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Not yet recruitingNCT06413043Updated May 14, 2024

Study on Efficacy of Add on Selenium in Mild-to-moderate Graves Ophthalmopathy

An interventional study of Selenium in Thyroid Eye Disease and Graves Ophthalmopathy, sponsored by All India Institute of Medical Sciences, Bhubaneswar. Not yet recruiting at 1 site in India. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-14.

Sponsored by All India Institute of Medical Sciences, Bhubaneswar · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2025, 1 year 2 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
78
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The Study on efficacy of add on selenium in mild-to-moderate Graves ophthalmopathy: A Randomized Control Trial.; The study aims to evaluate the response of adding selenium in patients with Graves ophthalmopathy, focusing on improving quality of life, CAS scoring, and thyroid status. The methodology involves a Randomized Control Trial with a sample size of 78 patients. Patients meeting specific criteria will receive either standard treatment with Anti Thyroid Drugs and Vitamin B complex or add on selenium with Vitamin B complex for 6 months. Outcome measures include CAS score reduction, thyroid function improvement, and quality of life enhancement. The study will last 18 months, with various investigations and ethical considerations outlined. The document emphasizes the importance of early diagnosis of Graves Ophthalmopathy to prevent vision loss and deformity, highlighting the significance of informed patients and healthcare professionals regarding TED symptoms and risk factors.

Read the detailed description

The Study on efficacy of add on selenium in mild-to-moderate Graves ophthalmopathy: A Randomized Control Trial. The study aims to evaluate the response of adding selenium in patients with Graves ophthalmopathy, focusing on improving quality of life, CAS scoring, and thyroid status. The methodology involves a Randomized Control Trial with a sample size of 78 patients. Patients meeting specific criteria will receive either standard treatment with Anti Thyroid Drugs and Vitamin B complex or add on selenium with Vitamin B complex for 6 months. Outcome measures include CAS score reduction, thyroid function improvement, and quality of life enhancement. The study will last 18 months, with various investigations and ethical considerations outlined. The document emphasizes the importance of early diagnosis of Graves Ophthalmopathy to prevent vision loss and deformity, highlighting the significance of informed patients and healthcare professionals regarding TED symptoms and risk factors.

02

Conditions studied

  • Thyroid Eye Disease
  • Graves Ophthalmopathy

Keywords

  • Thyroid Eye Disease
  • Graves Ophthalmopathy
03

In context

Eye Diseases

740 studies on the registry are indexed under Eye Diseases; 117 are open to participants now.

This study's planned enrollment of 78 is above the median of 68 across 547 interventional studies indexed under Eye Diseases.

Browse Eye Diseases studies →

Lead sponsor

All India Institute of Medical Sciences, Bhubaneswar is the lead sponsor of 59 studies on the registry; 26 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

Inclusion criteria

  • Patients with Mild-to-moderate Grave's Ophthalmopathy in Age group >18years

With only one or more :

  • Retraction of lid \<2 mm
  • Mild soft tissue involvement
  • Proptosis of \<=3 mm
  • Corneal exposure that responds to lubricating eyedrops.
  • Patients with CAS \< = 4
  • Patients diagnosed with hyperthyroidism converted to euthyroid since 2 months with Anti Thyroid Drugs.
  • Those who are willing to follow the advised treatment and timely follow ups.

Exclusion criteria

Exclusion Criteria:

  • Treatment with any steroid (Intravenous, oral or topical) for any condition within 3 weeks before presentation.
  • Any treatment with rituximab
  • Any earlier treatment with teprotumumab.
  • Any treatment with monoclonal antibody within 3months before presentation.
  • Lactating or pregnant women
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
78 participants (estimated)

Study arms

  • Active comparator
    ADD on Selenium

    Add on Selenium (100mcg once daily) with Vitamin B Complex and Standard Treatment for Grave's Disease

    Drug: Selenium

  • No intervention
    Placebo

    Vitamin B Complex supplementation with Standard Treatment for Grave's Disease

Interventions

  • DrugSelenium

    Add on Selenium (100mcg once daily) with Vitamin B Complex and Standard Treatment for Grave's Disease

