Selenium Supplementation Versus Placebo in Patients With Graves' Hyperthyroidism

NCT ID: NCT01611896

Last Updated: 2025-02-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

431 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2024-08-31

Brief Summary

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The purpose of this study is to investigate if selenium supplementation to the standard treatment with anti-thyroid drugs in patients with Graves' hyperthyroidism, will lead to a fewer people with anti-thyroid treatment failure and faster remission, in terms of better quality of life during the first year of treatment and more patients staying in remission.

Detailed Description

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Conditions

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Graves' Hyperthyroidism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Selenium

Group Type ACTIVE_COMPARATOR

Selenium

Intervention Type DIETARY_SUPPLEMENT

100 µg tablets. The dose of daily supplement of selenium is set at 200 µg (two tablets). The duration of the intervention period is between 24-30 months. This is defined by the time of ATD treatment withdrawal, which is scheduled between approximately 12-18 months after randomisation. Selenium supplementation will continue 12 months after withdrawal of ATD treatment.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo tablets, identical in regards to size, appearance, taste, smell, and solubility to the experimental intervention tablet will be produced by Jemo-Pharm A/S, http://www.jemo-pharm.dk/frame.cfm/cms/id=977/sprog=2/grp=6/menu=1/ (content as in section: Auxiliary agents). The placebo regimen will be identical to the selenium regimen, but consist of two non-active tablets per day for 24-30 months.

Interventions

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Selenium

100 µg tablets. The dose of daily supplement of selenium is set at 200 µg (two tablets). The duration of the intervention period is between 24-30 months. This is defined by the time of ATD treatment withdrawal, which is scheduled between approximately 12-18 months after randomisation. Selenium supplementation will continue 12 months after withdrawal of ATD treatment.

Intervention Type DIETARY_SUPPLEMENT

Placebo

Placebo tablets, identical in regards to size, appearance, taste, smell, and solubility to the experimental intervention tablet will be produced by Jemo-Pharm A/S, http://www.jemo-pharm.dk/frame.cfm/cms/id=977/sprog=2/grp=6/menu=1/ (content as in section: Auxiliary agents). The placebo regimen will be identical to the selenium regimen, but consist of two non-active tablets per day for 24-30 months.

Intervention Type OTHER

Other Intervention Names

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'Selen, organisk selen', produced by Jemo-Pharm A/S

Eligibility Criteria

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Inclusion Criteria

* Age 18 years or older.
* Active Graves' hyperthyroidism (suppressed TSH (\< 0.1) and positive TRAb) measured within the last two months prior to the inclusion date.
* Written informed consent

Exclusion Criteria

* Major co-morbidity, making the participants unlikely to continuously receive trial intervention in the intervention period.
* Previous treatment with radioactive iodine.
* Current ATD treatment having been received for more than two months.
* Treatment with immunomodulatory drugs, such as cyclosporine A, methotrexate, cyclophosphamide.
* Allergy towards the components in the selenium and placebo pills.
* Pregnant or breast-feeding women.
* Intake of selenium supplementation above 70 µg per day (70 µg corresponds to the amount in a multivitamin tablet).
* Unable to read and understand Danish.
* Lack of informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Odense University Hospital

OTHER

Sponsor Role collaborator

Esbjerg Hospital - University Hospital of Southern Denmark

OTHER

Sponsor Role collaborator

Herlev Hospital

OTHER

Sponsor Role collaborator

Bispebjerg Hospital

OTHER

Sponsor Role collaborator

Hvidovre University Hospital

OTHER

Sponsor Role collaborator

Hillerod Hospital, Denmark

OTHER

Sponsor Role collaborator

Copenhagen Trial Unit, Center for Clinical Intervention Research

OTHER

Sponsor Role collaborator

Danish Council for Independent Research

OTHER

Sponsor Role collaborator

The Danish Council for Strategic Research

OTHER

Sponsor Role collaborator

Rigshospitalet, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Per Cramon

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aase K Rasmussen, DMSc

Role: STUDY_CHAIR

Department of Medical Endocrinology, Rigshospitalet

Torquil Watt, Ph.D.

Role: STUDY_CHAIR

Department of Medical Endocrinology, Rigshospitalet

Laszlo Hegedüs, DMSc

Role: STUDY_CHAIR

Department of Endocrinology and Metabolism, Odense University Hospital

Steen J Bonnema, Ph.D.

Role: STUDY_CHAIR

Department of Endocrinology and Metabolism, Odense University Hospital

Jeppe Gram, Ph.D.

Role: STUDY_CHAIR

Department of Endocrinology, Hospital of Southwest Denmark

Christian Gluud, DMSc

Role: STUDY_CHAIR

Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet

Jakob B Bjorner, Ph.D.

Role: STUDY_CHAIR

National Research Centre for the Working Environment, and Institue of Public Health Science, University of Copenhagen

Per Cramon, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Medical Endocrinology, Rigshospitalet

Locations

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Department of Endocrinology and Gastroenterology, Bispebjerg Hospital

Copenhagen, , Denmark

Site Status

Department of Medical Endocrinology, Rigshospitalet

Copenhagen, , Denmark

Site Status

Department of Endocrinology, Hospital of Southwest Denmark

Esbjerg, , Denmark

Site Status

Department of Medicine, Gentofte Hospital

Gentofte Municipality, , Denmark

Site Status

Department of Internal Medicine O 106, Endocrine Unit, Herlev Hospital

Herlev, , Denmark

Site Status

Department of Cardiology and Endocrinology, Endocrine Unit, Hillerød Hospital

Hillerød, , Denmark

Site Status

Department of Endocrinology, Section 541, Hvidovre Hospital

Hvidovre, , Denmark

Site Status

Department of Endocrinology and Metabolism, Odense University Hospital

Odense, , Denmark

Site Status

Countries

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Denmark

References

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Cramon P, Rasmussen AK, Bonnema SJ, Bjorner JB, Feldt-Rasmussen U, Groenvold M, Hegedus L, Watt T. Development and implementation of PROgmatic: A clinical trial management system for pragmatic multi-centre trials, optimised for electronic data capture and patient-reported outcomes. Clin Trials. 2014 Jun;11(3):344-354. doi: 10.1177/1740774513517778.

Reference Type DERIVED
PMID: 24519964 (View on PubMed)

Watt T, Cramon P, Bjorner JB, Bonnema SJ, Feldt-Rasmussen U, Gluud C, Gram J, Hansen JL, Hegedus L, Knudsen N, Bach-Mortensen P, Nolsoe R, Nygaard B, Pociot F, Skoog M, Winkel P, Rasmussen AK. Selenium supplementation for patients with Graves' hyperthyroidism (the GRASS trial): study protocol for a randomized controlled trial. Trials. 2013 Apr 30;14:119. doi: 10.1186/1745-6215-14-119.

Reference Type DERIVED
PMID: 23782950 (View on PubMed)

Other Identifiers

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GRASS-DP-240

Identifier Type: OTHER

Identifier Source: secondary_id

2007-58-0015, 30-0770

Identifier Type: OTHER

Identifier Source: secondary_id

H-4-2012-026

Identifier Type: OTHER

Identifier Source: secondary_id

H-4-2012-026

Identifier Type: -

Identifier Source: org_study_id

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