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CompletedNCT06073223Updated Feb 17, 2026

Intervention to Decrease Overtreatment of Patients With Low-risk Thyroid Cancer

An interventional study of Usual Care and CQUPLE in Thyroid Cancer, sponsored by University of Michigan Rogel Cancer Center. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-02-17.

Sponsored by University of Michigan Rogel Cancer Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
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Study summary

The study will include 50 patients newly diagnosed with low-risk thyroid cancer ranging from 18-80 years of age. After scheduling their surgeon visit, the investigators will enroll patients and measure their intended treatment choice, baseline awareness of the three treatment options, expected outcomes, self-efficacy, and activation. The participants will then be randomized 1:1 and deliver the CQUPLE intervention to the intervention group. The control group will receive usual care, which involves providing no disease or treatment specific information outside the surgeon visit. The study team will repeat all measures prior to the surgical consult and after the surgical consult. The study team will record the patients' actual treatment choice after the consult.

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Conditions studied

  • Thyroid Cancer

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03

In context

Thyroid Neoplasms

802 studies on the registry are indexed under Thyroid Neoplasms; 216 are open to participants now.

This study's enrollment of 50 is close to the median of 51 across 507 interventional studies indexed under Thyroid Neoplasms.

Browse Thyroid Neoplasms studies →

Lead sponsor

University of Michigan Rogel Cancer Center is the lead sponsor of 316 studies on the registry; 46 are open to participants now.

Of its 46 completed or terminated interventional studies of FDA-regulated products, 30 (65%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18 to 80 years
  • Low risk papillary thyroid cancer or highly suspicious for cancer

    • Low risk papillary thyroid cancer

      • cT1-2: Tumor size 4 cm or smaller and limited to the thyroid on ultrasound
      • cN0: No evidence of lymph node metastasis on ultrasound
      • cM0: No evidence of distant metastasis on imaging
    • Highly suspicious for cancer

      • Cytology meeting Bethesda V or Bethesday III or IV with molecular testing indicating a 70% risk of greater of thyroid cancer
      • Nodule size 4 cm and smaller
      • Limited to the thyroid on ultrasound
      • No evidence of suspicious lymph nodes
      • No evidence of thyroid cancer outside of the neck
  • Referred for surgical consultation.

Exclusion criteria

Exclusion Criteria:

  • History of previous thyroid cancer or thyroid surgery and parathyroid surgery
  • Non-English speaking
  • Deaf

Subject Selection (for Surgeons)

Surgeon Inclusion Criteria

  • Performs at least one thyroid surgery annually on adults
  • Credentialed at Michigan Medicine

Surgeon Exclusion Criteria

  • None
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    CQUPLE Intervention

    A novel intervention called CQUPLE (pronounced "couple"), which includes two interventions delivered together: (1) a Chart of side-by-side, evidence-based information comparing all three treatment options for low-risk thyroid cancer, including expected outcomes and (2) a Question Prompt List that contains key questions to consider asking the surgeon.

    Other: CQUPLE

  • Active comparator
    Usual Care Control

    The control group will receive usual care, which involves providing no disease or treatment specific information outside the surgeon visit.

    Other: Usual Care

Interventions

  • OtherUsual Care

    The control group will receive usual care, which involves providing no disease or treatment specific information outside the surgeon visit.

  • OtherCQUPLE

    Our research team developed a novel intervention called CQUPLE (pronounced "couple"), which includes two interventions delivered together: (1) a Chart of side-by-side, evidence-based information comparing all three treatment options for low-risk thyroid cancer, including expected outcomes and (2) a Question Prompt List that contains key questions to consider asking the surgeon. The intervention is grounded in social cognitive theory and aims to increase patient awareness of treatment options and their outcomes, patient activation, and self-efficacy for decision making.

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What researchers measure

Primary outcomes

  1. Acceptability of the CQUPLE intervention to patients

    This 4-item quantitative instrument assesses participants' views on the acceptability of a novel intervention, such as CQUPLE. The response option are on a 5-point scale from 'completely disagree' to 'completely agree.' Scales are created for each measure by averaging responses. Scale values range from 1 to 5. No items need to be reverse coded. Interventional group only.

    Time frame: up to 14 days after visit

  2. Acceptability of the CQUPLE intervention to providers

    This 15-question quantitative instrument measures physician acceptability of decision support interventions with respect to ease of use and approach. Response options are on a 5-point Likert scale from 1 to 5 ('strongly disagree' to 'strongly agree'). Responses are reported descriptively in terms of proportions responding positively or negatively on each criterion.

    Time frame: at 6 months, and 2 years

  3. Feasibility of the CQUPLE intervention (recruitment)

    Recruitment rate will be defined as the number of patients who confirm eligibility during the screening process (they can be screened by phone or by questions in Qualtrics prior to consent) divided by the number who consent to participate.

    Time frame: up to 7 days after surgery

  4. Feasibility of the CQUPLE intervention (retention)

    Retention will be defined as the number who complete the entire study (pre- and post-assessments) divided by the number consented.

    Time frame: up to 7 days after surgery

  5. Feasibility of the CQUPLE intervention (burden of data collection on study team)

    To measure burden of data collection, the investigators will record the number of emails, texts, and phone calls needed for each participant to complete the measures.

    Time frame: up to 7 days after surgery

Secondary outcomes

  1. Effect of CQUPLE on patient treatment choice

    The investigators will assess patient's intended treatment choice at baseline and pre-visit. The investigators will assess actual treatment choice post-visit. The investigators will ask: "Knowing what you know now, which treatment option would/did you choose for yourself?" Answers will include: removal of the entire thyroid, removal of half of the thyroid, surveillance with ultrasound.

    Time frame: baseline, pre-visit and post visit- up to 7 days

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Study locations

1 site
  • The University of Michigan Cancer Center
    Ann Arbor, Michigan 48109, United States
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References and documents

Individual participant data

Plan to share: Yes — The investigators will make de-identified data available on a by request basis and will require a DUA

Supporting information: Study protocol, Sap, Icf, Csr, Analytic code

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06073223
Lead sponsor
University of Michigan Rogel Cancer Center
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Oct 10, 2023
Start date
Sep 18, 2023
Primary completion
Dec 20, 2025
Completion
Dec 20, 2025
Last update
Feb 17, 2026

Study contacts

Susan Pitt
principal investigator · University of Michigan Rogel Cancer Center

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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