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rhTSH, Thyroid Size, and Radioiodine Therapy in Benign Goiter. - Article


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Benign Tumor

Benign Tumors; Cancer, Benign; Tumors, Benign


Clinical Trial: rhTSH, Thyroid Size, and Radioiodine Therapy in Benign Goiter.

This study is no longer recruiting patients.

Sponsored by: Odense University Hospital
Information provided by: Odense University Hospital
ClinicalTrials.gov Identifier: NCT00145366

Purpose

The trials in this protocol deals with the effect of pretreatment with rhTSH on radioiodine treatment of thyroid size and function, in patients with nontoxic and toxic nodular goiter. It is an introduction of a novel principle, based on prospective, randomized double blind investigations. Attached to this, we investigate the acute effects of rhTSH on thyroid size (measured by ultrasonography), both in healthy individuals and in patients with nontoxic nodular goiter. Thus, the investigations are divided into 4 categories listed below:

  1. Prospective randomized double blind study of pretreatment with 0.3 mg recombinant human TSH for the effect of radioiodine in nontoxic multinodular goiter.
  2. Prospective randomized double blind study of the pretreatment with 0.3 mg recombinant human TSH for the effect of radioiodine on thyroid size and function in patients with a very large (>100 ml) nontoxic or toxic goiter.
  3. Does administration of 0.9 mg recombinant human TSH affect thyroid function and volume in healthy individuals? A randomized double-blind cross-over trial.
  4. Does administration of 0.3 mg recombinant human TSH affect thyroid function and volume in healthy individuals and in patients with multinodular non-toxic goiter? A randomized double-blind cross-over trial.

    As a final note we investigate, in a pilot-study;

  5. The influence of rhTSH on thyroid radioiodine uptake in patients with hyperthyroidism treated with continuous block-replacement therapy.
Condition Intervention Phase
Benign nontoxic and toxic goiter
Graves’ disease
 Drug: Recombinant human thyrotropin (Thyrogen)
Phase II

MedlinePlus consumer health information 

Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Crossover Assignment, Safety/Efficacy Study

Official Title: Pretreatment with Recombinant Human Thyrotropin (rhTSH) for the Effect on Thyroid Size and Function, and for the Effect of Radioiodine Treatment in Patients with Nodular Goiter. Prospective, Randomized Double-Blinded Trials.

Further Study Details: 
Primary Outcomes: Ultrasonography/MR of the thyroid gland/benign goiter, in order to determine thyroid size after intervention.
Expected Total Enrollment:  110

Study start: April 2002;  Study completion: December 2005
Last follow-up: July 2005;  Data entry closure: July 2005

Eligibility

Ages Eligible for Study:  18 Years and above,  Genders Eligible for Study:  Both

Accepts Healthy Volunteers

Criteria

Inclusion Criteria:

  • Healthy volunteers with an intact thyroid gland
  • Patients with nontoxic/subtoxic nodular goiter confirmed by ultrasonography
  • Patients with toxic nodular goiter
  • Patients with Graves’ disease

Exclusion Criteria:

  • Treatment with drugs that alter thyroid function or size (the last 3 months prior to inclusion)
  • Prior 131I treatment
  • Alcohol, medicine or drug abuse
  • Pregnancy or lactation
  • No safe contraception
  • Participation in another clinical trial
  • Allergic reaction towards rhTSH
  • Fine needle biopsy without valid diagnostic criteria for benign disease
  • Suspicion of malignancy, increased ionized serum calcium and/or serum calcitonin
  • Incontinence
  • Physically or psychic condition that hinders corporation
  • Ischemic attack up till 3 months before inclusion

Location Information


Denmark, Funen
      Department of Endocrinology, Odense University Hospital, Odense,  Funen,  5000,  Denmark

Study chairs or principal investigators

Viveque Egsgaard Nielsen, MD,  Principal Investigator,  Odense University Hospital   

More Information

Study ID Numbers:  8
Last Updated:  September 2, 2005
Record first received:  September 2, 2005
ClinicalTrials.gov Identifier:  NCT00145366
Health Authority: Denmark: National Board of Health
ClinicalTrials.gov processed this record on 2005-09-13


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October 12, 2008



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