ClinicalTrials.gg
CompletedNCT06867913Updated Apr 11, 2025

A Study of Selenomethionine and Myo-inositol(SOLOWAYS_TM) in Patients With Autoimmune Thyroiditis Carrying the DIO2 Thr92Ala Polymorphism

An interventional study of Supplement groupx and Supplement groupx in Autoimmune Thyroiditis, sponsored by S.LAB (SOLOWAYS). Completed at 1 site in Russian Federation. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-04-11.

Sponsored by S.LAB (SOLOWAYS) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled May 2024, registered Feb 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This pilot, genotype-stratified clinical trial aims to evaluate the safety and preliminary efficacy of combined selenomethionine and myo-inositol supplementation in patients with autoimmune thyroiditis (AIT), including Hashimoto's thyroiditis, who carry the Thr92Ala (rs225014) variant in the DIO2 gene. The study will compare changes in thyroid function tests, autoantibody titers, and clinical symptoms between two cohorts: (1) carriers (homozygous or heterozygous) of the Thr92Ala variant and (2) individuals without this variant ("wild-type"). The hypothesis is that patients with the "unfavorable" DIO2 genotype will experience greater improvements in TSH levels, the free T3/ free T4 ratio, and autoimmunity markers when receiving selenomethionine plus myo-inositol, potentially due to enhanced support of thyroid hormone conversion and reduced autoimmune activity.

Read the detailed description

Rationale

  • The DIO2 gene encodes the type II iodothyronine deiodinase, which converts T4 (thyroxine) to the more active T3 (triiodothyronine) in peripheral tissues.
  • The Thr92Ala (rs225014) polymorphism may reduce enzyme activity, potentially leading to lower tissue T3 levels, even in patients with normal or slightly elevated T4 and TSH.
  • Selenium (as selenomethionine) supports the function of various selenoproteins, including deiodinases, and has been reported to reduce anti-thyroid antibody levels (particularly anti-TPO).
  • Myo-inositol has shown promise in modulating autoimmune and metabolic processes in thyroid disorders, possibly improving tissue sensitivity to thyroid hormones and reducing autoimmune inflammation.
  • A genotype-focused approach may reveal whether individuals carrying the DIO2 Thr92Ala variant derive a more substantial benefit from combined supplementation than those without the variant. 2. Study Goals
  • Primary Goal: To assess changes in TSH levels and the fT3/fT4 ratio over 12 weeks of combined selenomethionine and myo-inositol supplementation.
  • Secondary Goals:

    • To evaluate changes in thyroid autoantibody titers (anti-TPO, anti-Tg).
    • To assess thyroid ultrasound findings (vascularization, gland volume).
    • To measure improvements in patient-reported symptoms and quality of life using standardized questionnaires.
    • To determine the safety and tolerability of the combined intervention.
02

Conditions studied

  • Autoimmune Thyroiditis

Keywords

  • Thyroid gland
  • genetics
  • supplements
  • anti-TPO
  • T4
  • T3
03

In context

Thyroiditis, Autoimmune

27 studies on the registry are indexed under Thyroiditis, Autoimmune; 4 are open to participants now.

This study's enrollment of 40 is below the median of 70 across 19 interventional studies indexed under Thyroiditis, Autoimmune.

Browse Thyroiditis, Autoimmune studies →

Lead sponsor

S.LAB (SOLOWAYS) is the lead sponsor of 29 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
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

  • Adults aged 18-65 years with a clinical diagnosis of thyroiditis (elevated anti- TPO and/or anti-Tg).
  • TSH range consistent with subclinical hypothyroidism (e.g., TSH 4.5-10 mIU/L) or euthyroid status with AIT; patients on stable levothyroxine therapy are eligible if dose was unchanged for at least 6 weeks.
  • Willingness to undergo genotyping for the DIO2 Thr92Ala variant. Confirmation of the Thr92Ala variant (homozygous or heterozygous) for Cohort A; absence of this variant for Cohort B.
  • Ability to provide and comply with study procedures.

