroid Cancer Papillary Thyroid Carcinoma

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
This is an observational study: the protocol does not assign a study treatment.
Who it may be relevant to
Registry conditions: Papillary Thyroid Cancer, Papillary Thyroid Carcinoma. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Center list to be confirmed — check the primary protocol.
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Overview

The purpose of this study is to learn whether having Thyroid GuidePx® test results available before treatment may help patients with papillary thyroid cancer and doctors make better-informed treatment decisions.

Primary outcome measures

  • Decision impact [Time frame: 18 months]
Secondary outcome measures (4)
  • Incidence of total thyroidectomies [Time frame: 18 months]
  • Incidence of completion thyroidectomies [Time frame: 18 months]
  • Recurrence outcomes [Time frame: 36 months]
  • Costs [Time frame: 18 months]

Eligibility criteria

Inclusion criteria

  • Patients aged 18 years or older at the time of enrollment
  • English-speaking
  • Bethesda V or VI cytology following FNA of a thyroid nodule (papillary thyroid cancer)
  • Bethesda III or IV with ThyroSpec positive for BRAFV600E, TERT, rearrangements in BRAF, RET, NTRK1, NTRK3, RAS + TERT, RAS + EIF1AX, AKT1, PI3CA, CTNNB1, EGFR, rearrangements in ALK
  • Tumor 1- 4cm in size
  • No lymph node involvement on ultrasound
  • No gross extrathyroidal extension on ultrasound

Exclusion criteria

  • Prior thyroid operation
  • Distant metastatic disease
  • Personal history of thyroid cancer
  • History of whole-body radiation exposure or radiation to the head and neck region

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Cohort

Study locations

Center list to be confirmed — check the primary protocol.

Publications

  • Chan WWL, Chan S, Kwong DLW. Radioiodine Refractory Differentiated Thyroid Cancer. Methods Mol Biol. 2022;2534:243-257. doi: 10.1007/978-1-0716-2505-7_17. PMID 35670980
  • Tuttle RM, Li D, Ridouani F. Percutaneous ablation of low-risk papillary thyroid cancer. Endocr Relat Cancer. 2023 Feb 11;30(3):e220244. doi: 10.1530/ERC-22-0244. Print 2023 Mar 1. PMID 36629393
  • Pace-Asciak P, Russell JO, Tufano RP. The Treatment of Thyroid Cancer With Radiofrequency Ablation. Tech Vasc Interv Radiol. 2022 Jun;25(2):100825. doi: 10.1016/j.tvir.2022.100825. Epub 2022 Mar 10. PMID 35551804
  • Yoon JH, Choi W, Park JY, Hong AR, Kim HK, Kang HC. Active Surveillance for Low-Risk Papillary Thyroid Carcinoma as an Acceptable Management Option with Additional Benefits: A Comprehensive Systematic Review. Endocrinol Metab (Seoul). 2024 Feb;39(1):152-163. doi: 10.3803/EnM.2023.1794. Epub 2024 Jan 22. PMID 38417830
  • Zhang M, He X, Wu J, Xie F. Differences between physician and patient preferences for cancer treatments: a systematic review. BMC Cancer. 2023 Nov 18;23(1):1126. doi: 10.1186/s12885-023-11598-4. PMID 37980466
  • Schumm MA, Shu ML, Kim J, Tseng CH, Zanocco K, Livhits MJ, Leung AM, Yeh MW, Sacks GD, Wu JX. Perception of risk and treatment decisions in the management of differentiated thyroid cancer. J Surg Oncol. 2022 Aug;126(2):247-256. doi: 10.1002/jso.26858. Epub 2022 Mar 22. PMID 35316538
  • Chan S, Karamali K, Kolodziejczyk A, Oikonomou G, Watkinson J, Paleri V, Nixon I, Kim D. Systematic Review of Recurrence Rate after Hemithyroidectomy for Low-Risk Well-Differentiated Thyroid Cancer. Eur Thyroid J. 2020 Feb;9(2):73-84. doi: 10.1159/000504961. Epub 2020 Jan 28. PMID 32257956
  • Craig S, Stretch C, Farshidfar F, Sheka D, Alabi N, Siddiqui A, Kopciuk K, Park YJ, Khalil M, Khan F, Harvey A, Bathe OF. A clinically useful and biologically informative genomic classifier for papillary thyroid cancer. Front Endocrinol (Lausanne). 2023 Sep 12;14:1220617. doi: 10.3389/fendo.2023.1220617. eCollection 2023. PMID 37772080

Identifiers

NCT: NCT07584447 · HREBA.CC-25-0488

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