Could a smaller surgery spare medullary thyroid cancer patients from lifelong pills?
NCT ID NCT07612293
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether removing only the cancerous part of the thyroid and nearby lymph nodes on one side is safe and effective for sporadic medullary thyroid cancer. Currently, all patients get the entire thyroid removed, which requires lifelong hormone pills and carries higher risks. The trial will enroll 100 adults to see if the less extensive surgery leads to remission and avoids the need for a second surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Thyroid lobectomy with ipsilateral central neck dissection
- What this could lead to
- If successful, this could offer a less invasive surgical option for sporadic medullary thyroid cancer, avoiding lifelong thyroid hormone pills and reducing complication risks.
- What could go wrong
- This is an early-stage trial with only 100 participants. It may not prove that the less extensive surgery is as effective as total thyroidectomy, and some patients may still need a second surgery.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2032
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female ≥ 18 years of age at time of diagnosis * Documentation of a medullary thyroid cancer diagnosis as evidenced by: * Thyroid fine needle aspiration biopsy with cytologist consistent with medullary thyroid cancer * Indeterminate cytology from thyroid fine needle aspiration with elevated serum calcitonin OR thyroid molecular testing consistent with medullary thyroid cancer * Written informed consent obtained from participant or participant's legal representative and ability for participant to comply with the requirements of the study * Appropriate candidate for thyroid lobectomy and/or total thyroidectomy Exclusion Criteria: * Indication for total thyroidectomy unrelated to medullary thyroid cancer: * Graves' disease * Symptomatic multinodular goiter * Contralateral symptomatic benign nodules * Ultrasound findings consistent with: * Cervical lymphadenopathy involving lateral neck or contralateral central neck * Suspicious thyroid nodules \> 1 cm that are Thyroid Imaging Reporting and Data Systems 2 (TIRADS2) or higher without fine needle aspiration (FNA) * Pure cystic and spongiform nodules do not require FNA * Patients with nodules that meet criteria above can elect to undergo FNA, and may enroll in study if benign cytology is noted * Identification of germline RET mutation on preoperative genetic testing
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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UCLA / Jonsson Comprehensive Cancer Center
Los Angeles, California, 90095, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New PET tracer could spot cancers that standard scans overlook
- New decision aid empowers thyroid cancer patients to choose their care path
- New PET scan aims to spot hidden cancers with precision
- New hope for kids with rare cancers: drug targets tumor growth
- Targeted drug before surgery shows promise for RET-Altered thyroid cancer