Clinical trial Recruiting at 1 site Interventional Ages 18 to 70

Comparing two surgical methods for treating secondary hyperparathyroidism

Official title: Total Parathyroidectomy With Autotransplantation Versus Total Parathyroidectomy Alone for Secondary Hyperparathyroidism

Run by The Second Hospital of Nanjing Medical University · NCT04922892 · Data updated 2026-11-12

This study is testing whether a surgery that includes transplanting parathyroid tissue works better than just removing the parathyroid glands alone for people with secondary hyperparathyroidism who are on long-term dialysis.

Quick facts

Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment200 (estimated)
SponsorThe Second Hospital of Nanjing Medical University
Academic / other
Locations1 site (Nanjing)
StatusRecruiting
StartedJune 1, 2021
Main results expectedMay 31, 2023
Study endsMay 31, 2028
Registry record updatedSeptember 27, 2021
Trial IDNCT04922892 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are patients with severe renal secondary hyperparathyroidism who are on long-term dialysis.

Probably not a fit

Patients with a history of diabetes, chronic inflammatory diseases, malignant tumors, kidney transplantation, neck surgery, alcohol or drug abuse, or those unable to cooperate may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial compares the long-term outcomes of total parathyroidectomy with autotransplantation (TPTX+AT) versus total parathyroidectomy alone (TPTX) in patients with secondary hyperparathyroidism who are on long-term dialysis. It is a randomized controlled pilot trial involving 200 patients, aiming to assess the rates of recurrent disease over a 5-year follow-up period. Key metrics evaluated include parathyroid hormone and calcium levels, as well as rates of recurrent or persistent hyperparathyroidism, reoperations, morbidity, and mortality.

Why it matters

Potential benefit: If successful, this study could provide insights into the most effective surgical approach for managing secondary hyperparathyroidism in dialysis patients.

How similar studies have gone: Previous studies have explored similar surgical interventions, but this specific comparison of TPTX versus TPTX+AT in this patient population is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Severe renal secondary hyperparathyroidism

Exclusion Criteria:

Patients with diabetes a history of chronic inflammatory disease a history of malignant tumor a history of kidney transplantation a history of neck surgery a history of alcohol abuse a history of drug abuse inability to cooperate with the participants refusal to participate in the study

Where it's running

  • NanjingMU
    Nanjing, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.