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Active, not recruitingNCT06921304BASEDIETUpdated Apr 9, 2026

BASE-DIET: a Study on Nutritional Intervention in Patients With Graves' Disease

An interventional study of Intensive Lifestyle Intervention in Graves Disease, sponsored by Istituti Clinici Scientifici Maugeri SpA. Active, not recruiting at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-09.

Sponsored by Istituti Clinici Scientifici Maugeri SpA · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 2 months after the study started (first participant enrolled Jan 2024, registered Apr 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to determine whether a structured dietary-nutritional intervention can prevent excessive weight regain and improve body composition and lifestyle habits in adults recently diagnosed with Graves' disease (Basedow's disease).

The main questions it aims to answer are:

  • Can a dietary intervention prevent patients from regaining more than 1 kg above their pre-disease body weight after restoring euthyroidism?
  • Does the intervention lead to improvements in body composition, dietary habits, and adherence to the Mediterranean diet? Researchers will compare patients receiving an Intensive Lifestyle Intervention (ILI) including a personalized diet and lifestyle counseling to patients receiving Usual Medical Care (UMC) with general lifestyle advice to see if the dietary intervention results in less weight regain and better metabolic and anthropometric outcomes.

Participants will:

  • Receive antithyroid medication as standard medical care.
  • Be randomized into either the intervention group (ILI) or control group (UMC).

If in the ILI group, participants will:

  • Receive an individual nutritional consultation within 1 week of enrollment.
  • Follow a personalized Mediterranean-style low-energy diet.
  • Attend follow-up visits at 3, 6, 9, and 12 months for:

    • Dietary adherence and lifestyle assessments.
    • Anthropometric measurements (weight, BMI, waist/hip circumference).
    • Bioimpedance analysis (at 6 and 12 months) for body composition.
    • Dietary intake logs and adherence assessments (3-day food diary).

If in the UMC group, participants will:

  • Receive routine clinical management for Graves' disease.
  • Complete basic dietary and lifestyle questionnaires at baseline and 12 months.
  • Undergo anthropometric measurements and bioimpedance at T0 and at the end of study.

This study aims to provide evidence on the role of nutritional support in managing weight and metabolic risks in patients undergoing treatment for Graves' disease.

Read the detailed description

What is the BASE-DIET Study? The BASE-DIET study is a clinical trial looking at how a healthy diet and lifestyle program can help people newly diagnosed with Graves' disease (an autoimmune thyroid condition) manage weight changes and improve their health during and after treatment.

Graves' disease often causes weight loss when it's active. But after treatment, many people gain back the weight-and sometimes even more than they had before. This study wants to find out if a personalized diet and lifestyle approach can help prevent that excessive weight gain and promote better health outcomes.

Why is this study important? When thyroid function is brought back to normal (called "euthyroidism"), many patients regain weight. In fact, up to 80% of patients report weight gain after treatment, which can impact self-esteem and health.

Some research shows this weight gain might go beyond what people weighed before getting sick. This study wants to see whether a structured diet and lifestyle program can make a positive difference compared to the usual medical care alone.

Who is participating in the study?

Adults newly diagnosed with Graves' disease at endocrinology clinics in Italy are invited to take part. Participants must:

  • Be over 18 years old
  • Have been diagnosed within the previous month
  • Have a BMI between 16 and 35
  • Be willing to commit to a 1-year program They cannot participate if they are pregnant, have certain health conditions, or are already taking weight-related medications.

How is the study organized?

The study randomly assigns people to one of two groups:

  1. Intervention Group (ILI) - This group receives:

    • Personalized nutrition counseling by a licensed dietitian
    • A Mediterranean-style, low-calorie diet plan
    • Support on physical activity and lifestyle
    • Follow-up appointments at 3, 6, 9, and 12 months
  2. Control Group (UMC) - This group receives:

    • Standard medical care for Graves' disease
    • General lifestyle and diet tips (no personalized plan)
    • Two check-ins at the beginning and end of the 12-month period What is being measured? The main goal (primary outcome) is to see if people in the intervention group are less likely to gain more than 1 kg over their pre-disease weight after 12 months.

Secondary goals include:

  • Changes in Body Mass Index (BMI)
  • Body composition (muscle vs. fat mass)
  • Waist-to-hip ratio
  • Adherence to a Mediterranean diet
  • Improved eating habits and quality of life What happens during follow-up?

At each check-up, researchers will:

  • Measure weight, height, waist and hip size
  • Use a body composition test (bioimpedance analysis)
  • Review a 3-day food diary
  • Ask about physical activity and lifestyle changes
  • Check how closely participants follow the prescribed diet Only the intervention group receives repeated, in-depth dietary coaching. How long does the study last? The full study duration for each participant is 12 months, with an extended follow-up period for data collection.

How many people are in the study? The study plans to enroll 60 people (30 in each group), which accounts for a small number of possible dropouts.

Is the study safe and ethical?

Yes. It follows strict ethical guidelines:

  • All participants give written informed consent
  • Privacy is fully protected
  • Participation is voluntary, and people can leave at any time There are no outside sponsors-it's a non-profit, academic study led by IRCCS Maugeri in Pavia, Italy.

What will happen with the results?

Results will be:

  • Published in scientific journals
  • Shared at medical conferences
  • Made available to the public The goal is to better understand how diet can help people with Graves' disease manage their weight and improve their recovery.
02

Conditions studied

  • Graves Disease

Keywords

  • graves disease
  • diet
  • body weight
  • PREDIMED
03

In context

Graves Disease

150 studies on the registry are indexed under Graves Disease; 53 are open to participants now.

