ClinicalTrials.gg
CompletedNCT02491502Updated Oct 12, 2021

Treatment of Benign Thyroid Nodules With FastScan HIFU

An interventional study of Echopulse in Benign Thyroid Nodules, sponsored by Theraclion. Completed at 1 site in Bulgaria. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-10-12.

Sponsored by Theraclion · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
36
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study evaluates the efficacy of the HIFU for the treatment of benign thyroid nodules with the FastScan version using assessment of patient experience and adverse event reporting.

Read the detailed description

Echopulse is specially designed, manufactured and CE marked for treating benign thyroid nodules. HIFU is a completely alternative to surgery which utilizes high-energy ultrasound to deliver a large amount of sound energy to a focal point to rapidly induce tissue heating to 85-90°C.This initiates tissue coagulation followed by tissue necrosis ablating the targeted area.

In a previous european feasibility study performed at 1 site (Bulgaria), 20 benign thyroid nodules were treated. The HIFU treatment was well tolerated and showed efficacy.

02

Conditions studied

  • Benign Thyroid Nodules

Browse trials for

03

In context

Thyroid Nodule

207 studies on the registry are indexed under Thyroid Nodule; 64 are open to participants now.

This study's enrollment of 36 is below the median of 75 across 121 interventional studies indexed under Thyroid Nodule.

Browse Thyroid Nodule studies →

Lead sponsor

Theraclion is the lead sponsor of 18 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female patient 18 years or older.
  • Patient presenting with at least one thyroid nodule with no signs of :

    1. Non suspect clinically and at ultrasonography imaging
    2. Benign cytological diagnosis at FNAB (fine-needle aspiration ) from the last 6 months
    3. Normal serum calcitonin
    4. No history of neck irradiation
  • Normal TSH (thyroid-stimulating hormone)
  • Targeted nodule accessible and eligible to HIFU
  • Absence of abnormal vocal cord mobility at laryngoscopy
  • Nodule diameter ≥ 10mm measured by ultrasound
  • Composition of the targeted nodule(s) : predominantly solid
  • Patient has signed a written .

Exclusion criteria

Exclusion Criteria:

  • Head and/or neck disease that prevents hyperextension of neck
  • Known history of thyroid cancer or other neoplasias in the neck region
  • History of neck irradiation
  • Macrocalcification inducing a shadow in the thyroid significant enough to preclude the HIFU treatment
  • Posterior position of the nodule if the thickness of the nodule is \<15mm
  • Pregnant or lactating woman
  • Any to the assigned analgesia/anaesthesia.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Echopulse

    Echopulse HIFU

    Device: Echopulse

Interventions

  • DeviceEchopulse

    HIFU Under ultrasound guidance

    Also known as: Echopulse HIFU

06

What researchers measure

Primary outcomes

  1. Number of participants with adverse events

    Time frame: 1 day post treatment

  2. Number of participants with adverse events

    Time frame: 3 days post treatment

  3. Number of participants with adverse events

    Time frame: 7 days post treatment

  4. Change in volume of the thyroid nodule compared to Baseline at 6 months

    Time frame: 6 months post treatment

  5. Change from Baseline Patient pain intensity score (100mm visual analog scale) at 1 day

    Time frame: 1 day post treatment

  6. Change from Baseline Patient pain intensity score (100mm visual analog scale) at 3 days

    Time frame: 3 days post treatment

  7. Change from Baseline Patient pain intensity score (100mm visual analog scale) at 7 days

    Time frame: 7 days post treatment

  8. Patient satisfaction questionnaire

    Time frame: 6 months post treatment

Secondary outcomes

  1. Number of patients with Absence of palpable lesion

    Time frame: 3 months post treatment

  2. Number of patients with Absence of palpable lesion

    Time frame: 6 months post treatment

  3. Patient Cosmetic evaluation measured by questionnaire

    Time frame: 6 months post treatment

  4. Investigator rated evaluation of the device

    Time frame: Post treatment Day 0

  5. Change from Baseline of gland vascularization at 3 months

    Time frame: 3 months post treatment

  6. Change from Baseline of gland vascularization at 6 months

    Time frame: 6 months post treatment

07

Study locations

1 site
  • University Hospital of Endocrinology USBALE
    Sofia, 1431, Bulgaria
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 12, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02491502
Lead sponsor
Theraclion
Responsible party
Sponsor
First posted
Jul 8, 2015
Start date
Jun 2015
Primary completion
Apr 2020
Completion
Jul 2020
Last update
Oct 12, 2021

Study contacts

Roussanka Kovatcheva, Prof.
principal investigator · roussanka_kov@yahoo.com

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion