Normal Range of TSH and FT4 in Pregnancy

NCT ID: NCT04860622

Last Updated: 2021-09-29

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

Total Enrollment

528 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-04-01

Study Completion Date

2021-09-01

Brief Summary

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Physiological changes necessitate the use of pregnancy-specific reference ranges for thyrotrophin (TSH) and free T4 (FT4) to diagnose thyroid dysfunction during pregnancy. Although many centers use fixed upper limits for TSH of 2.5 or 3.0 mU/L, this may lead to overdiagnosis or even overtreatment.

The new guidelines of the American Thyroid Association have considerably changed recommendations regarding thyroid function reference ranges in pregnancy accordingly. Any hospital or physician that is still using the 2.5 or 3.0 mU/l cut-off for TSH during pregnancy should evaluate their own lab-specific cut-offs.

The investigator's objective is to establish a rational reference range of serum TSH for the diagnosis of subclinical hypothyroidism in the first, second, and third trimester of pregnant women in the Sancaktepe region in Turkey.

Detailed Description

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Serum thyroid function tests (including T3, T4, TSH, Anti-TPO) will be obtained from the singleton pregnancies in the first, second, and third trimester to determine the local specific normal ranges.

Conditions

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Hypothyroidism Pregnancy Related Thyroid Dysfunction Iodine Deficiency

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Pregnant women

500 pregnant women with a singleton pregnancy, free of pre-existing thyroid disease, that do not use thyroid interfering medication, that did not undergo IVF treatment, and are TPOAb negative. Serum thyroid function tests will be obtained on the first visit.

Serum thyroid function tests

Intervention Type DIAGNOSTIC_TEST

At the first hospital visit, the blood tests will be made for TSH, FT4, FT3, and beta HCG concentration measurement

Interventions

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Serum thyroid function tests

At the first hospital visit, the blood tests will be made for TSH, FT4, FT3, and beta HCG concentration measurement

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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Beta HCG and thyroid peroxidase antibody Thyroid ultrasonography

Eligibility Criteria

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Inclusion Criteria

* Singleton pregnancy
* Free of pre-existing thyroid disease
* That do not use thyroid interfering medication
* That did not undergo IVF treatment
* TPOAb negative

Exclusion Criteria

* Adolescent pregnancy
* Patient with pre-existing thyroid disease
* TPOAb positive
* Patient using thyroid interfering medication
* That had IVF treatment
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Arzu Bilge Tekin

Specialist M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Murat Yassa, MD

Role: PRINCIPAL_INVESTIGATOR

Specialist

Locations

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Sehit Prof Dr Ilhan Varank Sancaktepe Training and Research Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Alexander EK, Pearce EN, Brent GA, Brown RS, Chen H, Dosiou C, Grobman WA, Laurberg P, Lazarus JH, Mandel SJ, Peeters RP, Sullivan S. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid. 2017 Mar;27(3):315-389. doi: 10.1089/thy.2016.0457.

Reference Type BACKGROUND
PMID: 28056690 (View on PubMed)

Panesar NS, Li CY, Rogers MS. Reference intervals for thyroid hormones in pregnant Chinese women. Ann Clin Biochem. 2001 Jul;38(Pt 4):329-32. doi: 10.1258/0004563011900830.

Reference Type BACKGROUND
PMID: 11471873 (View on PubMed)

Donovan LE, Metcalfe A, Chin A, Yamamoto JM, Virtanen H, Johnson JA, Krause R. A Practical Approach for the Verification and Determination of Site- and Trimester-Specific Reference Intervals for Thyroid Function Tests in Pregnancy. Thyroid. 2019 Mar;29(3):412-420. doi: 10.1089/thy.2018.0439. Epub 2019 Feb 4.

Reference Type BACKGROUND
PMID: 30595114 (View on PubMed)

Other Identifiers

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NR TSH TURKEY

Identifier Type: -

Identifier Source: org_study_id

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