Is Routine Dissection of Central Lymph Node Necessary for Papillary Thyroid Carcinoma, T1-2 N0?
1 other identifier
interventional
199
1 country
1
Brief Summary
study assigned into three groups, Group I was the control group operated by total thyroidectomy and retrospectively followed, where the other two groups Operated by Total thyroidectomy and central neck dissection. Recurrence Free Survival (RFS) was the main issue of the study and calculated as the time from date of surgery to date of relapse or the most recent follow-up contact that patient was known as relapse-free, Study exclusively studied the outcome and advantage of central neck dissection
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2016
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 2, 2016
CompletedFirst Submitted
Initial submission to the registry
April 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 3, 2020
CompletedFirst Posted
Study publicly available on registry
April 7, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
May 3, 2020
CompletedApril 7, 2020
April 1, 2020
3.4 years
April 1, 2020
April 2, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
recurrence free survival
recurrence free survival calculated from first day of diagnosis
21 months
Study Arms (2)
Comparison between the studied groups regarding management.
ACTIVE COMPARATORThe postoperative RAI scan after 1 month, showed a positive residual tumour in lateral LN in 70 patients in the controlled group and 13 patients in Group II, 8 patients in group III. In group I, Patients with residuals were submitted to RAI ablation.
Recurrence free survival
OTHERpatients with total thyroidectomy only had shorter recurrence free survival
Interventions
Eligibility Criteria
You may qualify if:
- Age ≥20 years, Histopathology proved PTC, with no lymph nodes detected (N0)
You may not qualify if:
- Younger age ≤20 years. Prior thyroidectomy, previous radiation exposure, postoperative radioactive iodine therapy, Histopathology report of any type of malignancy other than PTC or patients did not complete their postoperative follow-up period. PTC With N1 or N2
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Zagazig University Hospitals
Zagazig, 13, Egypt
Related Publications (2)
Viola D, Materazzi G, Valerio L, Molinaro E, Agate L, Faviana P, Seccia V, Sensi E, Romei C, Piaggi P, Torregrossa L, Sellari-Franceschini S, Basolo F, Vitti P, Elisei R, Miccoli P. Prophylactic central compartment lymph node dissection in papillary thyroid carcinoma: clinical implications derived from the first prospective randomized controlled single institution study. J Clin Endocrinol Metab. 2015 Apr;100(4):1316-24. doi: 10.1210/jc.2014-3825. Epub 2015 Jan 15.
PMID: 25590215RESULTKim K, Kim JH, Park IS, Rho YS, Kwon GH, Lee DJ. The Updated AJCC/TNM Staging System for Papillary Thyroid Cancer (8th Edition): From the Perspective of Genomic Analysis. World J Surg. 2018 Nov;42(11):3624-3631. doi: 10.1007/s00268-018-4662-2.
PMID: 29750323RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Masking Details
- guuartor of study, only participant
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Assistant Professor of general surgery, Faculty of medicine
Study Record Dates
First Submitted
April 1, 2020
First Posted
April 7, 2020
Study Start
November 2, 2016
Primary Completion
April 3, 2020
Study Completion
May 3, 2020
Last Updated
April 7, 2020
Record last verified: 2020-04
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
- Time Frame
- 1 year
after aprovel, recommendation of study will be shared with other researchers