Quality of Life and Long-term Outcome of Adequately Treated Congenital Hypothyroidism

NCT ID: NCT06864039

Last Updated: 2025-03-07

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-06

Study Completion Date

2025-12-31

Brief Summary

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The primary objective of this observational study is the evaluation of the quality of life and long-term outccome of young-adult patients with congenital hypothyroidism diagnosed by neonatal screening receiving replacement treatment with levothyroxine.

The secondary objective is to relate the results to the form of hypothyroidism, the initial dose of L-T4, treatment adherence and genetics

Detailed Description

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The study protocol will be performed in 3 different phases:

Step1:

A) Enrollment of patients meeting the following criteria:

* diagnosis of congenital hypothyroidism through neonatal screening adequately treated with L-T4
* confirmation of the diagnosis of hypothyroidism upon re-evaluation of the diagnosis
* age 16-21 years at the time of enrollment

B) Information interview on the study and signing of informed consent by the patient and/or parent/guardian

C) Retrospective collection of the following parameters at diagnosis:

* Values of TSH, FT4 at diagnosis, initial dose of L-T4
* Thyroid ultrasound and scintigraphy reports
* Genetic investigation report if available

D) Retrospective collection for each year of follow-up of:

weight, height, TSH, FT4 and L-T4 dose

Step 2:

A) Clinical evaluation (Weight, Height, BMI, Waist and hip circumference, blood pressure) B) Evaluation of body composition by performing bioimpedance analysis C) Evaluation of quality of life through administration of the SF36 test D) Evaluation of cognitive abilities through administration of the WAIS IV test E) Evaluation of any psychopathological conditions through the SCL-90 psychopathological screening questionnaire F) For patients up to 18 years of age: CBCL questionnaire administered to parents to describe the patient's behaviour

Step 3:

Data collection and analysis of results

Conditions

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Congenital Hypothyroidism

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Adolescents aged 16-21 years with congenital hypothyroidism diagnosed by newborn screening

A) Clinical assessment (Weight, Height, BMI, Waist and hip circumference, blood pressure) B) Assessment of body composition by performing bioimpedance analysis C) Assessment of quality of life by administering the SF36 test D) Assessment of cognitive abilities by administering the WAIS IV test E) Assessment of any psychopathological conditions by means of the SCL-90 psychopathological screening questionnaire F) For patients up to 18 years of age: CBCL questionnaire to be administered to parents to assess the patient's behavior

Group Type OTHER

SF36 test

Intervention Type DIAGNOSTIC_TEST

Assessment of quality of life by administering the SF36 test

WAIS IV test

Intervention Type DIAGNOSTIC_TEST

Assessment of cognitive abilities by administering the WAIS IV test

SCL-90 psychopathological screening questionnaire

Intervention Type DIAGNOSTIC_TEST

Assessment of any psychopathological conditions by means of the SCL-90 psychopathological screening questionnaire

CBCL questionnaire

Intervention Type DIAGNOSTIC_TEST

For patients up to 18 years of age: CBCL questionnaire to be administered to parents to describe the patient's behavior

bioimpedance analysis

Intervention Type DIAGNOSTIC_TEST

Assessment of body composition by performing bioimpedance analysis

Interventions

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SF36 test

Assessment of quality of life by administering the SF36 test

Intervention Type DIAGNOSTIC_TEST

WAIS IV test

Assessment of cognitive abilities by administering the WAIS IV test

Intervention Type DIAGNOSTIC_TEST

SCL-90 psychopathological screening questionnaire

Assessment of any psychopathological conditions by means of the SCL-90 psychopathological screening questionnaire

Intervention Type DIAGNOSTIC_TEST

CBCL questionnaire

For patients up to 18 years of age: CBCL questionnaire to be administered to parents to describe the patient's behavior

Intervention Type DIAGNOSTIC_TEST

bioimpedance analysis

Assessment of body composition by performing bioimpedance analysis

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of congenital hypothyroidism by neonatal screening
* Start of L-T4 therapy within the first month of life
* Confirmation of hypothyroidism condition upon reassessment of diagnosis

Exclusion Criteria

* other chronic diseases and/or genetic syndromes
* family history of neuropsychiatric pathology
* familial dyslipidemia
Minimum Eligible Age

16 Years

Maximum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Federico II University

OTHER

Sponsor Role lead

Responsible Party

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Prof.ssa Mariacarolina Salerno

Full Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Pediatric Endocrinology Program, Department of the Mother and the Child, University Federico II of Naples

Napoli, , Italy

Site Status

Countries

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Italy

References

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Leger J, Ecosse E, Roussey M, Lanoe JL, Larroque B; French Congenital Hypothyroidism Study Group. Subtle health impairment and socioeducational attainment in young adult patients with congenital hypothyroidism diagnosed by neonatal screening: a longitudinal population-based cohort study. J Clin Endocrinol Metab. 2011 Jun;96(6):1771-82. doi: 10.1210/jc.2010-2315. Epub 2011 Mar 9.

Reference Type BACKGROUND
PMID: 21389139 (View on PubMed)

Other Identifiers

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245/2023

Identifier Type: -

Identifier Source: org_study_id

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