Insulin Resistance and Metformin Use on Volume of Benign Thyroid Nodules

NCT ID: NCT03183752

Last Updated: 2019-04-19

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

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-13

Study Completion Date

2019-04-17

Brief Summary

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It has been shown that insulin might be involved in the pathogenesis of thyroid growth.

Objective To evaluate the impact of IR and metformin use on the volume of benign thyroid nodules (TNs).

Methods A randomized clinical trial to placebo (P) or MTF use. Previous fine needle aspiration confirming the diagnosis is necessary to inclusion. Patients will receive similar tablets of MTF and placebo and instruct to take 3 tablets/day of MTF (500mg/tablet). Thyroid volume, as TN volume, will be assess by ultrasound, both in the beginning, six months and one year after randomization, by the same researcher blinded regarding location group. Blood samples to measure: TSH, FT4, TPO-Ab, lipid profile, glucose and insulin were done after 8h fasting.

Detailed Description

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It has been shown that insulin might be involved in the pathogenesis of thyroid growth. Previous studies suggest that metformin (MTF) therapy decreased thyroid volume and nodule size in subjects with insulin resistance (IR).

Objectives To evaluate the impact of IR and metformin use on the volume of benign thyroid nodules (TNs).

Methods A randomized clinical trial to placebo (P) or MTF use. Previous fine needle aspiration confirming the diagnosis is necessary to inclusion. Exclusion criteria were: nodules with a predominantly cystic pattern, pregnancy, diabetes, acromegaly, previous use of MTF, levothyroxine, corticoid or any weight loss medication in the past six months, hepatic or cardiac insufficiency, creatinine levels \> 1.4 mg/dL and MTF intolerance doses \>1.0 gram/day. Patients will receive similar tablets of MTF and placebo and will be instructed to take 3 tablets/day of MTF (500mg/tablet). Thyroid volume, as TN volume, will be accessed by ultrasound, both in the beginning, six months and one year after randomization, by the same researcher blinded regarding location group. Blood samples to measure: TSH, FT4, TPO-Ab, lipid profile, glucose and insulin were done after 8h fasting.

Conditions

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Thyroid Nodule Insulin Resistance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A randomized clinical trial with two groups: to use placebo or Metformine
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
The same researcher blinded regarding location group will access thyroid volume and thyroid nodule volume by ultrasound, in the beginning, six months and one year after randomization

Study Groups

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Metformin

patients randomized to Metformin group

Group Type EXPERIMENTAL

Metformin

Intervention Type DRUG

500 mg metformin three times daily

Placebo

patients randomized to placebo group

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

500 mg placebo three times daily

Interventions

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Metformin

500 mg metformin three times daily

Intervention Type DRUG

Placebo

500 mg placebo three times daily

Intervention Type DRUG

Other Intervention Names

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MTF PLC

Eligibility Criteria

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Inclusion Criteria

* patients with benign nodules diagnosed by fine needle aspiration biopsy (FNAB)

Exclusion Criteria

* Nodules with a predominantly cystic pattern
* Eggshell calcification
* Coalescent thyroid nodules (not suitable for size analysis)
* Pregnancy
* Diabetes
* Acromegaly
* Previous use of MTF, levothyroxine, corticoid or any weight loss medication in the past six months
* Hepatic or cardiac insufficiency
* Creatinine levels \> 1.4 mg/dL
* MTF intolerance doses \< 1.0 gram/day
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hospital Universitário Clementino Fraga Filho

OTHER

Sponsor Role lead

Responsible Party

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Patricia Borges dos Santos

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Patricia Santos, MD

Role: PRINCIPAL_INVESTIGATOR

UFRJ

Patricia Teixeira, PhD

Role: STUDY_DIRECTOR

UFRJ

Locations

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Patricia Santos

Rio de Janeiro, , Brazil

Site Status

Countries

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Brazil

Other Identifiers

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GRUPO RINT

Identifier Type: -

Identifier Source: org_study_id

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