ClinicalTrials.gg
Active, not recruitingNCT04693936METHAPUpdated Jun 28, 2024

Metabolic Biomarkers in Hashimoto's Thyroiditis and Psoriasis

An interventional study of Nutraceutical Combination Plan in Hashimoto Disease and Psoriasis, sponsored by University of Crete. Active, not recruiting at 1 site in Greece. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-06-28.

Sponsored by University of Crete · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by Sep 2024, 2 years 2 months ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Hashimoto's disease (HT) and psoriasis (PsO) have a significant impact on patient's quality of everyday life, and early diagnosis is critical for the symptoms management and prognosis. There is evidence that HT and PsO share common metabolic pathways that relate to their pathogenesis, and are affected by dietary and lifestyle factors. Previous studies have identified potential metabolic biomarkers, although the small number of studies hamper their validation. Of note, most studies are not longitudinal thus do not capture the metabolic fluctuations in response to disease progression or dietary changes. Thus, the purpose of this study is to identify metabolic biomarkers of HT and PsO and study the role of epigenetic factors (diet and lifestyle) on the involved metabolic pathways . In addition, a comparative analysis of the disease-related quality of life (QoL) will be performed in relation to dietary changes to unravel possible links between the QoL and the associated metabolic pathways in HT and PsO.

Read the detailed description

Patients with Hashimoto's thyroiditis (HT), patients with psoriasis (PsO), and healthy individuals aged 18-60 will be recruited and assessed according to inclusion/exclusion criteria. Eligible participants will be randomized to two groups. The intervention group will receive a combinational nutraceuticals plan for 6 months as part of a Mediterranean diet and the control group will follow usual diet. Data will be collected at baseline and at the end of the study including levels of organic and fatty acids, lifestyle and anthropometric measurements, adherence to Mediterranean diet through the Mediterranean Diet Score (MDS) and disease-specific quality of life through the Thyroid Patient Report Outcome (THYPRO) and the Dermatology Life Quality Index (DLQI) questionnaires for the HT and the PsO group respectively.

02

Conditions studied

  • Hashimoto Disease
  • Psoriasis

Keywords

  • metabolomics
  • biomarkers
  • metabolic pathways
03

In context

Hashimoto Disease

53 studies on the registry are indexed under Hashimoto Disease; 13 are open to participants now.

This study's enrollment of 200 is above the median of 60 across 31 interventional studies indexed under Hashimoto Disease.

Browse Hashimoto Disease studies →

Lead sponsor

University of Crete is the lead sponsor of 23 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Hashimoto's Thyroiditis:

  • Clinical findings
  • Presence of thyroid autoantibodies (anti-TPO) in laboratory tests
  • Gray-scale Ultrasound findings.

Psoriasis:

  • Presence of psoriatic lesions
  • Psoriasis Area and Severity Index score (PASI).

Healthy group:

Non-obese (\<30)

  • non-athletes
  • non-pregnant or lactating women
  • not been diagnosed with a chronic or acute disease
  • not receiving antidepressants, drugs and supplements
  • normal Thyroid Stimulating Hormone (TSH) levels or high TSH and absence of other clinical findings of thyroid malfunction.

Exclusion Criteria:

  • malignant or congenital goiter
  • thyroidectomy
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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (actual)

Study arms

  • Active comparator
    Nutraceuticals

    Participants will receive a combination of nutraceuticals and will be instructed to follow a Mediterranean diet

    Combination Product: Nutraceutical Combination Plan

  • No intervention
    Control

    Participants will follow usual diet

Interventions

  • Combination productNutraceutical Combination Plan

    Multivitamin (My Total Health) 1 tablet per day Vitamin C (My Immuno) 1 scoop per day Calcium-Magnesium combination (My Calmag) 1 scoop per day Omega 3-6-9 My Omega Krill. 1 capsule per day Glutamine (L-Glutamin \&Chios Mastiha) 1 tablet per day Probiotics 40 billion 1 capsule per day Nutraceuticals will be received daily along with the patient's customary psoriasis/Hashimoto's disease treatment.

