ClinicalTrials.gg
CompletedNCT01611896GRASSUpdated Feb 13, 2025

Selenium Supplementation Versus Placebo in Patients with Graves' Hyperthyroidism

An interventional study of Selenium and Placebo in Graves' Hyperthyroidism, sponsored by Rigshospitalet, Denmark. Completed at 8 sites in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-13.

Sponsored by Rigshospitalet, Denmark · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
431
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies in Graves Disease with a site in Denmark — 2 open to participants now, 3 under way, 1 of them phase 3. Graves Disease · Denmark.

Started
2012
the only one that year
No phase
3 of 10
none open now
Registered
5th of 10
by date
Lead sponsor
2 of 10
Rigshospitalet, Denmark

Among the 10 studies in Graves Disease with a site in Denmark, this one is the only one that started in 2012, is one of 3 with no phase, and was the 5th registered.

By phase

10 studies; the count open now beside each. This study's row is marked.

No phasethis study3 · 0 open
Observational2 · 1 open
Phase 42 · 0 open
Phase 1/21 · 0 open
Phase 21 · 0 open
Phase 31 · 1 open

By the year they started

First in 2002; this study’s year is marked. 1 started in 2012.

Size and results

Median enrollment 105 across the 8 interventional studies, 253 across the 2 observational. Of the 6 that completed or were terminated, 0 (0%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 10 studies in Graves Disease with a site in Denmark, or all of them as a file.
02

Study summary

The purpose of this study is to investigate if selenium supplementation to the standard treatment with anti-thyroid drugs in patients with Graves' hyperthyroidism, will lead to a fewer people with anti-thyroid treatment failure and faster remission, in terms of better quality of life during the first year of treatment and more patients staying in remission.

03

Conditions studied

  • Graves' Hyperthyroidism

Keywords

  • Graves' hyperthyroidism
  • Graves' disease
  • Selenium
  • Quality of Life
  • ThyPRO
  • Autoimmunity
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 18 years or older.
  • Active Graves' hyperthyroidism (suppressed TSH (\< 0.1) and positive TRAb) measured within the last two months prior to the inclusion date.
  • Written

Exclusion criteria

Exclusion Criteria:

  • Major co-morbidity, making the participants unlikely to continuously receive trial intervention in the intervention period.
  • Previous treatment with radioactive iodine.
  • Current ATD treatment having been received for more than two months.
  • Treatment with immunomodulatory drugs, such as cyclosporine A, methotrexate, cyclophosphamide.
  • Allergy towards the components in the selenium and placebo pills.
  • Pregnant or breast-feeding women.
  • Intake of selenium supplementation above 70 µg per day (70 µg corresponds to the amount in a multivitamin tablet).
  • Unable to read and understand Danish.
  • Lack of
Terms in these criteria, in plain language(1)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
431 participants (actual)

Study arms

  • Active comparator
    Selenium

    Dietary Supplement: Selenium

  • Placebo comparator
    Placebo

    Other: Placebo

Interventions

  • Dietary supplementSelenium

    100 µg tablets. The dose of daily supplement of selenium is set at 200 µg (two tablets). The duration of the intervention period is between 24-30 months. This is defined by the time of ATD treatment withdrawal, which is scheduled between approximately 12-18 months after randomisation. Selenium supplementation will continue 12 months after withdrawal of ATD treatment.

    Also known as: 'Selen, organisk selen', produced by Jemo-Pharm A/S

  • OtherPlacebo

    Placebo tablets, identical in regards to size, appearance, taste, smell, and solubility to the experimental intervention tablet will be produced by Jemo-Pharm A/S, http://www.jemo-pharm.dk/frame.cfm/cms/id=977/sprog=2/grp=6/menu=1/ (content as in section: Auxiliary agents). The placebo regimen will be identical to the selenium regimen, but consist of two non-active tablets per day for 24-30 months.

06

What researchers measure

Primary outcomes

  1. Proportion of participants with the composite outcome of 'ATD treatment failure'

    'ATD treatment failure' is defined as: * The participant receives ATD treatment (at any level) during the last 12 months (± 1 month) of the intervention period; or * The participant has thyroid hyperfunction (TSH \<0.1) during the last 12 months (± 1 month) of the intervention period; or * The participant has been referred to ablative therapy (radioactive iodine or thyroid surgery) at some point during the entire intervention period.

    Time frame: Last 12 months (± 1 month) of the intervention period

Secondary outcomes

  1. Proportion of participants who receives ATD treatment (at any level) during the last 12 months (± 1 month) of the intervention period

    Time frame: Last 12 months (± 1 month) of the intervention period

  2. Proportion of participants who has thyroid hyperfunction (TSH <0.1) during the last 12 months (± 1 month) of the intervention period

    Time frame: Last 12 months (± 1 month) of the intervention period

  3. Proportion of participants who has been referred to ablative therapy (radioactive iodine or thyroid surgery) at some point during the entire intervention period

    Time frame: Intervention period (24-30 months)

  4. Thyroid-specific QoL during the first year after randomisation, and at the end of the intervention period (24-30 months), as measured by the global score in the ThyPRO questionnaire

