Selenium Treatment in Autoimmune Thyroiditis (AIT)

This study has been completed.
Sponsor:
Information provided by:
Ege University
ClinicalTrials.gov Identifier:
NCT00271427
First received: December 30, 2005
Last updated: August 22, 2006
Last verified: December 2004

December 30, 2005
August 22, 2006
December 2004
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statistically important change in serum TPOAb titers.
Same as current
Complete list of historical versions of study NCT00271427 on ClinicalTrials.gov Archive Site
Observe the long term effects to 9th mo.
Same as current
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Selenium Treatment in Autoimmune Thyroiditis (AIT)
Selenium Treatment in Autoimmune Thyroiditis: Long Term Follow-Up With Variable Doses

Selenium suppresses autoimmune destruction of thyrocytes and decreases titers of serum TPOAb in AIT patients. Older 4 clinical trials approved the efficacy of the daily dose of 200micg. It's believed that Se saturates the deficient stores of GPX so GPX saves the thyrocytes against to oxidative stresses. Although less than 70 micg/d is sufficient to maximize GPX activity, none of the authors tested the doses less than 200 micg/d. Our hypothesis was that If 100 micg/d can not suppress the TPOAb titers,it means autoimmune destruction can not be blocked by saturation of deficient stores of GPX solely and the mechanism of action requires more than repletion of deficient stores. It's important not only to estimate the optimal dose but to understand the mechanism of action. High dose therapy may also suppress TPOAb levels in Se-non-deficient AIT patients, if it is so, Se therapy may becomes the solely treatment modality which can suppress the autoimmunity in more than 400 million AIT patients. Because there've been no way to suppress autoimmune war and replacement of LT4 had been the only treatment modality for palliation. An other independent part of the study is to test the effect of Se in adolescent AIT patients.

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Interventional
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Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Crossover Assignment
Masking: Double-Blind
Primary Purpose: Treatment
  • Autoimmune Thyroiditis
  • Hashimotos Thyroiditis
Drug: L-Selenomethionine
Not Provided
Turker O, Kumanlioglu K, Karapolat I, Dogan I. Selenium treatment in autoimmune thyroiditis: 9-month follow-up with variable doses. J Endocrinol. 2006 Jul;190(1):151-6.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
100
August 2005
Not Provided

Inclusion Criteria:

  • Clinically approved AIT patients who do not use any medication other than LT4 to keep TSH in the lower half of normal range.

Exclusion Criteria:

  • Any kind of drug use other than LT4 or any kind of known pathology which may effect GIS absorption.
Female
15 Years to 70 Years
No
Contact information is only displayed when the study is recruiting subjects
Turkey
 
NCT00271427
STAIT
Not Provided
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Ege University
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Principal Investigator: Omer Turker, Specialist Dep. of Nuc. Med., Gulhane Military Academy of Medicine
Study Director: Kamil Kumanlioglu, Prof. Dep. of Nuc. Med., Ege University Faculty of Medicine.
Ege University
December 2004

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP