Thermogenesis in Hyperthyroidism and Effect of Anti-Adrenergic Therapy

NCT ID: NCT03379181

Last Updated: 2020-02-13

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

PHASE4

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-18

Study Completion Date

2020-02-12

Brief Summary

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The overall objective of the HEAT study is to determine the acute effect of propranolol on energy expenditure in patients suffering from hyperthyroidism and to evaluate the consequences of the change of hyper- to euthyroidism on metabolism during the course of treatment, especially with regard to the reaction to cold ambient temperatures.

Detailed Description

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Conditions

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Hyperthyroidism

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Propranolol 80 mg

Patients receive a single dose of 80 mg propranolol p.o.

Group Type EXPERIMENTAL

Propranolol

Intervention Type DRUG

Patients receive a single dose of 80 mg propranolol p.o.

Interventions

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Propranolol

Patients receive a single dose of 80 mg propranolol p.o.

Intervention Type DRUG

Other Intervention Names

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beta blockade

Eligibility Criteria

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Inclusion Criteria

* Informed Consent as documented by signature
* Age 18 to 70 years
* Hyperthyroidism: Thyroid-stimulating Hormone (TSH) below 0.2 mU and free T4 at or above 25 pmol/L or free T3 at or above 8 pmol/L.

Exclusion Criteria

* Contraindications to propranolol: hypersensitivity or allergy
* Therapy with a beta blocker for reasons other than hyperthyroidism (e.g. cardiac arrhythmia or heart failure)
* Treatment with amiodarone
* Women who are pregnant or breast feeding,
* Intention to become pregnant during the course of the study,
* History of asthma or chronic obstructive pulmonary disease
* Occlusive peripheral artery disease; Raynaud's syndrome.
* Other clinically significant concomitant disease states:

* Known renal failure (GFR \< 50 ml/min)
* Known hepatic dysfunction
* known heart failure or unstable angina pectoris
* Known or suspected non-compliance, drug or alcohol abuse,
* Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant,
* Participation in another study with investigational drug within the 30 days preceding and during the present study,
* Previous enrolment into the current study,
* Enrolment of the investigator, his/her family members, employees and other dependent persons.
* ECG-criteria

* Resting heart rate below 60 bpm
* Complete left bundle branch block
* Atrioventricular block (AV-block) grade 2 or 3
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Basel, Switzerland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Matthias J Betz, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Basel, Switzerland

Locations

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University Hospital Basel, Department of Endocrinology

Basel, Canton of Basel-City, Switzerland

Site Status

Countries

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Switzerland

References

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Senn JR, Loliger RC, Fischer JGW, Bur F, Maushart CI, Betz MJ. Acute effect of propranolol on resting energy expenditure in hyperthyroid patients. Front Endocrinol (Lausanne). 2023 Jan 19;13:1026998. doi: 10.3389/fendo.2022.1026998. eCollection 2022.

Reference Type DERIVED
PMID: 36743920 (View on PubMed)

Maushart CI, Senn JR, Loeliger RC, Siegenthaler J, Bur F, Fischer JGW, Betz MJ. Resting Energy Expenditure and Cold-induced Thermogenesis in Patients With Overt Hyperthyroidism. J Clin Endocrinol Metab. 2022 Jan 18;107(2):450-461. doi: 10.1210/clinem/dgab706.

Reference Type DERIVED
PMID: 34570185 (View on PubMed)

Other Identifiers

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EKNZ 2017-02044

Identifier Type: -

Identifier Source: org_study_id

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