Actively Recruiting
A Prospective Evaluation of Microwave Ablation in the Treatment of Relapsed Graves Disease
Led by The University of Hong Kong · Updated on 2024-07-29
25
Participants Needed
1
Research Sites
25 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating microwave ablation MWA as a minimally invasive treatment option for patients with relapsed Graves disease who have previously been treated with anti-thyroid drugs but experienced a return of symptoms. Graves disease is the most common cause of hyperthyroidism, and conventional treatments include anti-thyroid drugs, radioiodine, and surgery. However, these treatments have drawbacks such as side effects, risk of worsening eye symptoms, or surgical complications, which has led to interest in alternative therapies like MWA. In this study, all participants will receive ultrasound-guided MWA treatment using a device that inserts a microwave antenna into the thyroid gland to apply thermal energy and ablate the tissue. The procedure targets the entire thyroid gland, including both lobes, the isthmus, and the pyramidal lobe. This approach avoids surgical scars and preserves the organ, and it is performed as an outpatient procedure. The study does not involve comparison groups but focuses on evaluating this treatment. During the study, participants will be monitored for remission of Graves disease six months after the procedure. Researchers will also measure changes in quality of life and thyroid gland volume at six months. The study includes follow-up assessments to evaluate treatment outcomes and safety. Participants can expect clinical evaluations and ultrasound examinations as part of their involvement. The total participation duration extends at least six months post-treatment.
CONDITIONS
Brief Title
A Prospective Evaluation of Microwave Ablation (MWA) in the Treatment of Relapsed Graves' Disease
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age older than 18 years
- Relapsed Graves' disease after at least 18 months of anti-thyroid drug treatment
- No vocal cord immobility
You will not qualify if you...
- Preference for or indication for surgery
- Head or neck disease preventing neck hyperextension
- History of thyroid cancer or malignant tumors in the neck region
- History of neck irradiation
- Severe Graves' ophthalmopathy
- Large compressive goitre
- Pregnancy or lactation
- Contraindication to intravenous sedation
Research Team
Y
Yan Luk, MBBS
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