ClinicalTrials.gg
CompletedNCT04895631Updated Apr 29, 2026

18F-Fluorocholine Positron Emission Tomography (PET) for the Detection of Parathyroid Adenomas

A Phase 3 interventional study of 18F-Fluorocholine and Positron emission tomography (PET) in Hyperparathyroidism, Primary, sponsored by Thomas Hope. Completed at 1 site in United States. Open to participants aged 13 Years and older. Per ClinicalTrials.gov, last updated 2026-04-29.

Sponsored by Thomas Hope · Phase 3, Interventional, and Diagnostic

Phase
Phase 3
Study type
Interventional
Enrollment
139
Allocation
Not applicable
Ages
13 Years and older
Sex
All
01

Study summary

This is a prospective single arm single center Phase III study evaluating the ability of 18F-fluorocholine to detect the location of parathyroid adenomas.

Read the detailed description

PRIMARY OBJECTIVE:

I. To investigate the performance (accuracy) of 18F-fluorocholine PET in the detection of hyperfunctioning parathyroid glands in surgical patients with biochemically proven primary hyperparathyroidism.

OUTLINE:

Participants will receive a single dose of 18F-Fluorocholine at the time the participant undergoes a single imaging study using 18F-fluorocholine. Study related procedures will end after the study visit. Participants who undergo subsequent parathyroidectomy, will have the results reviewed and compared to the results from the imaging study

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Conditions studied

  • Hyperparathyroidism, Primary
03

In context

Hyperparathyroidism, Primary

104 studies on the registry are indexed under Hyperparathyroidism, Primary; 23 are open to participants now.

This study's enrollment of 139 is above the median of 68 across 60 interventional studies indexed under Hyperparathyroidism, Primary.

Browse Hyperparathyroidism, Primary studies →

Lead sponsor

Thomas Hope is the lead sponsor of 15 studies on the registry; 5 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 5 (56%) have results posted.

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

04

Who can participate

Ages eligible
13 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

  • Age >= 13 years.
  • Biochemically proven hyperparathyroidism and an indication for surgery.
  • Ability to understand a written document, and the willingness to sign it.

Exclusion criteria

Exclusion Criteria:

  • Current Pregnancy.
  • Patients unlikely to comply with study procedures, restrictions and requirements and judged by the Investigator to be unsuitable for study participation.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 3
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
139 participants (actual)

Study arms

  • Experimental
    Fluorocholine PET Imaging

    Patients will undergo a single fluorocholine PET imaging study prior to surgery.

    Drug: 18F-Fluorocholine · Procedure: Positron emission tomography (PET)

Interventions

  • One-time injection of 4-7 millicurie (mCi)

    Also known as: Fluorocholine

  • ProcedurePositron emission tomography (PET)

    Imaging technique that uses radioactive substances known as radiotracers to visualize and measure changes in metabolic processes, and in other physiological activities

    Also known as: PET

06

What researchers measure

Primary outcomes

  1. Proportion of participants with true-positives (sensitivity) of 18F-Fluorocholine PET using sestamibi imaging

    Sensitivity of 18F-fluorocholine PET for the detection of abnormal parathyroid adenomas confirmed by pathology as compared to sestamibi imaging. Location of parathyroid adenoma at imaging as read by three blinded readers, will be correlated to the location at surgery. True positive will be defined as an adenoma on imaging in the same location as seen at surgery. Sensitivity will be reported by individual reader.

    Time frame: Up to 1 year

  2. Proportion of participants with true-positives (sensitivity) of 18F-Fluorocholine PET using predefined threshold

    Sensitivity of 18F-fluorocholine PET for the detection of abnormal parathyroid adenomas confirmed by pathology compared to a predefined threshold. Location of parathyroid adenoma at imaging as read by three blinded readers, will be correlated to the location at surgery. True positive will be defined as an adenoma on imaging in the same location as seen at surgery. Sensitivity will be reported by individual reader.

    Time frame: Up to 1 year

Secondary outcomes

  1. Detection rate of 18F-fluorocholine PET

    The detection rate of 18F-fluorocholine PET in participants who have not undergone surgical resection will be reported

    Time frame: Up to 1 year

07

Study locations

1 site
  • University of California, San Francisco
    San Francisco, California 94107, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2021 to primary completion in Dec 2025, 54 months.

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

Registered
May 13, 2021
First posted
May 20, 2021
StartActual
Jun 30, 2021
Primary completionActual
Dec 31, 2025
CompletionActual
Dec 31, 2025
Last update
Apr 29, 2026
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 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04895631
Lead sponsor
Thomas Hope
Responsible party
Thomas Hope (Associate Professor, University of California, San Francisco) — Sponsor-investigator
First posted
May 20, 2021
Start date
Jun 30, 2021
Primary completion
Dec 31, 2025
Completion
Dec 31, 2025
Last update
Apr 29, 2026

Study contacts

Thomas Hope, MD
principal investigator · University of California, San Francisco

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Fluorocholine

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