E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Primary hyperthyroidism |
Hiperparatiroidismo primario |
|
E.1.1.1 | Medical condition in easily understood language |
Primary hyperparathyroidism is a disorder in which one or more of the parathyroid glands secrete too much parathyroid hormone into the blood |
El hiperparatirodismo primario es una enfermedad en la que una o más glándulas paratiroideas secretan demasiada hormona paratiroidea a la sangre |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Hormonal diseases [C19] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10036693 |
E.1.2 | Term | Primary hyperparathyroidism |
E.1.2 | System Organ Class | 100000004860 |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the usefulness of PET-CT with 18F-Fluorocholine for preoperative localization of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism and negative conventional imaging (parathyroid scintigraphy and cervical ultrasound) |
Evaluar la utilidad de la PET-TC con 18F-Fluorocolina en el diagnóstico de localización prequirúrgico de glándulas paratiroideas hiperfuncionantes en pacientes con hiperparatiroidismo primario y pruebas de imagen convencionales negativas (gammagrafía paratiroidea y ecografía cervical) |
|
E.2.2 | Secondary objectives of the trial |
To investigate the correlation between SUVmax and clinical, analytical and pathological parameters. To perform a cost-effectiveness analysis |
Investigar la correlación entre el SUVmáx y los parámetros clínicos, analíticos y anatomopatológicos. Realizar un estudio de coste-efectividad. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients with primary hyperparathyroidism Eligible for parathyroid surgery Negative, inconclusive or discordant preoperative imaging (both parathyroid scintigraphy and cervical ultrasound), performed within 6 months before PET-CT scan with 18F-Fluorocholine |
Pacientes con hiperparatirodismo primario Candidatos a cirugía de paratiroides Pruebas de imagen prequirúrgicas negativas, no concluyentes o discordantes (tanto gammagrafía paratiroidea como ecografía cervical), realizardas dentro de los 6 meses previos a la PET-TC con 18F-Fluorocolina |
|
E.4 | Principal exclusion criteria |
Patients with familial isolated primary hyperparathyroidism Patients with multiple endocrine neoplasia (MEN) Patients with secondary or terciary hyperparathyroidism Patients with suspected thyroid or parathyroid cancer |
Pacientes con hiperparatiroidismo primario familiar aislado Pacientes diagnosticados de neoplasia endocrina múltiple (MEN) Pacientes con hiperparatiroidismo secundario o terciario Pacientes con sospecha de cáncer tiroideo o paratiroideo |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Surgical resection of the hyperfunctioning parathyroid glands detected by PET-CT scan with 18F-Fluorocholine |
Resección quirúrgica de las glándulas paratiroideas hiperfuncionantes detectadas por la PET-TC con 18F-Fluorocolina |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Surgery must be performed within 3 months after the PET-CT scan |
La cirugía debe realizarse dentro de los 3 meses siguientes a la realización de la PET-TC |
|
E.5.2 | Secondary end point(s) |
Percentage of cured patients after surgery |
Porcentaje de curación tras la cirugía |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
3 months after surgery |
3 meses tras la cirugía |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Yes |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Cost-effectiveness |
Coste-efectividad |
|
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |