Early Levothyroxine Post Radioactive Iodine

NCT ID: NCT01950260

Last Updated: 2019-10-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2017-04-30

Brief Summary

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The study will try to answer the question of whether early treatment with levothyroxine at 4 weeks after radioactive iodine for Graves'disease will prevent overt hypothyroidism (low thyroid hormone levels).

Detailed Description

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Conditions

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Graves' Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Levothyroxine

In the intervention arm patients will start levothyroxine therapy at 4 weeks after RAI therapy. The initial dose of levothyroxine will be 25 mcg/day. It will be increased to 50 mcg/day 2 weeks later and then adjusted at 8 weeks post RAI based on a full face-to-face clinical and biochemical evaluation.

Group Type EXPERIMENTAL

Levothyroxine

Intervention Type DRUG

Early initiation of levothyroxine after radioactive iodine (to start at 4 weeks).

Placebo

In the control arm patients will receive placebo capsules and be evaluated for levothyroxine therapy during a full face-to-face evaluation at 8 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo to start at 4 weeks after RAI

Interventions

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Levothyroxine

Early initiation of levothyroxine after radioactive iodine (to start at 4 weeks).

Intervention Type DRUG

Placebo

Placebo to start at 4 weeks after RAI

Intervention Type OTHER

Other Intervention Names

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Thyroid hormone

Eligibility Criteria

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Inclusion Criteria

-all adult patients (ages 18-70 years) with Graves' Disease (GD) who will receive radioactive iodine (RAI) ablation of the thyroid gland for treatment of GD

Exclusion Criteria

* clinically manifest Graves' ophthalmopathy (GO)
* recent (\<1 yr.) history of arrhythmias or any history of ventricular arrhythmias
* preexistent cardiomyopathy
* malnutrition
* psychiatric history that could get worse if patient remains persistently hyperthyroid
* unlikely to return for the planned follow-up visits
* unlikely to comply with the blood drawing schedule
* unlikely to complete the hypothyroid-Health Related Quality of Life (HDQL) and Thyroid Specific (TSQ) questionnaires
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Marius Stan

Associate Professor of Medicine, Endocrinology Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marius Stan, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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13-002570

Identifier Type: -

Identifier Source: org_study_id

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