ClinicalTrials.gg
CompletedNCT03498417IGF1RAbsGOUpdated Jul 30, 2018

Anti-insulin-like Growth Factor-1 Receptor (IGF-1R) Antibodies in Graves' Disease and Graves' Orbitopathy

An observational study in Graves Ophthalmopathy, Graves Disease and Autoimmune Thyroiditis, sponsored by University of Pisa. Completed at 1 site in Italy. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-07-30.

Sponsored by University of Pisa · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
135
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The study is aimed at assessing IGF-1R-Abs in patients with Graves' disease, with or without GO, compared with healthy subjects and patients with autoimmune thyroiditis in a cross-sectional investigation.

02

Conditions studied

  • Graves Ophthalmopathy
  • Graves Disease
  • Autoimmune Thyroiditis
03

In context

Graves Ophthalmopathy

199 studies on the registry are indexed under Graves Ophthalmopathy; 58 are open to participants now.

This study's enrollment of 135 is above the median of 80 across 45 observational studies indexed under Graves Ophthalmopathy.

Browse Graves Ophthalmopathy studies →

Lead sponsor

University of Pisa is the lead sponsor of 113 studies on the registry; 28 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

  1. Patients with Graves' disease, with or without GO. The presence of GO will be established in any patient who had at least one of the following eye features: a) exophthalmometry ≥17 mm in women and ≥19 mm in men, based on measurements conducted for the normal population; b) eyelid aperture ≥9 mm; c) clinical activity score ≥1/7; iv) presence of diplopia; v) presence of corneal alterations; vi) presence of GO-related alterations of the fundi; and vii) reduction in visual acuity that could be attributed to GO.
  2. Patients with autoimmune thyroiditis
  3. healthy subjects

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

  1. for Graves' disease: a history of hyperthyroidism, associated with previous or present detectable serum autoantibodies against the TSH-R;
  2. for thyroiditis: the presence of at least two of the following: a) primary hypothyroidism; b) detectable serum autoantibodies against thyroglobulin or thyroperoxidase ; c) a hypoechoic pattern of the thyroid by ultrasound examination.
  3. for healthy subjects: absence of any clinical, biochemical or instrumental evidence of thyroid diseases.

For all subjects:

Exclusion criteria

Exclusion Criteria:

  1. lack of
Terms in these criteria, in plain language(2)

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
135 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Graves' diseases

    Patients with Graves' disease. No interventions foreseen

    Diagnostic Test: Serum antibodies against the IGF-1R

  • Autoimmune thyroiditis

    Patients with autoimmune thyroiditis. No interventions foreseen

    Diagnostic Test: Serum antibodies against the IGF-1R

  • Healthy Subjects

    Normal healthy subjects. No interventions foreseen

    Diagnostic Test: Serum antibodies against the IGF-1R

Interventions

  • Diagnostic testSerum antibodies against the IGF-1R

    Measurement of antibodies against the IGF-1R in serum samples by ELISA

06

What researchers measure

Primary outcomes

  1. Frequency of serum IGF-1R-Abs above the upper normal levels

    Percent prevalence of serum IGF-1R-Abs above the upper normal levels in patients with GO, compared with healthy subjects, patients with Graves' disease without a clinically relevant GO, and patients with autoimmune thyroiditis.

    Time frame: Baseline

Secondary outcomes

  1. Serum concentrations of IGF-1R-Abs

    Comparison of the serum concentrations of IGF-1R-Abs in patients with GO, compared with healthy subjects, patients with Graves' disease without GO, and patients with autoimmune thyroiditis;

    Time frame: Baseline

  2. Relationship between serum IGF-1R-Abs and the activity of GO

    Relationship between serum IGF-1R-Abs (both levels and prevalence), with the the activity GO, namely the clinical activity score, including 7 items (spontaneous orbital pain, gaze provoked pain, palpebral redness, palpebral oedema, conjuctival redness, caruncle edema, chemosis) resulting in a score from 1 to 7

    Time frame: Baseline

  3. Relationship between serum IGF-1R-Abs and anti-TSH receptor autoantibodies

    The relationship between serum IGF-1R-Abs (both levels and prevalence) and anti-thyrotropic hormone-receptor serum autoantibodies

    Time frame: Baseline

  4. Relationship between serum IGF-1R-Abs and anti-thyroperoxidase autoantibodies

    The relationship between serum IGF-1R-Abs (both levels and prevalence) and anti-thyroperoxidase serum autoantibodies

    Time frame: Baseline

  5. Relationship between serum IGF-1R-Abs and anti-thyroglobulin autoantibodies

    The relationship between serum IGF-1R-Abs (both levels and prevalence) and anti-thyroglobulin serum autoantibodies

    Time frame: Baseline

07

Study locations

1 site
  • Endocrinology Unit I, University of Pisa
    Pisa, 56124, Italy
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2018 to primary completion in Jul 2018, 1 month.

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

Registered
Mar 30, 2018
First posted
Apr 13, 2018
StartActual
Jun 20, 2018
Primary completionActual
Jul 20, 2018
CompletionActual
Jul 20, 2018
Last update
Jul 30, 2018
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 Jul 30, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03498417
Lead sponsor
University of Pisa
Responsible party
Marinò Michele (Assistant Professor, University of Pisa) — Principal investigator
First posted
Apr 13, 2018
Start date
Jun 20, 2018
Primary completion
Jul 20, 2018
Completion
Jul 20, 2018
Last update
Jul 30, 2018

Study contacts

Michele Marinò, MD
principal investigator · University of Pisa

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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