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Heart Rate Monitoring by Wearable Devices in Graves' Disease

Not Applicable
Active, not recruiting
Conditions
Graves' Disease in Remission (Disorder)
Interventions
Device: heart rate monitoring using wearable devices
Registration Number
NCT04333342
Lead Sponsor
Seoul National University Bundang Hospital
Brief Summary

A multi center randomized controlled study including 3 arms (wearable device group, control group 1, control group 2). This study is to investigate clinical feasibility of heart rate monitoring using wearable devices to detect disease recurrence in the patients who discontinue anti-thyroid drugs in remission state.

Detailed Description

A multi center randomized controlled study including 3 arms (wearable device group, control group 1, control group 2).

Study participants: Patients with Graves' disease who are planned to discontinue anti-thyroid drugs in remission state Wearable device group: Participants use wearable device and their heart rate and activity are monitored. If their resting heart rate (rHR) increase beyond the set range or they have hyperthyroid symptoms and signs, they should come to the hospital and get tests for thyroid function. If their rHR stay within set range and they have no symptoms and signs, they come to hospital and get tests for thyroid function 6 months after discontinuing anti-thyroid drugs.

Control group 1: Participants don't use wearable devices. If they have hyperthyroid symptoms and signs, they should come to the hospital and get tests for thyroid function. If they have no symptoms and signs, they come to hospital and get tests for thyroid function 6 months after discontinuing anti-thyroid drugs.

Control group 2: Participants don't use wearable devices. If they have hyperthyroid symptoms and signs, they should come to the hospital and get tests for thyroid function. If they have no symptoms and signs, they come to hospital and get tests for thyroid function 3 and 6 months after discontinuing anti-thyroid drugs.

A period to detecting disease recurrence, thyroid function test and Hyperthyroid Symptom Scale (HSS) at the time of disease recurrence, and the number of hospital visit and medical cost until detecting disease recurrence will be compared among 3 groups.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
180
Inclusion Criteria
  • Patients with Graves' disease who are being treated with anti-thyroid drugs (ATDs) and planned to discontinue ATDs
  • Those who have who have continued to administer ATDs for more than 1 year
  • Those who showed normal findings on thyroid function tests while maintaining stable doses of ATDs in the last 3 months
  • Those who can use wearable devices and smartphone apps to work with during the research period
Exclusion Criteria
  • Those with heart disease, such as arrhythmia, that can affect heart rate
  • Those who are taking medications that may affect their heart rate
  • Those who researchers deemed unsuitable for participation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Wearable device groupheart rate monitoring using wearable devicesParticipants use wearable device and their heart rate and activity are monitored. If their resting heart rate (rHR) increase beyond the set range or they have hyperthyroid symptoms and signs, they should come to the hospital and get tests for thyroid function. If their rHR stay within set range and they have no symptoms and signs, they come to hospital and get tests for thyroid function 6 months after discontinuing anti-thyroid drugs.
Primary Outcome Measures
NameTimeMethod
The time period to detecting disease recurrence (days)at the time of disease recurrence, from date of randomization until the date of first documented recurrence of Graves' disease by thyroid function test, assessed up to 180 days

The time period to detecting disease recurrence after discontinuing anti-thyroid drugs

free T4 levels (ng/dL)at the time of disease recurrence, from date of randomization until the date of first documented recurrence of Graves' disease by thyroid function test, assessed up to 180 days

thyroid function test at the time of disease recurrence

TSH levels (mIU/L)at the time of disease recurrence, from date of randomization until the date of first documented recurrence of Graves' disease by thyroid function test, assessed up to 180 days

thyroid function test at the time of disease recurrence

Hyperthyroid Symptom Scale (HSS, points)at the time of disease recurrence, from date of randomization until the date of first documented recurrence of Graves' disease by thyroid function test, assessed up to 180 days

Hyperthyroid Symptom Scale at the time of disease recurrence

Secondary Outcome Measures
NameTimeMethod
the number of hospital visit until detecting disease recurrence (visit)at the time of disease recurrence, from date of randomization until the date of first documented recurrence of Graves' disease by thyroid function test, assessed up to 180 days

the number of hospital visit until detecting disease recurrence after discontinuing anti-thyroid drugs

medical cost until detecting disease recurrence (KRW and USD)at the time of disease recurrence, from date of randomization until the date of first documented recurrence of Graves' disease by thyroid function test, assessed up to 180 days

medical cost until detecting disease recurrence after discontinuing anti-thyroid drugs

Trial Locations

Locations (6)

Chung-Ang University Hospital

🇰🇷

Seoul, Korea, Republic of

Korea University Guro Hospital

🇰🇷

Seoul, Korea, Republic of

Eulji University Nowon Eulji Medical Center

🇰🇷

Seoul, Korea, Republic of

Chungbuk National University Hospital

🇰🇷

Cheongju-si, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

The Catholic University of Korea Eunpyeong St. Mary's Hospital

🇰🇷

Seoul, Korea, Republic of

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