06

What researchers measure

Primary outcomes

  1. Differential levels of urinary organic acids in patients with Hashimoto's thyroiditis and psoriasis compared to healthy individuals as assessed by GC-MS

    Levels of organic acids will be quantified in the urine of patients with Hashimoto's diseases and psoriasis and the healthy group at baseline. Concentrations will be calculated in relation to creatinine (mmol/mol Crea) using Gas Chromatography-Mass Spectrometry (GC-MS). Comparisons will be made at organic acids concentrations between the HT, the PSO and the healthy group to determine disease-related differences

    Time frame: Baseline

  2. Differential levels of peripheral blood fatty acids in patients with Hashimoto's thyroiditis and psoriasis compared to healthy individuals as assessed by GC-MS

    Levels of total fatty acids will be quantified (μmol/l) in the peripheral blood of patients with Hashimoto's diseases and psoriasis and the healthy group at baseline using Gas Chromatography-Mass Spectrometry (GC-MS) Comparisons will be made at fatty acids concentrations between the HT, the PSO and the healthy group to determine disease-related differences

    Time frame: Baseline

  3. Change from baseline urinary organic acids levels after 6-month intervention with nutraceuticals as assessed by GC-MS

    Levels of organic acids will be quantified in the urine of patients with Hashimoto's diseases and psoriasis and the healthy group after 6 months of intervention. Concentrations will be calculated in relation to creatinine (mmol/mol Crea). Comparisons will be made at organic acids concentrations between baseline levels and post 6 months treatment in the HT, the PSO and the healthy group to determine intervention-related differences

    Time frame: 6 months

  4. Change from baseline peripheral blood fatty acids levels after the 6-month intervention with nutraceuticals as assessed by GC-MS

    Levels of total fatty acids will be quantified (μmol/l) in the peripheral blood of patients with Hashimoto's diseases and psoriasis and the healthy group after 6 months of intervention. Comparisons will be made at fatty acids concentrations between baseline levels and post 6 months of treatment in the HT, the PSO and the healthy group to determine intervention-related differences

    Time frame: 6 months

  5. Change from baseline thyroid disease-related quality of life at 6-months of intervention with nutraceuticals as assessed by the THYPRO questionnaire

    The Thyroid Patient Response Outcome (THYPRO) questionnaire will be completed by the HT group at baseline and 6 months post intervention (both arms). THYPRO score (0-100) after the intervention will be compared with baseline.

    Time frame: 6 months

  6. Change from baseline psoriasis-related quality of life at 6-months of intervention with nutraceuticals as assessed by the DLQI questionnaire

    The Dermatology Life Quality Index (DLQI) will be completed by the HT group and the PSO group (both arms) at baseline and 6 months post intervention. DLQI score (0-30) after the intervention will be compared with baseline.

    Time frame: 6 months

  7. Change from baseline Mediterranean diet adherence at 6 months of intervention with nutraceuticals as assessed by the MDS questionnaire

    The Mediterranean Diet Score (MDS) questionnaire will be collected for all participants (both arms) at baseline and 6 months post the intervention. MDS (0-17) after the intervention will be compared with baseline.

    Time frame: 6 months

Secondary outcomes

  1. Change from baseline Body Mass Index at 6 months of intervention with nutraceuticals

    BMI will be estimated at baseline and 6 months post the intervention for the three groups (both arms). For the estimation of BMI (kg/m\^2) weight and height will be combined

    Time frame: 6 months

  2. Change from baseline waist circumference at 6 months of intervention with nutraceuticals

    Waist circumference (cm) will be measured at baseline and 6 months post the intervention for the three groups (both arms).

    Time frame: 6 months

  3. Change from baseline alcohol consumption at 6 months of intervention with nutraceuticals

    Alcohol consumption (number of glasses per week) will be assessed at baseline and 6 months post the intervention for all participants (both arms).

    Time frame: 6 months

  4. Change from baseline physical activity at 6 months of intervention with nutraceuticals

    Physical activity frequency (times per week) will be assessed at baseline and 6 months post the intervention for all participants (both arms).

    Time frame: 6 months

  5. Change from baseline smoking at 6 months of intervention with nutraceuticals

    Smoking (cigars per day) will be assessed at baseline and 6 months post the intervention for all participants(both arms).

    Time frame: 6 months

07

Study locations

1 site
  • Metabolomic Medicine, Private Health Clinics
    Athens, Greece
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

Started Feb 2021 (actual). Primary completion is estimated for Sep 2024, 43 months after the start.

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

Registered
Dec 23, 2020
First posted
Jan 5, 2021
StartActual
Feb 2, 2021
Primary completionEst.
Sep 2024
CompletionEst.
Dec 2024
Last update
Jun 28, 2024
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 Jun 28, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04693936
Lead sponsor
University of Crete
Responsible party
Evangelia Sarandi (Biologist, MSc, PhD student, University of Crete) — Principal investigator
First posted
Jan 5, 2021
Start date
Feb 2, 2021
Primary completion
Sep 2024 (estimated)
Completion
Dec 2024 (estimated)
Last update
Jun 28, 2024

Study contacts

Aristidis Tsatsakis, PhD, Prof
study chair · University of Crete
Sabine Kruger-Krasagakis, MD,Ass Prof
principal investigator · University of Crete
Gottfried Rudofsky, MD, Prof.
principal investigator · Heidelberg University

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 active, not recruiting, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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