- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03813173
Central Cervical Dissection for Clinical Node Negative Papillary Thyroid Carcinoma
Central Cervical Dissection for Clinical Node Negative Papillary Thyroid Carcinoma: a Prospective Study
This study is divided into three stages. In the first stage, the investigators try to explore the objective clinical imaging standard of cN0PTC on the basis of previous studies, formulate the "clinical imaging standard of cN0PTC", and randomly enroll 2000 patients under the premise of meeting the standard to establish the "predictive model of cN0-pN+PTC".
In the second stage, 2000 patients will be enrolled to test and improve the evaluation efficiency of "cN0-pN+PTC prediction model".
In the third stage, 2 000 patients without lymph node metastasis assessed by "cNo-pN+ PTC prediction model" will be randomly divided into experimental group and control group. The experimental group will be treated with pCND, while the experimental group will be treated without pCND. The central lymph node metastasis probability, the number and size of metastatic lymph nodes in the control group will be observed after operation. The two groups will be followed up for 5, 10, 15 and 20 years to observe the RFS and OS, so as to further evaluate the "cN0-pN+PTC prediction model" scientifically.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Phase I and II:
- aged 18 to 80 years old;
- the primary treatment of patients with unilateral or bilateral PTC;
- ultrasound showed that the tumor was localized in the thyroid gland, and the maximum diameter of each lesion was less than 4cm;
- ultrasonography of cervical VI lymph nodes: the shortest diameter < 4 mm, no calcification, no cystic change, no local or global echo enhancement;
- CT scan of cervical VI lymph nodes: the shortest diameter < 4 mm, no calcification, no cystic change, no enhancement (CT value 40HU or not higher than banded muscle level), no cluster distribution;
- patients will voluntarily enter the study after informed consent;
Phase III:
- aged from 18 to 80 years old;
- ultrasound showed that the tumor was localized in the thyroid gland, and the maximum diameter of each lesion was less than 4cm;
- Unilateral or bilateral PTC without lymph node metastasis assessed by "cNo-pN+ PTC prediction model";
- patients will voluntarily enter the study after informed consent.
Exclusion Criteria:
- (1) patients refused to participate in the study; (2) non first operation patients; (3) Lateral cervical lymph nodes or distant metastasis; (4) Hashimoto's disease; (5) history of neck trauma.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: central cervical dissection
|
The patient was operated under general anesthesia with cervical hyper extension.
The affected side or bilateral glandular lobes were resected routinely, which was confirmed as PTC by frozen section.
Then one or both central lymph node dissection were separately packed and sent for examination.
Scope of lymph node dissection in central carotid region: hyoid bone at the upper border, anonymous artery at the lower border, bilateral common carotid artery at the inner edge, shallow from the superficial layer of deep cervical fascia, deep to the deep layer of deep cervical fascia (anterior fascia).
The right recurrent laryngeal nerve (RLN) passes through the central area of the right neck and should be specially protected.
|
Experimental: non central cervical dissection
|
The patient was operated under general anesthesia with cervical hyper extension.
The affected side or bilateral glandular lobes were resected routinely, which was confirmed as PTC by frozen section.
Then one or both central lymph node dissection were separately packed and sent for examination.
Scope of lymph node dissection in central carotid region: hyoid bone at the upper border, anonymous artery at the lower border, bilateral common carotid artery at the inner edge, shallow from the superficial layer of deep cervical fascia, deep to the deep layer of deep cervical fascia (anterior fascia).
The right recurrent laryngeal nerve (RLN) passes through the central area of the right neck and should be specially protected.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Recurrence of thyroid cancer
Time Frame: Participants will be followed from the operation to 20 year (maximum)
|
Participants will be followed from the operation to 20 year (maximum)
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Adenocarcinoma
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Endocrine System Diseases
- Endocrine Gland Neoplasms
- Thyroid Diseases
- Head and Neck Neoplasms
- Neoplastic Processes
- Neoplasm Metastasis
- Adenocarcinoma, Papillary
- Lymphatic Metastasis
- Thyroid Neoplasms
- Thyroid Cancer, Papillary
Other Study ID Numbers
- ZhejiangU20190116
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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