Brown Adipose Tissue Activity and Thyroid Hormone
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 12
- 试验地点
- 2
- 主要终点
- Cold-induced brown adipose tissue activity
研究概览
简要总结
Rationale: During the last decades, research in possible therapies for existing obesity and developmental factors causing obesity has explosively increased. Recently renewed interest aroused for a tissue playing a possible role in both development and therapy for obesity: brown adipose tissue (BAT).
To define the relation between BAT and thyroid hormone, the investigators set up the following research protocol. In this protocol BAT activity will be determined in subjects that underwent thyroidectomy for well-differentiated thyroid carcinoma.
Objective: To study the effect of thyroid hormone and thyroid-stimulating hormone on brown adipose tissue activity.
Study design: Determine BAT activity after thyroidectomy in well-differentiated thyroid carcinoma patients.
Study population: Patients that underwent thyroidectomy for well-differentiated thyroid carcinoma, male and female, aged 18-65 years.
Intervention: FDG-PET-CT-imaging ([18F]fluorodeoxyglucose positron-emission-tomography computed-tomography) of BAT activity will be performed under cold stimulation twice.
For patients clinically withdrawn from thyroid hormone suppletion, the first occasion will be in a hypothyroid state within 4-6 weeks after thyroidectomy and the second measurement will take place in a euthyroid state 4 months after the start of thyroid hormone treatment.
For patients receiving recombinant-thyroid-stimulating-hormone injections, the first occasion will be shortly after the injection in a state of high thyroid-stimulating hormone levels. The second measurement will be in a euthyroid state 4 months after the injection.
Main study parameters/endpoints: The main endpoint of this study is the effect of thyroid hormone and thyroid-stimulating hormone on BAT activity in kBq (kilobecquerel) and SUV (standard uptake value). Secondary endpoints are the effects of thyroid hormone and thyroid-stimulating hormone on energy metabolism, body core temperature, skin surface temperatures and skin perfusion.
Nature and extent of the burden and risks associated with participation, benefit and group relatedness: The absorbed radiation dose from the FDG PET-CT scan after administration of 74 MBq (megabecquerel) of 18F-FDG is 2.8 mSv (miliSievert).
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Crossover
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male or postmenopausal females undergoing a total thyroidectomy for well-differentiated thyroid carcinoma
- •Age 18-65 years
- •Stable physical activity levels for at least six months
- •Note: In case of use of anticoagulation, the dose will be adjusted according to plasma thyroid hormone values.
排除标准
- •Psychologically unstable subjects (as judged by the treating medical specialist)
- •Subjects with mental retardation (as judged by the treating medical specialist)
- •Subjects with severe behavior disorders (as judged by the treating medical specialist)
- •Pregnant subjects
- •The use of the following medication is an exclusion criterium; ß-blockers
- •Participation in an intensive weight-loss program or vigorous exercise program during the last year before the start of the study
- •Abuse of drugs and/or alcohol
- •Severe diabetes which requires application of insulin or patients with diabetes-related complications
结局指标
主要结局
Cold-induced brown adipose tissue activity
时间窗: 1 day
Measured with 18FDG PET/CT scan after personalised cooling protocol
次要结局
- Body core temperature(1 day)
- Skin temperatures(1 day)
- Skin perfusion(1 day)
- Energy expenditure(1 day)