Trial Outcomes & Findings for Assessing Benefits of Near Infrared Autofluorescence (NIRAF) Detection for Identifying Parathyroid Glands During Total Thyroidectomy (NCT NCT05022667)

NCT ID: NCT05022667

Last Updated: 2025-08-08

Results Overview

Overall number of parathyroid glands identified (Experimental Group: Glands identified with naked eye + NIRAF; Control Group: Glands identified with naked eye)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

114 participants

Primary outcome timeframe

Immediate (During total thyroidectomy procedure)

Results posted on

2025-08-08

Participant Flow

Participant milestones

Participant milestones
Measure
PTeye
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the total thyroidectomy procedure. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console, as per device functionality requirements.
Standard of Care
The surgeon will not use the PTeye and will proceed with the total thyroidectomy as usual, while relying solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Overall Study
STARTED
57
57
Overall Study
COMPLETED
57
57
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Assessing Benefits of Near Infrared Autofluorescence (NIRAF) Detection for Identifying Parathyroid Glands During Total Thyroidectomy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PTeye
n=57 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the total thyroidectomy procedure. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console, as per device functionality requirements.
Standard of Care
n=57 Participants
The surgeon will not use the PTeye and will proceed with the total thyroidectomy as usual, while relying solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Total
n=114 Participants
Total of all reporting groups
Age, Continuous
51.2 years
STANDARD_DEVIATION 16.9 • n=99 Participants
52.6 years
STANDARD_DEVIATION 16 • n=107 Participants
51.9 years
STANDARD_DEVIATION 16.4 • n=206 Participants
Sex: Female, Male
Female
44 Participants
n=99 Participants
43 Participants
n=107 Participants
87 Participants
n=206 Participants
Sex: Female, Male
Male
13 Participants
n=99 Participants
14 Participants
n=107 Participants
27 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=99 Participants
2 Participants
n=107 Participants
5 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
54 Participants
n=99 Participants
55 Participants
n=107 Participants
109 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race/Ethnicity, Customized
White
47 Participants
n=99 Participants
49 Participants
n=107 Participants
96 Participants
n=206 Participants
Race/Ethnicity, Customized
Black
4 Participants
n=99 Participants
3 Participants
n=107 Participants
7 Participants
n=206 Participants
Race/Ethnicity, Customized
Asian
3 Participants
n=99 Participants
4 Participants
n=107 Participants
7 Participants
n=206 Participants
Race/Ethnicity, Customized
Other
3 Participants
n=99 Participants
1 Participants
n=107 Participants
4 Participants
n=206 Participants
Region of Enrollment
United States
57 Participants
n=99 Participants
57 Participants
n=107 Participants
114 Participants
n=206 Participants
Preoperative calcium (pg/dL)
9.4 (pg/dL)
STANDARD_DEVIATION 0.5 • n=99 Participants
9.5 (pg/dL)
STANDARD_DEVIATION 0.4 • n=107 Participants
9.5 (pg/dL)
STANDARD_DEVIATION 0.5 • n=206 Participants
Preoperative PTH (pg/mL)
48.2 (pg/mL)
STANDARD_DEVIATION 22.4 • n=99 Participants
78.3 (pg/mL)
STANDARD_DEVIATION 25 • n=107 Participants
64.6 (pg/mL)
STANDARD_DEVIATION 27.9 • n=206 Participants
Preoperative vitamin D (mcg)
33 mcg
STANDARD_DEVIATION 13.6 • n=99 Participants
29.3 mcg
STANDARD_DEVIATION 11 • n=107 Participants
30.9 mcg
STANDARD_DEVIATION 12 • n=206 Participants
Final Diagnosis
Grave's disease
18 Participants
n=99 Participants
15 Participants
n=107 Participants
33 Participants
n=206 Participants
Final Diagnosis
Goiters and nodular diseases
13 Participants
n=99 Participants
6 Participants
n=107 Participants
19 Participants
n=206 Participants
Final Diagnosis
Thyroid cancer
26 Participants
n=99 Participants
36 Participants
n=107 Participants
62 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Immediate (During total thyroidectomy procedure)

Overall number of parathyroid glands identified (Experimental Group: Glands identified with naked eye + NIRAF; Control Group: Glands identified with naked eye)

Outcome measures

Outcome measures
Measure
PTeye
n=57 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the total thyroidectomy procedure. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console, as per device functionality requirements.
Standard of Care
n=57 Participants
The surgeon will not use the PTeye and will proceed with the total thyroidectomy as usual, while relying solely on her/his surgical experience in identifying the parathyroid glands during the operations.
The Average Number of Parathyroid Glands Identified (Experimental Group: Glands Identified With Naked Eye + NIRAF; Control Group: Glands Identified With Naked Eye) Per Patient
3.1 parathyroid glands per patient
Interval 2.8 to 3.3
2.9 parathyroid glands per patient
Interval 2.6 to 3.2

SECONDARY outcome

Timeframe: 5-14 days after surgery

Population: Not all participants returned for this lab assessment during the 5-14 day data collection period. As such, no data for these participants was collected.

