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CompletedNCT01916304Updated Jul 20, 2015Results posted

Study of Dose Adjustment From Levothyroxine to a New Levothyroxine Sodium Test Formulation

A Phase 2 interventional study of Levothyroxine sodium new formulation in Hypothyroidism, sponsored by Takeda. Completed at 1 site in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-07-20.

Sponsored by Takeda · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
101
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate the effect of switching participants taking levothyroxine to a new sodium formulation.

Read the detailed description

The drug being tested in this study is a new sodium formulation of levothyroxine. Levothyroxine (L-Thyroxine Christiaens®) is used in the treatment of hypothyroidism. This study will investigate the effect of switching subjects taking levothyroxine to a new levothyroxine sodium formulation.

The results of this study will be used to provide instructions to general practitioners and endocrinologists assisting patients on levothyroxine hormone substitution in performing the switch to the new formulation.

The study will enroll approximately 90 patients. Patients receiving the same daily dose of L-Thyroxine Christiaens® during the past 6 weeks and with serum thyroid stimulating hormone (TSH) levels between 0.4-2.5 mU/L will be switched to the equivalent daily dose of the new formulation of levothyroxine. After the switch, patients will be followed up after 2 (± 2 weeks) and 4 months (± 4 weeks).

All participants will be asked to take a daily dose at the same time each day throughout the study.

This study will be conducted in Belgium. Participants will make 3 to 4 visits to the clinic.

02

Conditions studied

  • Hypothyroidism

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Keywords

  • Drug Therapy
03

In context

Hypothyroidism

247 studies on the registry are indexed under Hypothyroidism; 57 are open to participants now.

This study's enrollment of 101 is above the median of 78 across 128 interventional studies indexed under Hypothyroidism.

Browse Hypothyroidism studies →

Lead sponsor

Takeda is the lead sponsor of 1,002 studies on the registry; 92 are open to participants now.

Of its 173 completed or terminated interventional studies of FDA-regulated products, 149 (86%) have results posted.

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

Inclusion criteria

  1. (Near) total thyroidectomised patients.
  2. Aged 18 years and older.
  3. Stabilised on the same daily dose of L-Thyroxine Christiaens® during the last 6 weeks before inclusion in the study.
  4. Written informed consent given.
  5. Able and willing to comply with protocol requirements and to complete the study.

Exclusion criteria

Exclusion Criteria:

  1. History of Graves' disease or positive TSH-receptor antibodies.
  2. History of thyroid cancer requiring TSH suppression.
  3. Medical procedures or treatments planned that could influence the thyroid hormone state of the patients during this trial.
  4. Use of levothyroxine containing medicines provided by other brands to treat hypothyroidism.
  5. Pregnant or planning pregnancy. Female patients of childbearing potential need to apply highly effective methods of birth control.
  6. Participation in another trial in the past 6 weeks.
  7. Exclusion criteria during the study are the occurrence of any serious adverse reaction, any laboratory or clinically relevant change in patient status, any change in smoking status, use of drugs non-authorized by the physician (to avoid relevant drug interactions) and lack of patient compliance with the study drug. (OR events not considered as exclusion criteria but to be documented in the case report form, as a possible explanation for change in lab parameters and/or dose switch).
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
101 participants (actual)

Study arms

  • Experimental
    Levothyroxine sodium new formulation

    Levothyroxine (25-225 μg), tablets, orally, once daily for up to 12 to 20 weeks. Dose administered depends on the thyroid stimulating hormone level.

    Drug: Levothyroxine sodium new formulation

Interventions

  • DrugLevothyroxine sodium new formulation

    Levothyroxine tablets

06

What researchers measure

Primary outcomes

  1. Percentage of Participants That Do Not Need a Change of Dose

    Dose change was determined by physician according to their clinical judgement.

    Time frame: 2 months (± 2 weeks) after switch to sodium formulation.

Secondary outcomes

  1. Magnitude of the Change in Daily Dose Needed

    Magnitude was determined via a change table which provides the percentage of participants that needed a change in Daily Dose (μg/day) of -25 μg, -12.5 μg, -6.25 μg, -5.35 μg, 0 μg or +12.5 μg.

    Time frame: 2 months (± 2 weeks) after switch to sodium formulation.

  2. Percentage of Participants That Obtained a Thyroid Stimulating Hormone (TSH) Between 0.4-2.5 mU/L

    Blood samples were collected and samples were analyzed according to the local Quality System.

    Time frame: Month 4 (± 4 weeks) after inclusion into study.

  3. Absolute Serum Thyroid Stimulating Hormone Values

    Blood samples were collected and samples were analyzed according to the local Quality System.

    Time frame: Baseline, Month 2 (± 2 weeks) and Month 4 (± 4 weeks) after inclusion into study.

  4. Relative Percent Change From Baseline in Serum Thyroid Stimulating Hormone

    Blood samples were collected and samples were analyzed according to the local Quality System. A negative change from Baseline indicated improvement.

    Time frame: Baseline, Month 2 (± 2 weeks) and Month 4 (± 4 weeks) after inclusion into study.

07

Results

Posted Jul 20, 2015

Participant flow

Participants took part in the study at 8 investigative sites in Belgium from 02 July 2013 (first patient screened) to 23 June 2014.

