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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 13 Years and up |
| Sex | All |
| Enrollment | 62 (estimated) |
| Sponsor | University of California, San Francisco Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (San Francisco, California) |
| Status | Recruiting |
| Started | December 4, 2025 |
| Main results expected | April 1, 2028 |
| Study ends | April 1, 2028 |
| Registry record updated | June 18, 2026 |
| Trial ID | NCT06961084 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
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University of California, San Francisco
San Francisco, California, United States Recruiting
Study contacts
- Principal investigator: Thomas Hope, MD — University of California, San Francisco
- Study coordinator: Maya Aslam
- Email: Maya.Aslam@ucsf.edu
- Phone: (415) 514-8987
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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.