Quality of Life, Recombinant TSH (Thyrogen) and Thyroid Cancer
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Purpose
To evaluate quality of life in patients after 10 days pause of thyroid medication (Liothyronine) compared to treatment with recombinant TSH (Thyrogen) before radioiodine uptake and treatment in a double-blinded, randomised cross-over design.
| Condition | Intervention | Phase |
|---|---|---|
|
Thyroid Cancer |
Drug: rhTSH |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Caregiver) Primary Purpose: Treatment |
| Official Title: | Is it Possible to Increase Quality of Life, Using Recombinant TSH Instead of Withdrawal of Thyroid Hormone Treatment, Before Iodine Uptake in Patients With Thyroid Cancer? |
- quality of life [ Time Frame: month ] [ Designated as safety issue: Yes ]
| Enrollment: | 56 |
| Study Start Date: | February 2008 |
| Study Completion Date: | February 2012 |
| Primary Completion Date: | February 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: placebo
To receive the placebo treatment in connection with the primary RI therapy and the T3 tablets and rh-TSH injections prior to second RI uptake measurement
|
Drug: rhTSH
The patients will be randomised to either T3 (Liothyronine) pause related to the first radioiodine treatment and Thyrogen injection with continuing Liothyronine treatment related to the second treatment/uptake - or Thyrogen related to the first treatment and T3 pause related to the second treatment /uptake.
Other Name: Thyrogen - GEnzyme
|
|
Active Comparator: rh-TSH
To continue with L-T3 and to receive rh-TSH stimulation with 0,9 mg Thyrogen® (Genzyme) x 2 days minus 1 and 2 prior to RI therapy, and following this to have placebo tablets and placebo injections with isotone NaCl prior to the RI uptake measurement 4-6 months later
|
Drug: rhTSH
The patients will be randomised to either T3 (Liothyronine) pause related to the first radioiodine treatment and Thyrogen injection with continuing Liothyronine treatment related to the second treatment/uptake - or Thyrogen related to the first treatment and T3 pause related to the second treatment /uptake.
Other Name: Thyrogen - GEnzyme
|
Detailed Description:
Patients with a thyroid follicular or papillary cancer referred to radioiodine treatment in oncological department . The patients after thyroidectomy will be treated with Liothyronine and this treatment will be paused 10 days before radioiodine. As a routine these patients will be re-evaluated with iodine uptake 4 months later.
The patients will be randomised to either T3 pause related to the first radioiodine treatment and Thyrogen injection (recombinant TSH) related to the second treatment/uptake - or Thyrogen related to the first treatment and T3 pause related to the second treatment /uptake.
All medication given in the 10 days period right before radioiodine treatment/uptake will be delivered to the patients and marked with a protocol number. In the period with T3 pause the patients will be given placebo tablets and an injection of saline (instead of Thyrogen) before treatment/uptake at the similar time as given the Thyrogen injection. A nurse otherwise not involved in the study will give the injection.
Patients will be evaluated by VAS, SF-36, and Eortc QLC30 (version 2.0) before radioiodine treatment and 3 weeks after treatment.
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Follicular or papillary thyroid cancer
Exclusion Criteria:
- < 18 or > 75 years old
- Pregnant or lactating women
Contacts and Locations| Denmark | |
| Dept of Oncology, Herlev Hospital | |
| Herlev, Denmark, dk- 2730 | |
| Study Chair: | Birte Nygaard, Md, PhD | dept of endocrinology,Herlev Hospital |
More Information
No publications provided
| Responsible Party: | Copenhagen University Hospital at Herlev |
| ClinicalTrials.gov Identifier: | NCT00604318 History of Changes |
| Other Study ID Numbers: | Dathyrca 1, 2007-002713-39, HB-2007-043, Data register 2007-41-120 |
| Study First Received: | January 17, 2008 |
| Last Updated: | January 9, 2013 |
| Health Authority: | Denmark: Danish Medicines Agency Denmark: Ethics Committee |
Keywords provided by Copenhagen University Hospital at Herlev:
|
quality of life |
Additional relevant MeSH terms:
|
Thyroid Neoplasms Thyroid Diseases Endocrine Gland Neoplasms Neoplasms by Site |
Neoplasms Head and Neck Neoplasms Endocrine System Diseases |
ClinicalTrials.gov processed this record on May 22, 2013