UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000052937
Receipt number R000060401
Scientific Title Optimal antithyroid medication dosage reduction for patients with moderate to severe Graves' disease
Date of disclosure of the study information 2023/11/29
Last modified on 2023/11/29 00:16:04

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Basic information

Public title

Optimal antithyroid medication dosage reduction for patients with moderate to severe Graves' disease

Acronym

Optimal antithyroid medication dosage reduction for patients with moderate to severe Graves' disease

Scientific Title

Optimal antithyroid medication dosage reduction for patients with moderate to severe Graves' disease

Scientific Title:Acronym

Optimal antithyroid medication dosage reduction for patients with moderate to severe Graves' disease

Region

Japan


Condition

Condition

Graves' disease

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To determine the appropriate weight loss strategy for patients with moderate to severe Graves' disease treated with two thyroid suppressing medications (Mercazole and Potassium Iodide) to ensure that thyroid function does not worsen during the reduction of therapeutic dosage.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Primary endpoint: Relapse of thyrotoxicosis during and after discontinuation of dose reduction
Secondary endpoints: percent change in thyroid volume, percent change in TRAb titer, remission rate at 2 years

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Patients with moderate to severe Graves' disease (blood FT4 level above 5.0 ng/dL) who started treatment with MMI 15 mg + KI 50 mg, then reduced the dose from MMI.

Interventions/Control_2

Patients with moderate to severe Graves' disease (blood FT4 level above 5.0 ng/dL) who started treatment with MMI 15 mg + KI 50 mg, then reduced the dose from KI.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients with untreated Graves' disease who plan to attend the facilities participating in this study will be eligible.
(1) Patients who are between 18 and 80 years of age at the time of consent.
(2) Patients with a confirmed diagnosis of moderate to severe Graves' disease (blood FT4 above 5.0 ng/dL) and who will start treatment with MMI 15 mg + KI 50 mg.
(3) Patients who have received a thorough explanation of their participation in this study, and who have given written consent of their own free will based on sufficient understanding.

Key exclusion criteria

Patients with untreated Graves' disease who plan to attend a facility participating in this study will be included.
(1) Pregnant women, lactating women, and patients who plan to become pregnant within 2 years
(2) Patients with untreated Graves' disease who may have thyroid crisis
(3) Patients who have received curative treatment for Graves' disease (surgery, intra-iodine radioiodine therapy) in the past
(4) Patients receiving immunosuppressive therapy or drugs that affect thyroid function (amiodarone, lithium carbonate, immune checkpoint drugs)
(5) Other patients deemed inappropriate as research subjects by the principal investigator.

Target sample size

76


Research contact person

Name of lead principal investigator

1st name Uchida
Middle name
Last name Toyoyoshi

Organization

Juntendo University Graduate School of Medicine

Division name

Department of Metabolism & Endocrinology

Zip code

113-8421

Address

2-1-1 Hongo, Bunkyo, Tokyo, Japan

TEL

+81-3-5802-1579

Email

uchitoyo@juntendo.ac.jp


Public contact

Name of contact person

1st name Uchida
Middle name
Last name Toyoyoshi

Organization

Juntendo University Graduate School of Medicine

Division name

Department of Metabolism & Endocrinology

Zip code

113-8421

Address

2-1-1 Hongo, Bunkyo, Tokyo, Japan

TEL

+81-3-5802-1579

Homepage URL


Email

uchitoyo@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University

Institute

Department

Personal name



Funding Source

Organization

self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research Ethics Committee Faculty of Medicine, Juntendo University

Address

3-1-3 Hongo, Bunkyo, Tokyo, Japan

Tel

+81-3-5802-1584

Email

hongo-rinri@juntendo.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 11 Month 29 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2023 Year 09 Month 30 Day

Date of IRB

2023 Year 11 Month 10 Day

Anticipated trial start date

2024 Year 03 Month 01 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 11 Month 29 Day

Last modified on

2023 Year 11 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060401


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name