CellFX ® Percutaneous Electrode (PE) Treatment of Symptomatic Benign Thyroid Nodules

Last updated: November 18, 2024
Sponsor: Pulse Biosciences, Inc.
Overall Status: Completed

Phase

N/A

Condition

Thyroid Disease

Treatment

CellFX® Percutaneous Electrode (PE) System

Clinical Study ID

NCT06117085
NP-TF-024
  • Ages 18-80
  • All Genders

Study Summary

The objective of this clinical feasibility study is to evaluate initial clinical safety and device performance of the CellFX Percutaneous Electrode (PE) System for the treatment of symptomatic benign thyroid nodules.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participant must be at least 18 or no older than 80 years of age

  • Participant gives voluntary, written informed consent to participate in thisclinical investigation and from whom consent has been obtained.

  • Participant must comply with study procedures including all follow-up visitsdiagnosis of thyroid nodule confirmed by ultrasonography ≤Grade 3 (2017 ACR TI-RADSand fine needle aspiration biopsy FNA (Bethesda category II ) with nomacro-calcifications in target nodule within 30 days of enrollment

  • Participant has single nodule ≤ 6.0 cm in greatest dimension.

  • Participant may have abnormal thyroid function, such as suppressed thyrotropin (TSH)levels, at the screening visit

  • Participant has no abnormal cervical lymph nodes during screening visit examination

  • Participant has thyroid nodule causing appearance, pressure or swallowing symptoms

  • Participant has absence of abnormal vocal cord mobility by ultrasound evaluation

Exclusion

Exclusion Criteria:

  • Participant has an implantable electronic medical device. (i.e., pacemaker,implantable cardioverter defibrillator)

  • Participant has an active systemic infection on the day of the CellFX PE procedurewith either fever, leukocytosis or requiring intravenous antibiotics or history ofhead and neck, pulmonary or systemic infection in the last 2 weeks prior to CellFXPE procedure

  • Participant is known to be immune compromised

  • Participant is a member of a vulnerable population including individuals employed bythe Sponsor, clinic site, or entity associated with the conduct of the study

  • Participant had previous neck irradiation

  • Participant has history of familial thyroid cancer in more than two first-degreerelatives

  • Participants currently suffering from hematological diseases or bleeding tendency,or patients currently requiring continuous administration of antiplatelet andanticoagulant drugs

  • Ultrasonographic evidence of calcifications, irregular margins or sonographicfeatures that are suspicious for malignancy

  • Nodule likely to be in contact with the recurrent laryngeal nerve on ultrasoundevaluation

  • History of cardiac arrhythmia, uncontrolled hypertension, liver or kidney disease,or recent history of myocardial infarctions or structural heart disease asdetermined by the Investigator

  • History of a coagulation mechanism disorder or bleeding tendency

  • Abnormal contralateral vocal cord function

  • Allergy or contraindication to assigned analgesia/anesthesia

  • Females of childbearing potential who are nursing, pregnant, or planning to becomepregnant during the study period

  • Have any condition or situation which, in the Investigator's opinion, puts theparticipant at significant risk, could confound the study results, or may interferesignificantly with the participant's participation in the study

  • Use of any other investigational drug, therapy, or device within 30 days prior toenrollment or concurrent participation in another research study

Study Design

Total Participants: 30
Treatment Group(s): 1
Primary Treatment: CellFX® Percutaneous Electrode (PE) System
Phase:
Study Start date:
April 13, 2023
Estimated Completion Date:
November 18, 2024

Study Description

Cohort 1: (CellFX PE Procedure and Surgery) The first five enrolled subjects will be patients with planned thyroidectomy. The site investigator will perform the CellFX procedure followed by an ultrasound evaluation. The site investigator will then perform a partial or total thyroidectomy. Tissue samples from the CellFX targeted treated areas will be sent to the pathology lab for gross and histological evaluation. The participant will exit the study on the same day of surgery.

Cohort 2: (CellFX PE Procedure with 12 months follow-up) When Cohort 1 is completed, up to 25 subjects will undergo a CellFX treatment using a percutaneous approach under ultrasound guidance. After CellFX treatment, all subjects will be followed weekly until 1 month, 3 months, 6 months and 12 months post-CellFX PE procedure.

Connect with a study center

  • Ospedale del Mare | ASLNA1 Centro

    Naples,
    Italy

    Site Not Available

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