Using A Novel Classification System in Intravenous GCs Therapy of TAO: A Multi-central, Randomized, Open, Superior Trial

NCT ID: NCT03107078

Last Updated: 2017-04-18

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-01

Study Completion Date

2021-10-01

Brief Summary

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For patients with active moderate-to-severe thyroid associated ophthalmopathy (TAO), the Intravenous Glucocorticoids (GCs) is the recommended therapy. However, the efficacy of GCs is not satisfied. Investigators established a novel classification of TAO for the first time to assess more precisely for better personal treatment.

Detailed Description

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TAO is one of most common extra thyroid manifestation of dysfunctional thyroid disease. Since the morbidity of TAO has been increasing rapidly, Investigators' team is intended to verify the feasibility of the new type of classification system established by the related parameters of orbital MRI scan. Based on classification, investigators compare the efficacy of two GCs therapy. According to MRI,investigators measure the optimal T2 signal intensity ratio (SIR) for the treatment of TAO, which may help to find a better treatment time for therapy.

Conditions

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Thyroid Associated Ophthalmopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group Ia

I:The increase of fat volume dominates .

a:The weekly protocol was as follows: 0.5 g glucocorticoids weekly for 6 weeks, followed by 0.25 g weekly for 6 weeks.

Group Type EXPERIMENTAL

Glucocorticoids

Intervention Type DRUG

Intravenous Glucocorticoids (GCs)

Group Ib

I:The increase of fat volume dominates. b:The "qod" protocol was as follows: 0.5 g glucocorticoids qod. for 3 interval days per month for 3 months.

Group Type EXPERIMENTAL

Glucocorticoids

Intervention Type DRUG

Intravenous Glucocorticoids (GCs)

Group IIa

II:The increase of extraocular muscles volume dominates .

a:The weekly protocol was as follows: 0.5 g glucocorticoids weekly for 6 weeks, followed by 0.25 g weekly for 6 weeks.

Group Type EXPERIMENTAL

Glucocorticoids

Intervention Type DRUG

Intravenous Glucocorticoids (GCs)

Group IIb

II:The increase of extraocular muscles volume dominates . b:The "qod" protocol was as follows: 0.5 g glucocorticoids qod. for 3 interval days per month for 3 months.

Group Type EXPERIMENTAL

Glucocorticoids

Intervention Type DRUG

Intravenous Glucocorticoids (GCs)

Interventions

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Glucocorticoids

Intravenous Glucocorticoids (GCs)

Intervention Type DRUG

Other Intervention Names

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Methylprednisolone

Eligibility Criteria

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Inclusion Criteria

1. The diagnostic standard of TAO is according to Bartley's criteria.
2. Patients with active moderate-to-severe TAO based on 2016 EUGOGO guidelines.
3. CAS≥3/7.
4. None of the patients received any glucocorticoids therapy or orbital radiotherapy in the previous 3 months.

Exclusion Criteria

1. NOSPECS is 0 or 1.Only signs,no symptoms.Signs include:reduced blink(Stellwag symptoms),two reduced cohesion(Mobius levy),moving slowly on the eyelids(Von Graefe sign),to the point of view,the forehead wrinkled skin should not(Joffroyv levy).
2. Suffering from other eye diseases or wearing contact lenses.
3. Suffering from other autoimmune diseases.
4. Acute and chronic infectious diseases.
5. Diabetic retinopathy or hypertensive fundus lesions.
6. Patients received orbital decompression or other orbital surgery.
7. Suffering from eye trauma or ocular surface disease.
8. Special occupants, and the working environment has obvious air pollution etc.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Fifth Affiliated Hospital of Southern Medical University

OTHER

Sponsor Role collaborator

Huadu District People's Hospital of Guangzhou

OTHER

Sponsor Role collaborator

Zhujiang Hospital

OTHER

Sponsor Role collaborator

Jie Shen

OTHER_GOV

Sponsor Role lead

Responsible Party

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Jie Shen

Vice President;Doctoral Supervisor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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the Third Affiliated Hospital of Southern Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jie Shen, Doctor

Role: CONTACT

13808893818

Zhangfang Li, Master

Role: CONTACT

13427525514

Facility Contacts

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zhang qun

Role: primary

020-62784060

References

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Li Z, Luo Y, Huang Q, Chen Z, Song D, Pan D, Hu S, Jiang W, Cai Q, Feng X, Zhang Q, Weng C, Zhong Q, Zhao T, Li C, Zhang T, Shen J. A Randomized Clinical Trial of Intravenous Methylprednisolone With 2 Protocols in Patients With Graves Orbitopathy. J Clin Endocrinol Metab. 2023 Dec 21;109(1):36-45. doi: 10.1210/clinem/dgad476.

Reference Type DERIVED
PMID: 37579198 (View on PubMed)

Other Identifiers

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ThirdAffiliatedHospitalOfSMU

Identifier Type: -

Identifier Source: org_study_id

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