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Natural History Study of Parathyroid Disorders

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04969926
Recruitment Status : Recruiting
First Posted : July 21, 2021
Last Update Posted : May 13, 2024
Sponsor:
Information provided by (Responsible Party):
National Institutes of Health Clinical Center (CC) ( National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) )

Tracking Information
First Submitted Date July 20, 2021
First Posted Date July 21, 2021
Last Update Posted Date May 13, 2024
Actual Study Start Date November 30, 2021
Estimated Primary Completion Date January 22, 2031   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: March 25, 2022)
  • To identify biomarkers of the disease and associated manifestations by performing molecular profiling of available biospecimens [ Time Frame: 5 years ]
    Participants will undergo standard clinical evaluations for their condition. Data obtained during these evaluations will be retained for purposes of the primary objective, for analysis of secondary objectives, and for future research. There are no mandatory study procedures for this protocol.
  • To investigate the cause and molecular mechanism of the disease, possibly genetic in participants with unknown cause of parathyroid and related disorder(s) [ Time Frame: 5 years ]
    Participants will undergo standard clinical evaluations for their condition. Data obtained during these evaluations will be retained for purposes of the primary objective, for analysis of secondary objectives, and for future research. There are no mandatory study procedures for this protocol.
Original Primary Outcome Measures
 (submitted: July 20, 2021)
To develop a database and an annotated biospecimen repository for future research in disorders of bone and mineral metabolism and related disorders. [ Time Frame: 5 years ]
Participants will undergo clinical evaluations according to standard clinical care for their condition. Data obtained during these evaluations will be retained for purposes of the primary objectives
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Natural History Study of Parathyroid Disorders
Official Title Natural History Study of Parathyroid Disorders
Brief Summary

Background:

Parathyroid disorders are very common in the general population and include disorders of parathyroid excess, deficiency, or defects in parathyroid hormone (PTH) signaling. PTH, the main secretory product of parathyroid glands is responsible for regulation of calcium-phosphate homeostasis.

Objective:

i) To investigate the cause of parathyroid disorders

ii) To describe evolution, natural history, and longitudinal trends of parathyroid and related disorders seen in syndromic presentations like multiple endocrine neoplasia, hyperparathyroidism-jaw tumor syndrome

Eligibility:

People ages 6 months older who have, are at risk of having, or are related to a person with a parathyroid or related disorder.

Design:

Participants will be screened with a review of their medical records.

Participants will be seen, tested, and treated by doctors based on their condition. Their visits may be in person or via telehealth.

Participants will complete questionnaires. They will answer questions about their physical, mental, and social health.

Participants may give samples such as saliva, blood, urine, or stool.

Participants may give cheek cell samples. They will do this using a cheek swab or by spitting into a cup.

Adult participants may give a skin biopsy. For this, a small bit of skin is removed with a punch tool.

Participants may have medical photos taken.

If participants have surgery during the course of their regular care either at the NIH

or at a different hospital or doctor s office, researchers will ask for some of the leftover

tissue.

Participants will be in the study as long as they are being seen by their doctor.

Detailed Description

Study Description:

Patients with confirmed, suspected or at risk of developing parathyroid disorders will be provided standard of care testing for their condition. Data obtained during the testing will be used for research. Additionally, samples may be collected for research.

Objectives:

  • To investigate the cause of the disease and its associated manifestations, possibly genetic in participants with parathyroid and related disorder(s)
  • To identify biomarkers of the various parathyroid disorder(s) and associated manifestations by performing molecular profiling of available biospecimens
  • To describe evolution, natural history and longitudinal trends of parathyroid and related disorders including the associated extra- parathyroid manifestations seen in these disorders, for example, Zollinger-Ellison syndrome, gastro-entero-pancreatic neuroendocrine tumors, kidney, jaw, pituitary and uterine tumors.
  • To investigate the natural history of parathyroid disorders and associated manifestations during pregnancy
  • To characterize the morbidity and mortality in participants with parathyroid and related disorders and investigate its association with extra-parathyroidal manifestations.
  • To investigate long-term risks and benefits with standard of care testing and therapy for parathyroid and associated extra-parathyroidal manifestations.
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Patients with confirmed, suspected or at risk of developing parathyroid and related disorders.
Condition
  • Parathyroid Cancer
  • Primary Hyperparathyroidism
  • Pseudohypoparathyroidism
  • Inheritable Bone Diseases
  • Multiple Endocrine Neoplasia, Type 1
Intervention Not Provided
Study Groups/Cohorts Patients with confirmed, suspected or at risk of developing parathyroid disorder
Parathyroid (and related disorders) will be evaluated and their biospecimens collected to define the molecular signature and clinical spectrum of their disorder
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: July 20, 2021)
3000
Original Estimated Enrollment Same as current
Estimated Study Completion Date January 22, 2031
Estimated Primary Completion Date January 22, 2031   (Final data collection date for primary outcome measure)
Eligibility Criteria
  • INCLUSION CRITERIA:

In order to be eligible to participate in this study, an individual must meet all of the following criteria:

  • Subjects known to have, suspected of having, or at risk of developing a parathyroid or related disorder.
  • Age >= 6 months.

EXCLUSION CRITERIA:

An individual who meets any of the following criteria will be excluded from participation in this study:

  • Children <= 6 months
  • Patients with conditions that in the opinion of the investigators can interfere with the study objectives.
Sex/Gender
Sexes Eligible for Study: All
Ages 6 Months to 100 Years   (Child, Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts
Contact: Craig S Cochran, R.N. (301) 402-1880 craigc@bdg10.niddk.nih.gov
Contact: Smita Jha, M.D. (301) 827-1930 smita.jha@nih.gov
Listed Location Countries United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT04969926
Other Study ID Numbers 10000344
000344-DK
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Current Responsible Party National Institutes of Health Clinical Center (CC) ( National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) )
Original Responsible Party Same as current
Current Study Sponsor National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Original Study Sponsor Same as current
Collaborators Not Provided
Investigators
Principal Investigator: Smita Jha, M.D. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
PRS Account National Institutes of Health Clinical Center (CC)
Verification Date May 8, 2024