ClinicalTrials.gg
Not yet recruitingNCT04233398Updated Apr 11, 2024

HIFU Treatment of Benign Thyroid Nodules

An interventional study of Device: Echopulse (HIFU ablation) in Thyroid Nodule (Benign), sponsored by Theraclion. Not yet recruiting. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-04-11.

Sponsored by Theraclion · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Nov 2024, 2 years ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
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Study summary

This clinical trial is to evaluate the effectiveness and the safety of high intensity focused ultrasound (HIFU) in the treatment of benign thyroid nodules.

Read the detailed description

This clinical trial is a prospective, multicentre, randomized, controlled study of high intensity focused ultrasound (HIFU) treatment of benign thyroid nodules. this study will include 240 patients with benign thyroid nodules that meet all ths the inclusion / exclusion criteria and will be randomly divided into two groups at 1: 1 ratio. Patients in the test group will be treated with high intensity focused ultrasound (HIFU), while patients in the control group will be actively observed and followed up by ultrasound examination. The primary objective of this clinical trial is to evaluate the efficacy of the test device in the treatment of benign thyroid nodules, and the secondary objective is to evaluate the safety of the test device in the treatment of benign thyroid nodules and the improvement of symptoms assessed by VAS score.

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Conditions studied

  • Thyroid Nodule (Benign)

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In context

Thyroid Nodule

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

This study's planned enrollment of 240 is above 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.

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Who can participate

Ages eligible
18 Years to 70 Years
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

  1. Male or female patients older than 18 years and younger than 70 years
  2. No history of neck irradiation
  3. Normal thyroid function, serum calcitonin level, PTH and serum calcium at screening visit examination.
  4. No abnormal cervical lymph nodes during screening visit examination.
  5. The target thyroid nodule must meet all of the following conditions:

    1. Single nodule, 2cm≤max diameter≤4cm
    2. Causing appearance , pressure or swallowing symptoms
    3. Composition of target nodule: solid or predominantly solid (solid area≥80%)
    4. Ultrasound imaging of target nodule assessed by 2017 ACR TI-RADS(≤Grade 3), and proved benign by once FNA (bethesda categoryⅡ); Ultrasound imaging of target nodule assessed by 2017 ACR TI-RADS( Grade 4), and proved benign by twice FNA (bethesda categoryⅡ).
    5. The distance from the posterior edge of the target nodule to the skin is not less than 12.3mm, and the depth from the anterior edge of the target nodule to the skin is not more than 19.4mm.
    6. No macro-calcifications in target nodule, macro-calcifications induce a significant shadow in the ultrsound imaging.
    7. the skin is free from any significant thick scars.
  6. If there are more than one nodule on the treatment side, all of the following conditions shall be met:

    1. No more than 2 nodules except the target nodule.
    2. Maximum diameter of the nodules is smaller than 1 cm and ultrasound imaging ≤ Grade 3 assessed by 2017 ACR TI-RADS.
  7. If there are nodules on the opposite side of HIFU treatment side, one of the following conditions shall be met:

    1. Maximum diameter of these nodules is smaller than 1 cm and ultrasound imaging ≤ Grade 3 assessed by 2017 ACR TI-RADS.
    2. Only one nodule with 1cm≤ max diameter \< 2cm, or/and no more than three nodule with max diameter \<1cm. Ultrasonic images of all nodules≤Grade 3 assessed by 2017 ACR TI-RADS.
  8. Absence of abnormal vocal cord mobility at laryngoscopy.
  9. Patients reject or cannot tolerate invasive surgical treatment.
  10. Patient has signed a written .

