Calcitonin Pre-treatment to Improve SPECT-CT Sensitivity

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorJoseph Sferra

About this trial

Patients with biochemically confirmed primary hyperparathyroidism and non-localizing SPECT-CT exam within the past year will be included. Subjects will be treated with calcitonin to lower calcium levels immediately prior to reimaging. The goal of this study is to determine whether lowering calcium will improve uptake/retention of sestamibi and improve sensitivity of SPECT-CT to localize parathyroid adenoma.

Eligibility criteria

Qualifiers

Diagnosis of primary hyperparathyroidism

Non-localizing SPECT-CT performed within 365 days prior to consent to participate in study

Patient desires surgical intervention for treatment of PHPT

No contraindications to 99mTC-Sestamibi

Disqualifiers

Previous surgery to the neck, including resection of parathyroid tissue, except where end organ damage is present and further surgical intervention is medically necessary

Contraindication to 99mTC-Sestamibi SPECT-CT as evidenced by allergic reaction or adverse event during index SPECT-CT

Allergy to calcitonin

Hypocalcemia (contraindication to calcitonin)

Trial design

Treatments tested in this trial

  • Calcitonin

Treatment groups

37 Participants
are divided into 1 treatment group

Sponsors and collaborators

Joseph Sferra

Lead sponsor

ProMedica Health System

Sponsor institution

University of Toledo Health Science Campus

Collaborator