Blood parathyroid hormone (PTH) levels at 5-14 days post-op

Outcome measures

Outcome measures
Measure
PTeye
n=35 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the total thyroidectomy procedure. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console, as per device functionality requirements.
Standard of Care
n=36 Participants
The surgeon will not use the PTeye and will proceed with the total thyroidectomy as usual, while relying solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Blood Parathyroid Hormone (PTH) Levels at 5-14 Days After Surgery
35.6 pg/mL
Standard Deviation 25.3
41 pg/mL
Standard Deviation 34.7

SECONDARY outcome

Timeframe: Within 24-48 hours after surgery

Population: Not all participants returned for this lab assessment during the 24-48 hour data collection period. As such, no data for these participants was collected.

Blood parathyroid hormone (PTH) levels at 24-48 hours after surgery

Outcome measures

Outcome measures
Measure
PTeye
n=56 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the total thyroidectomy procedure. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console, as per device functionality requirements.
Standard of Care
n=52 Participants
The surgeon will not use the PTeye and will proceed with the total thyroidectomy as usual, while relying solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Blood Parathyroid Hormone (PTH) Levels at 24-48 Hours After Surgery
20.7 pg/mL
Standard Deviation 11.6
24.3 pg/mL
Standard Deviation 16.6

SECONDARY outcome

Timeframe: Within 24-48 hours after surgery

Population: Not all participants returned for this lab assessment during the 24-48 hour data collection period. As such, no data for these participants was collected.

Blood calcium levels 24-48 hours after surgery

Outcome measures

Outcome measures
Measure
PTeye
n=54 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the total thyroidectomy procedure. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console, as per device functionality requirements.
Standard of Care
n=52 Participants
The surgeon will not use the PTeye and will proceed with the total thyroidectomy as usual, while relying solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Blood Calcium Levels 24-48 Hours After Surgery
9.4 pg/dL
Standard Deviation .5
9.3 pg/dL
Standard Deviation .5

SECONDARY outcome

Timeframe: Collected immediately following surgery

Duration of surgery (minutes)

Outcome measures

Outcome measures
Measure
PTeye
n=57 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the total thyroidectomy procedure. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console, as per device functionality requirements.
Standard of Care
n=57 Participants
The surgeon will not use the PTeye and will proceed with the total thyroidectomy as usual, while relying solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Duration in Minutes of Surgery
126.2 minutes
Standard Deviation 39.6
120.3 minutes
Standard Deviation 34.7

SECONDARY outcome

Timeframe: Collected immediately following surgery

Number of frozen section analysis performed. Samples of a suspected piece of parathyroid tissue were removed and analyzed to confirm whether they were actually parathyroid tissue. Results reflect the participants who were determined to have had a frozen section conducted.

Outcome measures

Outcome measures
Measure
PTeye
n=57 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the total thyroidectomy procedure. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console, as per device functionality requirements.
Standard of Care
n=57 Participants
The surgeon will not use the PTeye and will proceed with the total thyroidectomy as usual, while relying solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Number of Frozen Section Analysis Performed.
0
55 Participants
55 Participants
Number of Frozen Section Analysis Performed.
1 or more
2 Participants
2 Participants

SECONDARY outcome

Timeframe: Immediate. During total thyroidectomy procedure

Number of auto-transplanted parathyroid glands if the parathyroid gland was accidentally excised/devascularized.

Outcome measures

Outcome measures
Measure
PTeye
n=57 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the total thyroidectomy procedure. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console, as per device functionality requirements.
Standard of Care
n=57 Participants
The surgeon will not use the PTeye and will proceed with the total thyroidectomy as usual, while relying solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Number of Auto-transplanted Parathyroid Glands
0
41 Participants
46 Participants
Number of Auto-transplanted Parathyroid Glands
1
16 Participants
10 Participants
Number of Auto-transplanted Parathyroid Glands
2 or more
0 Participants
1 Participants

SECONDARY outcome

Timeframe: 0 - 4 nights after total thyroidectomy

Number of nights spent for postoperative recovery in the hospital after the surgical procedure.

Outcome measures

Outcome measures
Measure
PTeye
n=57 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the total thyroidectomy procedure. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console, as per device functionality requirements.
Standard of Care
n=57 Participants
The surgeon will not use the PTeye and will proceed with the total thyroidectomy as usual, while relying solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Number of Nights Spent in the Hospital After Total Thyroidectomy
0 nights
0 Participants
0 Participants
Number of Nights Spent in the Hospital After Total Thyroidectomy
1 night
57 Participants
57 Participants
Number of Nights Spent in the Hospital After Total Thyroidectomy
> 1 night
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Immediate (intraoperative) to 7-10 days after total thyroidectomy (as presented in the pathology report)

Number of inadvertently resected parathyroid glands when parathyroid tissue is found in the resected thyroid specimens. Results reflect the participants who had an inadvertently resected parathyroid gland.

Outcome measures

Outcome measures
Measure
PTeye
n=57 Participants
The surgeon will use the PTeye as an intraoperative tool to identify if a suspect tissue is a parathyroid or not, during the total thyroidectomy procedure. PTeye: The surgeon will first take 5 baseline NIRAF measurements on the thyroid gland (or neck muscle, if thyroid is absent) using the disposable sterile fiber probe that is connected to the PTeye console, as per device functionality requirements.
Standard of Care
n=57 Participants
The surgeon will not use the PTeye and will proceed with the total thyroidectomy as usual, while relying solely on her/his surgical experience in identifying the parathyroid glands during the operations.
Number of Inadvertently Resected Parathyroid Glands
5 Participants
5 Participants

Adverse Events

PTeye

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard of Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Paul Gauger

University of Michigan Medical Center

Phone: 734-936-0231

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place