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CompletedNCT00275171Updated Dec 4, 2013

rhTSH, Radioiodine Uptake and Goiter Reduction Following 131I Therapy in Patients With Benign Nontoxic Nodular Goiter

A Phase 2 interventional study of Recombinant human thyrotropin (Thyrogen) and recombinant human TSH in Nodular Goiter, sponsored by Steen Bonnema. Completed at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-12-04.

Sponsored by Steen Bonnema · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study aims at clarifying (in a randomized, double-blinded design):

  1. Whether stimulation with 0.1 mg rhTSH 24, 48 or 72 hours before induction of a 131I-tracer dosis increases the 131I uptake in patients with atoxic multinodular goitre and to study which time interval is the most optimal (Part I)
  2. Whether patients suffering from atoxic multinodular goitre obtains a corresponding goitre reduction compared with a control group when stimulating with 0.1 mg rh TSH 24, 48 or 72 hours before 131I therapy and when reducing the thyroid radiation dose to 50 Gy (Part II)

The two studies will be carried out successively on the same patient population. The 131I uptake will be carried out first followed by the I therapy itself. The patients are compared with a placebo-treated control group going through the same course of treatment, but the 131I dosis will be 100 Gy (standard treatment). After the 131I therapy, all patients are followed during one year with a regular ultrasound scan of the thyroid gland and control of the metabolic status. The patient satisfaction is monitored by the use of a visual-analogue-scale.

02

Conditions studied

  • Nodular Goiter

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Keywords

  • Nontoxic nodular goiter
  • 131I therapy
  • thyroid radioiodine uptake
  • optimal time-interval
  • reduced 131I activity
  • goiter reduction
03

In context

Goiter, Nodular

19 studies on the registry are indexed under Goiter, Nodular; 6 are open to participants now.

This study's enrollment of 90 is above the median of 68 across 11 interventional studies indexed under Goiter, Nodular.

Browse Goiter, Nodular studies →

Lead sponsor

Steen Bonnema is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age over 18 years
  • Apart from benign non-toxic goiter no other serious illness
  • Signed proof of participation

Exclusion criteria

Exclusion Criteria:

  • Treatment with Levothyroxine
  • Former 131I-therapy
  • A thyroid volume above 100 ml or a retro-clavicular component
  • Unsafe
  • Pregnancy or breastfeeding
  • Participation in another clinical trial
  • Previous allergic reaction toward rhTSH
  • Suspicion of in the thyroid gland either by clinical examination, laboratory findings (a raised serum calcitonin or ionized calcium)or by fine-needle aspiration
  • Physically or mental condition making it impossible to participate
  • Acute ischemic heart attach within the last 3 months
  • Alcohol and/or drug addicts
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

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Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
90 participants (actual)

Study arms

  • Active comparator
    rhTSH

    proceeded by 0.1 mg rhTSH

    Drug: Recombinant human thyrotropin (Thyrogen) · Drug: recombinant human TSH

  • Placebo comparator
    Placebo

    1 ml isotonic saline

    Other: isotonic saline = placebo

Interventions

06

What researchers measure

Primary outcomes

  1. An intra-individual comparison of the thyroid 131I-uptake before and after stimulation with rhTSH /placebo

    Time frame: 24 and 96 hours after tracer administration

  2. An inter-individual comparison of the thyroid 131I uptake between those who receive placebo and those who receive rhTSH

    Time frame: 24 and 96 hours after tracer administration

  3. An estimation of which time-interval, injecting rhTSH, that is more favourable before 131I therapy (24 hours, 48 hours or 72 hours)

    Time frame: 24 and 96 hours after tracer administration

  4. A comparison of the degree of goiter reduction when patients are prestimulated with rhTSH and receive a thyroid 131I dose of 50 Gy or when receiving conventional 131I, receiving a thyroid dose of 100 Gy

    Time frame: 3, 6, 9 and 12 months after 131I therapy

Secondary outcomes

  1. A registration of adverse effects following rhTSH/placebo

    Time frame: All adverse effects occuring within one year follow-up

  2. Patient satisfaction (Visual Analogue Scale) before, 3 months post 131I therapy, and at the end of follow-up (1 year).

    Time frame: baseline, 3 and 12 months after 131I therapy

  3. Development of TPOab or TSHRab

    Time frame: At 12 months follow-up

  4. Thyroid function

    Time frame: At 12 months follow up.

07

Study locations

1 site
  • Odense University Hospital
    Odense, 5000, Denmark
08

References and documents

Publications

  • Huo Y, Xie J, Chen S, Wang H, Ma C. Recombinant human thyrotropin (rhTSH)-aided radioiodine treatment for non-toxic multinodular goitre. Cochrane Database Syst Rev. 2021 Dec 28;12(12):CD010622. doi: 10.1002/14651858.CD010622.pub2. PubMed 34961921 ↗
  • Fast S, Hegedus L, Grupe P, Nielsen VE, Bluhme C, Bastholt L, Bonnema SJ. Recombinant human thyrotropin-stimulated radioiodine therapy of nodular goiter allows major reduction of the radiation burden with retained efficacy. J Clin Endocrinol Metab. 2010 Aug;95(8):3719-25. doi: 10.1210/jc.2010-0634. Epub 2010 Jun 2. PubMed 20519346 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 4, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00275171
Lead sponsor
Steen Bonnema
Responsible party
Steen Bonnema (Consultant, phd, DMsc, Odense University Hospital) — Sponsor-investigator
First posted
Jan 11, 2006
Start date
Feb 2006
Primary completion
Apr 2009
Completion
Sep 2009
Last update
Dec 4, 2013

Study contacts

Steen J. Bonnema, MD
principal investigator · Odense University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2013. You cannot join it, but the record below documents what was studied.

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