NCT04268407

Brief Summary

In transoral thyroidectomy via vestibular approach (TOETVA), prophylactic antibiotic for 5\~7 days is recommended for the clean-contaminated wound. In this study, the investigators design a 2-day versus 7-day antibiotic prophylaxis to compare the surgical result and infection rate.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Feb 2020

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 7, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

February 13, 2020

Completed
13 days until next milestone

Study Start

First participant enrolled

February 26, 2020

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2021

Completed
Last Updated

August 1, 2022

Status Verified

July 1, 2022

Enrollment Period

1.8 years

First QC Date

February 7, 2020

Last Update Submit

July 28, 2022

Conditions

Keywords

transoral surgery

Outcome Measures

Primary Outcomes (1)

  • post-operative infection

    incidence of post-operative infection

    within one month after operation

Secondary Outcomes (1)

  • post-op complication

    within one month after operation

Other Outcomes (4)

  • post-op complication

    within one month after operation

  • post-op complication

    within one month after operation

  • post-op complication

    within one month after operation

  • +1 more other outcomes

Study Arms (2)

2-day prophylactic antibiotics

EXPERIMENTAL

use prophylactic antibiotic for 2 days after transoral thyroidectomy

Drug: Amoxicillin Clavulanate

7-day prophylactic antibiotic

OTHER

use prophylactic antibiotic for 7 days after transoral thyroidectomy

Drug: Amoxicillin Clavulanate

Interventions

compare the duration of antbiotic use: 2 day versus 7 day

Also known as: Augmentin
2-day prophylactic antibiotics7-day prophylactic antibiotic

Eligibility Criteria

Age20 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Suspicious or proved thyroid cancer with size smaller than 4cm
  • Symptomatic benign thyroid nodules less than 6cm in size
  • Thyroid cyst
  • Follicular neoplasm
  • Graves' disease

You may not qualify if:

  • Previous thyroid or parathyroid surgery
  • History of radiation at neck
  • Could not tolerate the general anesthesia.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Yi-Chia Chan

Kaohsiung City, 鳥松區, 833, Taiwan

Location

Related Publications (3)

  • Anuwong A, Ketwong K, Jitpratoom P, Sasanakietkul T, Duh QY. Safety and Outcomes of the Transoral Endoscopic Thyroidectomy Vestibular Approach. JAMA Surg. 2018 Jan 1;153(1):21-27. doi: 10.1001/jamasurg.2017.3366.

    PMID: 28877292BACKGROUND
  • Fernandez-Ranvier G, Meknat A, Guevara DE, Inabnet WB 3rd. Transoral Endoscopic Thyroidectomy Vestibular Approach. JSLS. 2019 Oct-Dec;23(4):e2019.00036. doi: 10.4293/JSLS.2019.00036.

    PMID: 31719772BACKGROUND
  • Wang C, Zhai H, Liu W, Li J, Yang J, Hu Y, Huang J, Yang W, Pan Y, Ding H. Thyroidectomy: a novel endoscopic oral vestibular approach. Surgery. 2014 Jan;155(1):33-8. doi: 10.1016/j.surg.2013.06.010. Epub 2013 Jul 24.

    PMID: 23890962BACKGROUND

MeSH Terms

Conditions

Thyroid Nodule

Interventions

Amoxicillin-Potassium Clavulanate Combination

Condition Hierarchy (Ancestors)

Thyroid NeoplasmsEndocrine Gland NeoplasmsNeoplasms by SiteNeoplasmsHead and Neck NeoplasmsEndocrine System DiseasesThyroid Diseases

Intervention Hierarchy (Ancestors)

Clavulanic AcidClavulanic Acidsbeta-LactamsLactamsAmidesOrganic ChemicalsAmoxicillinAmpicillinPenicillin GPenicillinsSulfur CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsDrug CombinationsPharmaceutical Preparations

Study Officials

  • Yichia Chan, doctor

    Kaohsing Chang Gung memorial hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: thyroid nodules, plan for transoral thyroidectomy
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
principal investigator

Study Record Dates

First Submitted

February 7, 2020

First Posted

February 13, 2020

Study Start

February 26, 2020

Primary Completion

December 31, 2021

Study Completion

December 31, 2021

Last Updated

August 1, 2022

Record last verified: 2022-07

Data Sharing

IPD Sharing
Will not share

only for request

Locations