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临床试验/2025-524175-23-00
2025-524175-23-00招募中4 期

Impact of Early Thyroid Hormone Replacement on Kidney Function and Health-Related Quality of Life in Patients at Risk of Postoperative Hypothyroidism after Hemithyroidectomy: A Randomised Controlled Trial

Region Midtjylland2 个研究点 分布在 1 个国家目标入组 56 人开始时间: 2026年2月2日最近更新:
适应症
干预措施

试验速览

阶段
4 期
状态
招募中
发起方
入组人数
56
试验地点
2
主要终点
Change eGFR from baseline to 3 months postoperatively, measured in mL/min/1.73m² using standard laboratory methods.

研究概览

简要总结

To evaluate whether postoperative treatment with LT4 leads to an improvement in kidney function - measured as change in eGFR - three months after HT, compared to standard care without LT4

入排标准

年龄范围
18 years 至 65+ years(65+ Years, 18-64 Years)
接受健康志愿者

入选标准

  • Patients referred for a first hemithyroidectomy
  • TSH ≥2 mUI/L.
  • eGFR > 30 mL/min/1.73m
  • Age 18 years or above
  • Ability to understand the study information and provide written informed consent.
  • Able and willing to comply with study procedures and attend scheduled visits.

排除标准

  • Previous thyroid operation
  • Initiated treatment with either ACE inhibitors, ARB or SGLT2 after surgery.
  • Inability to understand Danish or provide informed consent.
  • Participation in another interventional study that may interfere with outcomes.
  • Planned total thyroidectomy or completion thyroidectomy during follow-up
  • Treatment with Thycapzole or similar medication with direct effect on thyroid hormones.
  • Concomitant operation for primary hyperparathyroidism (PHPT).
  • Pregnancy or plans of pregnancy in the postoperative period.
  • Cancer treatment within the last three years.
  • Use of narcotics or alcohol abuse.
  • Severe other illness (psychiatric disorder, kidney disease with GFR < 30 etc.).
  • Severe cardio-vascular disease (atrial fibrillation, heart failure etc.).

研究组 & 干预措施

LEVOTHYROXINE SODIUM , LEVOTHYROXINE, LEVOTHYROXINE

Test

干预措施: LEVOTHYROXINE SODIUM (Drug)

LEVOTHYROXINE SODIUM , LEVOTHYROXINE, LEVOTHYROXINE

Test

干预措施: LEVOTHYROXINE (Drug)

结局指标

主要结局

Change eGFR from baseline to 3 months postoperatively, measured in mL/min/1.73m² using standard laboratory methods.

Change eGFR from baseline to 3 months postoperatively, measured in mL/min/1.73m² using standard laboratory methods.

次要结局

  • Change in body weight (kg) and BMI (kg/m²) from baseline to 3 months and 6 months.
  • In control group participants who initiate THRT at 3 months due to elevated TSH (>1.5 mIU/L), follow-up changes in eGFR and HRQoL at 6 months.
  • Serum levels of TSH, T4, and T3 at 3 months postoperatively.
  • ThyPRO-39 composite score changes from baseline to 3 and 6 months postoperatively.

研究者

发起方
Region Midtjylland
申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Mathilde Lykke Seekjær

Scientific

Region Midtjylland

研究点 (2)

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