06

What researchers measure

Primary outcomes

  1. To evaluate and compare the response of add on selenium in patients with grave's ophthalmopathy

    To evaluate and compare the response of add on selenium in patients with grave's ophthalmopathy, with Best corrected visual Acuity, Clinical activity Score (CAS ), Increase in measured proptosis (bulging of the eyes) \> 2 mm over 1-3 months. Decrease in eye movement limit of \> 8° over 1-3 months. Decrease in visual acuity (2 Snellen chart lines) over 1-3 months. A CAS score greater than 4 is associated with active disease. The positive predictive value of CAS \> 4 is approximately 80%, and the negative predictive value is around 64%

    Time frame: 90 Days

Secondary outcomes

  1. the effects of Grave's ophthalmopathy on Patient's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns

    To study the effects of Grave's ophthalmopathy on Patient's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns, through the World Health Organization Quality of Life Brief Version- Brief(WHOQOL-BRIEF) questionnaire. The 4 domain scores are each converted into a scale from 0 to 100. For this purpose, the number 4 is subtracted from each of the domain scores, and the difference is multiplied by 100/16 or the number 6.25. 0 points represent the worst possible state of health, while 100 points represent the best possible state of health with regard to the respective domain. Thus, the patient's physical, psychological, social, and environmental state of health are assessed separately.

    Time frame: 90 Days

  2. To Assess the Colour Vison

    Anomaloscopes are optical instruments in which the observer must manipulate stimulus control knobs to match two colored fields in color and brightness. Measurement Unit: Typically, color vision is assessed qualitatively (normal or deficient). Minimum Value: Normal color vision (able to perceive a wide range of colors). Maximum Value: Color vision deficiency (varies based on the type of deficiency).

    Time frame: 90 Days

  3. To Assess the Fundus

    Fundus Examination: Measurement Unit: No specific unit; it's a visual assessment. Minimum Value: Normal fundus appearance (no abnormalities). Maximum Value: Various abnormalities (e.g., diabetic retinopathy, hypertensive retinopathy).

    Time frame: 90 Days

  4. To Examine Thyroid Function Test

    Thyroid Function Test: TSH: Normal range is approximately 0.4 to 4.0 μIU/mL. T4: Normal range is around 4.5 to 11.2 μg/dL. T3: Normal range varies but is generally 80 to 200 ng/dL

    Time frame: 90 Days

07

Study locations

1 site
  • AIIMS Bhubaneswar
    Bhubaneswar, Odisha 751019, India
08

References and documents

Publications

  • Bartalena L, Tanda ML. Current concepts regarding Graves' orbitopathy. J Intern Med. 2022 Nov;292(5):692-716. doi: 10.1111/joim.13524. Epub 2022 Jun 1. PubMed 35604323 ↗
  • Burch HB, Perros P, Bednarczuk T, Cooper DS, Dolman PJ, Leung AM, Mombaerts I, Salvi M, Stan MN. Management of thyroid eye disease: a Consensus Statement by the American Thyroid Association and the European Thyroid Association. Eur Thyroid J. 2022 Dec 8;11(6):e220189. doi: 10.1530/ETJ-22-0189. Print 2022 Dec 1. PubMed 36479875 ↗
  • Lanzolla G, Marino M, Marcocci C. Selenium in the Treatment of Graves' Hyperthyroidism and Eye Disease. Front Endocrinol (Lausanne). 2021 Jan 26;11:608428. doi: 10.3389/fendo.2020.608428. eCollection 2020. PubMed 33574798 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 14, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06413043
Lead sponsor
All India Institute of Medical Sciences, Bhubaneswar
Responsible party
Sandip Kumar Sahu (Associate Professor, All India Institute of Medical Sciences, Bhubaneswar) — Principal investigator
First posted
May 14, 2024
Start date
May 6, 2024 (estimated)
Primary completion
Aug 5, 2025 (estimated)
Completion
Nov 5, 2025 (estimated)
Last update
May 14, 2024

Study contacts

Sandip Sahu Dr Associate Professor, MS
Contact
ophthal_sandip@aiimsbhubaneswar.edu.in
+917978243970

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

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