Status:

RECRUITING

A Randomized Controlled Trial of Thyroid Hormone Supplementation in Hemodialysis Patients

Lead Sponsor:

University of California, Irvine

Collaborating Sponsors:

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Conditions:

Thyroid; Functional Disturbance

Hypothyroidism

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

Hypothyroidism, defined by elevated thyrotropin (TSH) levels, is a common endocrine complication in chronic kidney disease patients, and prior evidence shows that higher TSH levels, even within the no...

Detailed Description

Data spanning over three decades show that hypothyroidism is highly prevalent in the chronic kidney disease (CKD) population, affecting 25% of those receiving dialysis therapy. In the general populati...

Eligibility Criteria

Inclusion

  • Age 18-75 years old
  • Received hemodialysis at least four weeks
  • Have two consecutive thyrotropin (TSH) levels \>3.0-10.0mIU/L during the screening period
  • Have normal free thyroxine (FT4) levels
  • Have ability to provide written informed consent

Exclusion

  • Active treatment with thyroid hormone supplementation or anti-thyroid medications
  • Active receipt of dialysis
  • Prior kidney transplantation
  • Life expectancy less than six months
  • Active malignancy or prior thyroid malignancy
  • Active pregnancy or planning a pregnancy
  • Active coronary ischemia or atrial fibrillation (evaluated by EKG)
  • Active congestive heart failure exacerbation
  • Osteoporosis
  • Weight in excess of 450 lbs.
  • Hyperthyroidism as determined by TSH \<0.5mIU/L during the screening period, anti-thyroid medication use, or hyperthyroidism diagnosis

Key Trial Info

Start Date :

July 20 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 30 2025

Estimated Enrollment :

336 Patients enrolled

Trial Details

Trial ID

NCT03977207

Start Date

July 20 2020

End Date

November 30 2025

Last Update

September 8 2025

Active Locations (1)

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1

University of California Irvine

Orange, California, United States, 92868