Clinical trial Recruiting at 1 site Interventional Ages 18 and up

NIRAF imaging to help parathyroid removal when preoperative tests don’t locate glands

Official title: Outcomes of Parathyroidectomy Using NIRAF-camera Versus Conventional Surgery in Patients With Preoperative Imaging Negative Primary Hyperparathyroidism: A Randomized Controlled Trial

Run by The Cleveland Clinic · NCT07812649 · Data updated 2026-11-12

This trial tests whether using an NIRAF camera during parathyroid surgery helps find and remove abnormal glands in people with primary hyperparathyroidism when prior imaging hasn’t pinpointed them.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment80 (estimated)
SponsorThe Cleveland Clinic
Academic / other
Locations1 site (Cleveland, Ohio)
StatusRecruiting
StartedAugust 31, 2026
Main results expectedDecember 30, 2027
Study endsDecember 30, 2027
Registry record updatedSeptember 11, 2026
Trial IDNCT07812649 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with primary hyperparathyroidism planned for bilateral neck exploration and parathyroidectomy.

Probably not a fit

Patients with secondary or tertiary hyperparathyroidism or those undergoing focal exploration or additional thyroid procedures may not benefit.

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

What this trial studies

This interventional study evaluates the use of near-infrared autofluorescence (NIRAF) imaging as an intraoperative aid for identifying parathyroid glands during bilateral neck exploration in primary hyperparathyroidism. Participants undergo parathyroidectomy guided by NIRAF in addition to standard preoperative imaging. The study focuses on whether NIRAF can improve gland identification when preoperative localization is negative or inconclusive. The trial is conducted at Cleveland Clinic with patients scheduled for parathyroidectomy and no additional concurrent neck procedures. Outcomes of interest include identification success, operative details, and short-term postoperative results.

Why it matters

Potential benefit: If successful, NIRAF guidance could improve gland identification and potentially increase cure rates or reduce operative time.

How similar studies have gone: Previous use of NIRAF in parathyroid procedures has shown promise for gland identification, though results vary and broader validation is ongoing.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosed with primary hyperparathyroidism
* Undergoing bilateral neck exploration
* Will under go only parathyroidectomy surgery

Exclusion Criteria:

* Diagnosed with secondary or tertiary hyperparathyroidism
* Undergoing focal PG exploration
* Will undergo concomitant surgery (total thyroidectomy, thyroid lobectomy)

Where it's running

  • Cleveland Clinic
    Cleveland, Ohio, United States
    Recruiting

Similar studies

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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.