Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 13 and up

Using I-124 PET/CT to find metastatic thyroid cancer

Official title: Comparison of I-124 PET/CT to I-123 Whole Body Imaging for the Diagnosis of Thyroid

Run by University of California, San Francisco · NCT06961084 · Data updated 2026-11-12

This will try I-124 PET/CT scans to see if they detect metastatic thyroid cancer better than the usual I-123 or I-131 scans in people treated for differentiated thyroid cancer.

Quick facts

PhasePhase 2
Study typeInterventional
Ages13 Years and up
SexAll
Enrollment62 (estimated)
SponsorUniversity of California, San Francisco
Academic / other
Drugs / interventionsradiation
Locations1 site (San Francisco, California)
StatusRecruiting
StartedDecember 4, 2025
Main results expectedApril 1, 2028
Study endsApril 1, 2028
Registry record updatedJune 18, 2026
Trial IDNCT06961084 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

People aged 13 or older with histologically confirmed differentiated thyroid cancer who have had total thyroidectomy and are being evaluated for metastatic disease or planned for I-123 imaging and possible I-131 therapy are ideal candidates.

Probably not a fit

Patients with non-differentiated thyroid cancers (for example medullary or anaplastic), those not scheduled for I-123/I-131 imaging, or those unable to travel to or undergo PET/CT are unlikely to gain benefit from this protocol.

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

What this trial studies

This is a single-arm prospective imaging study that gives participants an I-124 PET/CT and compares the findings to routine I-123 and post-treatment I-131 imaging obtained from the medical record. The primary aim is to measure agreement between I-124 PET and I-123/I-131 SPECT, with secondary aims including sensitivity, specificity, reclassification rate, inter-reader variability, and safety. A subset of participants will undergo additional imaging over five days for dosimetry and absorbed-dose prediction. Participants are followed by phone for up to 3–5 days to capture adverse events.

Why it matters

Potential benefit: If successful, I-124 PET/CT could detect metastatic thyroid cancer more accurately and help guide more precise treatment and follow-up decisions.

How similar studies have gone: Prior small studies and case series suggest I-124 PET can detect more lesions than conventional I-123/I-131 imaging, but large prospective comparative data are still limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age \>= 13 years.
2. Histopathologically confirmed differentiated or poorly differentiated thyroid cancer.
3. Meeting criteria for one of the following two populations:

   1. American Thyroid Association (ATA) intermediate or high-risk thyroid cancer and planning on treatment using I-131.
   2. Metastatic disease on imaging (CT, MRI, ultrasound or FDG PET), and considering localized therapy such as surgery and radiation therapy.
4. Undergone total thyroidectomy.
5. Planned I-123 imaging within 45 days after enrollment.
6. Ability to understand a written informed consent document, and the willingness to sign it.

Exclusion Criteria:

1. Unlikely to comply with study procedures, restrictions and requirements and judged by the Investigator to be unsuitable for participation.
2. Known pregnancy.

Where it's running

  • University of California, San Francisco
    San Francisco, California, United States
    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.