Exclusion criteria

Exclusion Criteria:

  1. The ultrasound report indicated that follicular tumors were not excluded.
  2. Known history of thyroid cancer or other neoplasias in the neck region.
  3. Head and/or neck disease that prevents hyper-extension of neck.
  4. Patients currently in the acute phase of any disease.
  5. History of head and neck, pulmonary and systemic infections in the last 2 weeks.
  6. The white blood cell test result exceeded the .
  7. Tenderness of the thyroid and/or thyroid nodules.
  8. History of arrhythmia, coronary heart disease or valvular heart disease, heart failure.
  9. The blood pressure is not controlled after the combination of three antihypertensive drugs (SBP ≥ 140 mmHg, DBP ≥ 90 mmHg)
  10. history or acute phase of asthma attach
  11. Patients with liver dysfunction ( or AST level 2.5 times higher than the upper limit of the normal reference range)
  12. Patients with renal insufficiency( \< 45ml/min/1.73m2).
  13. Fasting blood glucose >8mmol/L after hypoglycemic drug treatment
  14. Patients currently sufferrign from hematological diseases or bleeding tendency, or patients currently requiring continuous administration of antiplatelet and anticoagulant drugs
  15. Pregnant or lactating woman
  16. Woman who Plan to be pregnant during the study period.
  17. Any to the assigned analgesia/ anaesthesia.
  18. Patients who participated in other clinical trials in the past 3 months.
  19. Alzhemier's patients or patient with cognitive impairment.
  20. Other patients judged by the investigators to be unsuitable for the clinical trial.
Terms in these criteria, in plain language(6)

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.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
240 participants (estimated)

Study arms

  • Experimental
    Test group HIFU treatment

    Patients in the test group (120) will be treated with high intensity focused ultrasound (HIFU). The primary objective of this clinical trial is to evaluate the efficacy of the test device in the treatment of benign thyroid nodules, and the secondary objective is to evaluate the safety of the test device in the treatment of benign thyroid nodules and the improvement of symptoms (VAS score).

    Device: Device: Echopulse (HIFU ablation)

  • No intervention
    Control group

    Patients in the control group (120) will be actively observed and followed up. The primary objective of this clinical trial is to evaluate the efficacy of the test device in the treatment of benign thyroid nodules, and the secondary objective is to evaluate the safety of the test device in the treatment of benign thyroid nodules and the improvement of symptoms (VAS score).

Interventions

  • DeviceDevice: Echopulse (HIFU ablation)

    High-intensity focused ultrasound (HIFU) is a non-invasive, non-invasive treatment method. The principle is to focus high-intensity ultrasound on the target area. Energy is absorbed by the target tissue and converted into thermal energy. The local temperature quickly reaches a maximum of 85 ° C. It induces coagulative necrosis of focus tissue cells, but does not damage the tissues surrounding the treatment targ

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What researchers measure

Primary outcomes

  1. Effectiveness evaluation using treatment effective rate

    percentage of patients who achieve treatment success (volume reduction ratio \> 50%) at 12 months after HIFU treatment assessed by ultrasound examination

    Time frame: 12 Months

Secondary outcomes

  1. Symptoms score improvement

    Using Visual Analogic Scale between (0-100 mm) to evaluate the improvement of appearance symptoms, compression symptoms and swallowing symptoms and pain. With 0 being no pain and 100 being the worst pain imaginable

    Time frame: 12 Months

  2. Incidence of Treatment-Emergent Adverse Events

    Incidence of local and/or general adverse reactions and other related symptoms at 1, 7 days and 1, 3, 6 and 12 months follow-up after treatment

    Time frame: 12 Months

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Aug 2024; primary completion for Nov 2024, 3 months later.

Of 71 interventional studies with no phase under Thyroid Nodule, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 46. This study's planned 3 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 15, 2020
First posted
Jan 18, 2020
StartEst.
Aug 2024
Primary completionEst.
Nov 2024
CompletionEst.
Nov 2024
Last update
Apr 11, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 11, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04233398
Lead sponsor
Theraclion
Responsible party
Sponsor
First posted
Jan 18, 2020
Start date
Aug 2024 (estimated)
Primary completion
Nov 2024 (estimated)
Completion
Nov 2024 (estimated)
Last update
Apr 11, 2024

Study contacts

Yao Zhong, Master
Contact
joanna.zhong@theraclion.com
+860755-21659096
Jian Kuang, MD
principal investigator · Guangdong Province People's Hopital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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