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Trial Title: Patient-centered Dosage of Levothyroxine

NCT ID: NCT06455371

Condition: Hypothyroidism
Thyroid Cancer
Thyroid

Conditions: Official terms:
Thyroid Diseases
Hypothyroidism

Conditions: Keywords:
Decision support tool
Patient-centered dosage
thyroidectomy
levothyroxine

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: Decision support tool
Description: Patients in the intervention groups are given the option to use the decision support tool when adjusting the levothyroxine dose after total thyroidectomy. Levothyroxine therapy is not a part of the intervention, as all patients receive this therapy regardless of study participation.
Arm group label: DST 1
Arm group label: DST 2
Arm group label: DST 3

Summary: Levothyroxine is the most used thyroid hormone replacement when the thyroid gland is failing. Because dosage adjustment normally takes several months, the investigators have developed a decision support tool (DST) that predicts optimal dosage based on repeated blood samples the first 2 weeks after initiation of therapy. In this randomized study the investigators will include patients that start levothyroxine therapy after total thyroidectomy. The use of DST to advice the physician about an early dosage adjustment will be compared with common clinical practice, that is dosage adjustment every 2 months. The effect of DST use will be assessed by studying the possible relationship between fast optimal dose adjustment, patient reported outcome measures, and ability to work.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Total or completion thyroidectomy for differentiated thyroid cancer og benign thyroid nodules at Norwegian hospitals Exclusion Criteria: - Anaplastic thyroid cancer, thyroid cancer with distant metastasis, graves disease, toxic nodules, pregnancy

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Start date: August 2024

Completion date: December 2027

Lead sponsor:
Agency: University Hospital of North Norway
Agency class: Other

Collaborator:
Agency: SINTEF Health Research
Agency class: Other

Collaborator:
Agency: Helseapps
Agency class: Other

Collaborator:
Agency: Norinnova
Agency class: Other

Collaborator:
Agency: Helse Nord
Agency class: Industry

Source: University Hospital of North Norway

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06455371

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