    Time frame: First year after randomisation, and at the end of the intervention period (24-30 months)

  5. Level of TRAb at 18 months, and at the end of the intervention period (24-30 months)

    Time frame: 18 months, and at the end of the intervention period (24-30 months)

  6. Hyperthyroid symptoms (ThyPRO subscale) during first year after randomisation

    Time frame: First year after randomisation

  7. Eye symptoms (ThyPRO subscale) during first year after randomisation, and at end of the intervention period (24-30 months)

    Time frame: First year after randomisation, and at end of the intervention period (24-30 months)

  8. Number of participants with adverse reactions during the intervention period

    Participants will be asked to report about known adverse reactions (specified in the protocol) at 6 weeks, 12 weeks, 6 months, 12 months, 18 months, 24 months, and 12 months after ATD treatment withdrawal. In addition, participants are instructed to contact their trial contact person in case they experience adverse reactions.

    Time frame: Intervention period (24-30 months)

  9. Number of participants with serious adverse events during the intervention period

    To make sure we get information on serious adverse events, data on hospital admissions and mortality will be obtained through the national databases (the National Patient Registry and the Danish Civil Registration System) at the end of the trial. Also, participants are informed and instructed to contact their trial contact person in case they: * are admitted to a hospital for selenium intoxication; * experience a clinical picture indicative of selenium intoxication; or * experience a clinical picture unexpected, but suspected to be related to selenium intoxication.

    Time frame: Intervention period (24-30 months)

07

Study locations

8 sites
  • Department of Endocrinology and Gastroenterology, Bispebjerg Hospital
    Copenhagen, Denmark
  • Department of Medical Endocrinology, Rigshospitalet
    Copenhagen, Denmark
  • Department of Endocrinology, Hospital of Southwest Denmark
    Esbjerg, Denmark
  • Department of Medicine, Gentofte Hospital
    Gentofte, Denmark
  • Department of Internal Medicine O 106, Endocrine Unit, Herlev Hospital
    Herlev, Denmark
  • Department of Cardiology and Endocrinology, Endocrine Unit, Hillerød Hospital
    Hillerød, Denmark
  • Department of Endocrinology, Section 541, Hvidovre Hospital
    Hvidovre, Denmark
  • Department of Endocrinology and Metabolism, Odense University Hospital
    Odense, Denmark
08

References and documents

Publications

  • Cramon P, Rasmussen AK, Bonnema SJ, Bjorner JB, Feldt-Rasmussen U, Groenvold M, Hegedus L, Watt T. Development and implementation of PROgmatic: A clinical trial management system for pragmatic multi-centre trials, optimised for electronic data capture and patient-reported outcomes. Clin Trials. 2014 Jun;11(3):344-354. doi: 10.1177/1740774513517778. PubMed 24519964 ↗
  • Watt T, Cramon P, Bjorner JB, Bonnema SJ, Feldt-Rasmussen U, Gluud C, Gram J, Hansen JL, Hegedus L, Knudsen N, Bach-Mortensen P, Nolsoe R, Nygaard B, Pociot F, Skoog M, Winkel P, Rasmussen AK. Selenium supplementation for patients with Graves' hyperthyroidism (the GRASS trial): study protocol for a randomized controlled trial. Trials. 2013 Apr 30;14:119. doi: 10.1186/1745-6215-14-119. PubMed 23782950 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2012 to primary completion in Jun 2021, 104 months.

Of 22 interventional studies with no phase under Graves Disease, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 35 and three quarters within 88. This study's 104 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
May 29, 2012
First posted
Jun 5, 2012
StartActual
Oct 2012
Primary completionActual
Jun 2021
CompletionActual
Aug 2024
Last update
Feb 13, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01611896
Collaborators
Odense University Hospital, Esbjerg Hospital - University Hospital of Southern Denmark, Herlev Hospital, Bispebjerg Hospital, Hvidovre University Hospital, Hillerod Hospital, Denmark, Copenhagen Trial Unit, Center for Clinical Intervention Research, Danish Council for Independent Research, The Danish Council for Strategic Research
Responsible party
Per Cramon (Principal Investigator, Rigshospitalet, Denmark) — Principal investigator
First posted
Jun 5, 2012
Start date
Oct 2012
Primary completion
Jun 2021
Completion
Aug 2024
Last update
Feb 13, 2025

Study contacts

Aase K Rasmussen, DMSc
study chair · Department of Medical Endocrinology, Rigshospitalet
Torquil Watt, Ph.D.
study chair · Department of Medical Endocrinology, Rigshospitalet
Laszlo Hegedüs, DMSc
study chair · Department of Endocrinology and Metabolism, Odense University Hospital
Steen J Bonnema, Ph.D.
study chair · Department of Endocrinology and Metabolism, Odense University Hospital
Jeppe Gram, Ph.D.
study chair · Department of Endocrinology, Hospital of Southwest Denmark
Christian Gluud, DMSc
study chair · Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet
Jakob B Bjorner, Ph.D.
study chair · National Research Centre for the Working Environment, and Institue of Public Health Science, University of Copenhagen
Per Cramon, MD
principal investigator · Department of Medical Endocrinology, Rigshospitalet

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Selenium

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