Participant flow — Overall Study
MilestoneLevothyroxine Sodium New Formulation
Started101
Safety set101
Intent-to-treat set84
Completed84
Not completed17
Withdrew: Screening failure17

Outcome measures

PrimaryPercentage of Participants That Do Not Need a Change of Dose

Dose change was determined by physician according to their clinical judgement.

Time frame:
2 months (± 2 weeks) after switch to sodium formulation.
Reported as:
Number · percentage of participants
Percentage of Participants That Do Not Need a Change of Dose
percentage of participantsLevothyroxine Sodium New Formulation
Percentage of Participants That Do Not Need a Change of Dose32.9 (23.7 to 43.7)
SecondaryMagnitude of the Change in Daily Dose Needed

Magnitude was determined via a change table which provides the percentage of participants that needed a change in Daily Dose (μg/day) of -25 μg, -12.5 μg, -6.25 μg, -5.35 μg, 0 μg or +12.5 μg.

Time frame:
2 months (± 2 weeks) after switch to sodium formulation.
Reported as:
Number · percentage of participants
Magnitude of the Change in Daily Dose Needed
percentage of participantsLevothyroxine Sodium New Formulation
-25 μg change19.51
-12.5 μg change42.68
-6.25 μg change1.22
-5.35 μg change1.22
0 μg change32.93
+12.5 μg change2.44
SecondaryPercentage of Participants That Obtained a Thyroid Stimulating Hormone (TSH) Between 0.4-2.5 mU/L

Blood samples were collected and samples were analyzed according to the local Quality System.

Time frame:
Month 4 (± 4 weeks) after inclusion into study.
Reported as:
Number · percentage of participants
Percentage of Participants That Obtained a Thyroid Stimulating Hormone (TSH) Between 0.4-2.5 mU/L
percentage of participantsLevothyroxine Sodium New Formulation
Percentage of Participants That Obtained a Thyroid Stimulating Hormone (TSH) Between 0.4-2.5 mU/L57.3
SecondaryAbsolute Serum Thyroid Stimulating Hormone Values

Blood samples were collected and samples were analyzed according to the local Quality System.

Time frame:
Baseline, Month 2 (± 2 weeks) and Month 4 (± 4 weeks) after inclusion into study.
Reported as:
Mean · mIU/mL
Absolute Serum Thyroid Stimulating Hormone Values
mIU/mLLevothyroxine Sodium New Formulation
Baseline1.1 ± 0.59
Month 2 (n=83)0.3 ± 1.69
Month 4 (n=82)0.6 ± 1.09
SecondaryRelative Percent Change From Baseline in Serum Thyroid Stimulating Hormone

Blood samples were collected and samples were analyzed according to the local Quality System. A negative change from Baseline indicated improvement.

Time frame:
Baseline, Month 2 (± 2 weeks) and Month 4 (± 4 weeks) after inclusion into study.
Reported as:
Median · percent change
Relative Percent Change From Baseline in Serum Thyroid Stimulating Hormone
percent changeLevothyroxine Sodium New Formulation
Month 2-74.5 ± 192.14
Month 4 (n=82)-54.0 ± 173.36

Adverse events

Collected over 5 months from inclusion (all patients) or up to recovery/final status is known for AE's.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Levothyroxine Sodium New Formulation—7/101 (6.9%)7/101 (6.9%)
Most frequent serious events
Most frequent serious events
EventLevothyroxine Sodium New Formulation
Cardiac failureCardiac disorders1/101
Post procedural haematomaInjury, poisoning and procedural complications1/101
Catheterisation cardiacInvestigations1/101
Skin lesionSkin and subcutaneous tissue disorders1/101
Bladder catheterisationSurgical and medical procedures1/101
HysterectomySurgical and medical procedures1/101
MastectomySurgical and medical procedures1/101
Salivary gland resectionSurgical and medical procedures1/101
HaemorrhageVascular disorders1/101
Most frequent other events
Most frequent other events
EventLevothyroxine Sodium New Formulation
NasopharyngitisInfections and infestations7/101

Baseline characteristics

Age, Continuous
Age, Continuous(years)Levothyroxine Sodium New Formulation
Mean54.1 ± 12.17
Age, Customized
Age, Customized(participants)Levothyroxine Sodium New Formulation
<65 years78
≥ 65 years23
Sex: Female, Male
Sex: Female, Male(Participants)Levothyroxine Sodium New Formulation
Female72
Male29
Region of Enrollment
Region of Enrollment(participants)Levothyroxine Sodium New Formulation
Belgium101
Weight
Weight(kg)Levothyroxine Sodium New Formulation
Mean76.9 ± 18.05
Height
Height(cm)Levothyroxine Sodium New Formulation
Mean168.4 ± 8.57
Investigator Reported Body Mass Index (BMI)
Investigator Reported Body Mass Index (BMI)(kg/m^2)Levothyroxine Sodium New Formulation
Mean27.2 ± 5.98
Calculated BMI
Calculated BMI(kg/m^2)Levothyroxine Sodium New Formulation
Mean27.1 ± 6.00
08

Study locations

1 site
  • Leuven, Belgium
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 20, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01916304
Lead sponsor
Takeda
Responsible party
Sponsor
First posted
Aug 5, 2013
Start date
Jul 2013
Primary completion
Jun 2014
Completion
Jun 2014
Results posted
Jul 20, 2015
Last update
Jul 20, 2015

Study contacts

Medical Responsible
study director · Takeda

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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