Actively Recruiting
Randomized Trial Comparing PTeye-Assisted Versus Conventional Total Thyroidectomy to Reduce Post-Operative Hypoparathyroidism
Led by The University of Hong Kong · Updated on 2026-02-17
210
Participants Needed
1
Research Sites
8 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Post-operative hypoparathyroidism PH is a challenging complication following total thyroidectomy, caused by accidental removal or damage to the parathyroid glands. Researchers are evaluating whether the PTeye device, which uses near-infrared autofluorescence NIRAF technology, can help reduce PH by better identifying these glands during surgery. This prospective, single-blinded, randomized controlled trial enrolls patients undergoing total thyroidectomy at a tertiary endocrine surgery unit in Hong Kong. Participants will be randomly assigned to one of two groups one receiving conventional total thyroidectomy and the other undergoing surgery assisted by the PTeye parathyroid detection system. PTeye uses a probe that emits laser and detects near-infrared signals in real time to identify parathyroid glands early during the operation, aiming to avoid their inadvertent removal or devascularization. During the study, participants will receive medical care as usual. Researchers will measure the rate of significant post-operative hypoparathyroidism six months after surgery, along with secondary outcomes such as rates of unintended parathyroid removal, parathyroid auto-transplantation, and parathyroid hormone levels on the day of surgery, the following day, and at three and six months post-operation. The trial starts in September 2025 and continues until December 2028.
CONDITIONS
Brief Title
Comparing PTeye-assisted Versus Conventional Total Thyroidectomy
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult patients 18 years of age or older
- Undergoing total thyroidectomy or completion total thyroidectomy
- Pre-operative serum adjusted calcium levels within normal ranges
You will not qualify if you...
- Patients taking pre-operative calcium or vitamin D supplements
- Patients with pre-operative vitamin D deficiency (serum vitamin D below 30 nmol/L)
- Patients with untreated primary or secondary hyperparathyroidism
- Patients with known non-surgical hypoparathyroidism diseases
- Patients with estimated glomerular filtration rate below 30 ml/1.73m2/min, on dialysis, or with a history of kidney transplant
Research Team
M
Man Him, Matrix Fung, MBBS
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