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Efficacy of Methimazole Dosing Algorithm

Terminated
Conditions
Graves Disease
Registration Number
NCT05964452
Lead Sponsor
Cook County Health
Brief Summary

To prospectively study the efficacy and safety of the Cook County Health (CCH) methimazole (MMI) dosing algorithm in the setting of new onset Graves' disease.

Detailed Description

To conduct a prospective observational study in 60 patients with newly diagnosed Graves' disease who are either methimazole naive or who have been initiated on MMI within previous 4-6 weeks per CCH algorithm and assess for efficacy and safety of MMI dosing administered. Study group size is based on 90% power and projected efficacy of 70% patients reaching target.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
11
Inclusion Criteria
  • Non-pregnant adults (>18 years of age) with new diagnosis of Graves' Disease (elevated free T4, Free T3, low or suppressed TSH, positive TSI and or thyroid eye disease) and
  • either drug naïve or who have been initiated on MMI within previous 4-6 weeks per CCH algorithm.
Exclusion Criteria
  • Pregnant patients
  • hyperthyroidism due to other causes, example - Toxic Multinodular Goiter, Iodine induced thyrotoxicosis, etc.
  • Graves patients who present with atrial fibrillation, CHF or other end organ damage

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Achievement of euthyroid state17 weeks

The proportion of patients achieving euthyroid state during the study period

Secondary Outcome Measures
NameTimeMethod
Factors influencing achievement of euthyroid state17 weeks

Identifying variables that correlate with achievement of euthyroid state

Trial Locations

Locations (1)

Cook County Health

🇺🇸

Chicago, Illinois, United States

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