Exclusion criteria

Exclusion Criteria:

  • Overt hypothyroidism with TSH >10 mIU/L requiring immediate treatment adjustment.
  • Significant comorbidities (e.g., uncompensated heart failure, severe renal or hepatic dysfunction, uncontrolled diabetes).
  • Pregnancy or lactation (given potential changes in thyroid requirements and supplement safety considerations).
  • Known to selenium or inositol supplements.
  • Severe psychiatric disorder interfering with protocol adherence.
  • Concurrent use of high-dose selenium (>50 µg/day) or other thyroid-influencing nutraceuticals that cannot be discontinued prior to study entry.
Terms in these criteria, in plain language(3)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Cohort A (Thr92Ala Carriers)

    Dietary Supplement: Supplement groupx

  • Experimental
    Cohort B (Wild-Type DIO2)

    Dietary Supplement: Supplement groupx

Interventions

  • Dietary supplementSupplement groupx

    Selenomethionine (e.g., 100 µg/day) * Myo-inositol (e.g., 600 mg/day or higher) * Patients on levothyroxine will maintain their current dose (if clinically indicated).

  • Dietary supplementSupplement groupx

    Selenomethionine (e.g., 100 µg/day) * Myo-inositol (e.g., 600 mg/day or higher) * Patients on levothyroxine will maintain their current dose (if clinically indicated).

06

What researchers measure

Primary outcomes

  1. Change in Serum Thyroid-Stimulating Hormone (TSH) Concentration

    Change in serum TSH concentration (reported in µIU/mL) from baseline to 16 weeks. The results will be presented as the mean change in concentration.

    Time frame: 16 weeks

  2. Change in Serum Free T3/Free T4 Ratio

    Change in the ratio of serum free triiodothyronine (fT3) to free thyroxine (fT4) from baseline to 16 weeks. The outcome will be reported as the mean ratio change.

    Time frame: 16 weeks

Secondary outcomes

  1. Change in Serum Anti-Thyroid Peroxidase (anti-TPO) Antibody Concentration

    Change in the concentration of serum anti-thyroid peroxidase (anti-TPO) antibodies (measured in IU/mL) from baseline to 16 weeks. The outcome will be reported as the mean change in antibody concentration.

    Time frame: 16 weeks

  2. Change in Serum Anti-Thyroglobulin (anti-Tg) Antibody Concentration

    Change in the concentration of serum anti-thyroglobulin (anti-Tg) antibodies (measured in IU/mL) from baseline to 16 weeks. The outcome will be reported as the mean change in antibody concentration.

    Time frame: 16 weeks

  3. Thyroid Gland Ultrasound Measurements: Volume

    Ultrasound assessment of the thyroid gland will include measurement of thyroid volume (in mL) and qualitative assessment of thyroid echogenicity. Thyroid volume will be calculated using standardized ultrasound techniques, and echogenicity will be rated using a predetermined grading system.

    Time frame: 12 weeks

  4. Change in Patient-Reported Symptom Severity

    Patient-reported symptom severity will be assessed using the Patient Health Questionnaire-15 \[PHQ-15\]). , if the PHQ-15, scores range from 0 to 30, with higher scores indicating worse symptom severity. The outcome will be reported as the mean change in symptom severity score from baseline to 12 weeks.

    Time frame: 12 weeks

  5. Number of incidence of any Treatment-Related Adverse Events

    The incidence of treatment-related adverse events will be recorded and graded using the Common Terminology Criteria for Adverse Events (CTCAE v4.0). Data will be reported as the number and percentage of participants experiencing one or more adverse events.

    Time frame: 12 weeks

  6. Change in Patient-Reported Quality of Life

    Quality of life will be assessed using a validated instrument such as the World Health Organization Quality of Life-BREF (WHOQOL-BREF). For instance, scores for each domain range from 0 to 100, with higher scores indicating a better quality of life.

    Time frame: 12 weeks

07

Study locations

1 site
  • Center for New Medical Technologies
    Novosibirsk, 630090, Russian Federation
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 May 2024 to primary completion in Dec 2024, 7 months.

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

Registered
Feb 20, 2025
First posted
Mar 10, 2025
StartActual
May 15, 2024
Primary completionActual
Dec 26, 2024
CompletionActual
Feb 21, 2025
Last update
Apr 11, 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 Apr 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06867913
Lead sponsor
S.LAB (SOLOWAYS)
Collaborators
Center for New Medical Technologies, Novosibirsk, Russia
Responsible party
Sponsor
First posted
Mar 10, 2025
Start date
May 15, 2024
Primary completion
Dec 26, 2024
Completion
Feb 21, 2025
Last update
Apr 11, 2025

Oversight

Data monitoring committee
Yes
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 Mar 2025. You cannot join it, but the record below documents what was studied.

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