Radiofrequency ablation vs hemithyroidectomy for small thyroid cancers
Official title: Multi-center, 1:1 Randomized, Stratified, Parallel-group, Non-inferiority Clinical Trial of Small Thyroid Cancers Treated With Hemithyroidectomy or Radiofrequency Ablation.
Run by University of Aarhus · NCT06796348 · Data updated 2026-11-12
This trial tests whether radiofrequency ablation can treat small thyroid cancers as effectively as hemithyroidectomy in adults with tumors under 2 cm.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 30 Years and up |
| Sex | All |
| Enrollment | 88 (estimated) |
| Sponsor | University of Aarhus Academic / other |
| Locations | 1 site (Aarhus) |
| Status | Recruiting |
| Started | September 1, 2025 |
| Main results expected | June 28, 2028 |
| Study ends | December 1, 2028 |
| Registry record updated | September 15, 2026 |
| Trial ID | NCT06796348 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with a single thyroid tumor under 2 cm, suspected or confirmed cancer (Bethesda category V or VI), eligible for either RFA or hemithyroidectomy.
✕Probably not a fit
Patients with disseminated disease, high-risk tumor location unsuitable for RFA, prior thyroid surgery, or conditions that preclude informed consent 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 multicenter randomized trial compares two treatments for small thyroid cancers: radiofrequency ablation (RFA) of the tumor versus surgical removal of one thyroid lobe (hemithyroidectomy). Participants with a single tumor under 2 cm and cancer suspicion or confirmation are randomized after consent and followed for five years to assess treatment outcomes, thyroid function, safety, quality of life, and costs. The study aims to reduce unnecessary surgeries while monitoring oncologic safety and long-term effects. Outcomes include final histology when surgery is performed and comparative adverse events between the two approaches. Lead sponsor is the University of Aarhus, with the study conducted at Aarhus University Hospital.
Why it matters
Potential benefit: If successful, patients with small thyroid cancers may avoid surgery without compromising cancer control, leading to fewer procedures and potentially preserved thyroid function.
How similar studies have gone: Previous research in thyroid nodules and early cancers has shown promise for less invasive approaches like RFA in selected cases, but randomized data in this specific comparison are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Single tumor in the thyroid gland with a FNAB suspecious of cancer or diagnostic of cancer (category V or VI in the Bethesda system) * tumor size of less than 2 cm in all dimensions. Exclusion Criteria: * suspicion of disseminated disease because of PET-positive lymph nodes ; suspect lymph-nodes by ultrasonography (US); or signs of capsular invasion of the tumor OR * tumor not eligible for RFA treatment because of high-risk location; previous thyroid surgery; concomitant hyperparathyroidism (ionized calcium \> 1.32 mmol/L and PTH \> 6 pmol//L ) OR * if the patient is pregnant OR * If the patient is unable to give informed consent.
Where it's running
-
Department of Otorhinolaryngology, Aarhus University Hospital
Aarhus, Denmark Recruiting
Study contacts
- Study coordinator: Sofie Louise Rygaard, MD, PhD
- Email: soryga@rm.dk
- Phone: +4551922819
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.