This study's planned enrollment of 54 is close to the median of 60 across 92 interventional studies indexed under Graves Disease.

Browse Graves Disease studies →

Lead sponsor

Istituti Clinici Scientifici Maugeri SpA is the lead sponsor of 113 studies on the registry; 46 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

  • Diagnosis of Graves' disease in an endocrinology setting based on the presence of thyrotoxicosis and positive TRAb antibodies.
  • Diagnosis of Graves' disease within 1 month prior to randomization.
  • BMI > 16 kg/m² and \< 35 kg/m² at the time of the first visit for Graves' disease.
  • Age > 18 years.
  • Ability to commit to the duration of the study.
  • Ability to provide informed consent and willingness to participate in the study.

Exclusion criteria

Exclusion Criteria

  • Relapse of Graves' disease or thyrotoxicosis not related to Graves' disease.
  • Any serious cardiovascular or renal event in the last 6 months.
  • Current pregnancy, breastfeeding, or planning pregnancy during the study period.
  • Any condition potentially leading to fluid overload such as heart failure (NYHA class > I) or liver cirrhosis.
  • Previously diagnosed significant psychiatric disorder (e.g., schizophrenia, post-traumatic stress disorder, obsessive-compulsive disorder).
  • Active eating disorder.
  • Uncontrolled depression.
  • Uncontrolled epilepsy.
  • Known cause of malabsorption (including uncontrolled celiac disease, lactose intolerance, or inflammatory bowel disease).
  • Ongoing therapy with weight-modifying medications (e.g., GLP-1 analogs, metformin).
  • Estimated BMI before disease onset \< 18 kg/m². This parameter will be calculated based on the "estimated pre-disease body weight" as reported by the patient.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
54 participants (estimated)

Study arms

  • No intervention
    Usual Medical Care (UMC)

    Usual Medical Care for Graves' Disease and general lifestyle advice

  • Experimental
    Intensive Lifestyle Intervention (ILI)

    Usual Medical Care for Graves' Disease plus a personalized diet and lifestyle counseling

    Behavioral: Intensive Lifestyle Intervention

Interventions

  • BehavioralIntensive Lifestyle Intervention

    ILI combines a low-calorie dietary approach with improved lifestyle and physical activity, in addition to usual medical care. Behavioral support for lifestyle intervention will also be provided.

06

What researchers measure

Primary outcomes

  1. Body weight increase vs pre-disease weight

    Weight gain compared to the estimated pre-disease body weight. A 'failure' will be defined as a weight gain of more than 1 kg above the patient-reported estimated pre-disease body weight, assessed 12 months after the start of the study. Body weight and height will be combined to report BMI in kg/m\^2

    Time frame: Through study completion, an average of 1 year

Secondary outcomes

  1. BMI changes

    Direct comparison of the BMI achieved at the end of the study period between the two groups, with subsequent calculation of weight gain relative to baseline weight. Weight change will be assessed as the difference between the weight measured in kilograms at the end of the study and that measured at the beginning, expressed as a percentage of the initial weight. Body weight and height will be combined to report BMI in kg/m\^2

    Time frame: Through study completion, an average of 1 year

  2. Adherence to the Mediterranean Diet

    A successful outcome will be defined as an improvement in adherence scores based on the PREDIMED questionnaire.

    Time frame: Through study completion, an average of 1 year

  3. Changes in body composition parameters

    This will be defined as the normalization of abnormal values of fat mass percentage, lean mass, or total body water detected at baseline (T0). For participants with optimal values at T0, success will be defined as maintaining optimal parameters; worsening of these parameters will be considered a failure.

    Time frame: Through study completion, an average of 1 year

  4. Changes in waist-to-hip ratio

    A successful outcome will be defined as an improvement in waist-to-hip ratio in participants with abnormal values at baseline. For those with optimal values at T0, maintaining optimal parameters will be considered a success, while deterioration will be considered a failure.

    Time frame: Through study completion, an average of 1 year

07

Study locations

1 site
  • Istituti Clinici Maugeri IRCCS
    Pavia, PV 27100, Italy
08

References and documents

Publications

  • Croce L, Pallavicini C, Busca N, Cali B, Bellastella G, Coperchini F, Magri F, Chiovato L, Cena H, Rotondi M. Pre-surgery dietician counseling can prevent post-thyroidectomy body weight gain: results of an intervention trial. Endocrine. 2023 Aug;81(2):246-251. doi: 10.1007/s12020-023-03365-z. Epub 2023 Apr 19. PubMed 37074559 ↗
  • Pijl H, de Meijer PH, Langius J, Coenegracht CI, van den Berk AH, Chandie Shaw PK, Boom H, Schoemaker RC, Cohen AF, Burggraaf J, Meinders AE. Food choice in hyperthyroidism: potential influence of the autonomic nervous system and brain serotonin precursor availability. J Clin Endocrinol Metab. 2001 Dec;86(12):5848-53. doi: 10.1210/jcem.86.12.8112. PubMed 11739450 ↗
  • van Veenendaal NR, Rivkees SA. Treatment of pediatric Graves' disease is associated with excessive weight gain. J Clin Endocrinol Metab. 2011 Oct;96(10):3257-63. doi: 10.1210/jc.2011-1601. Epub 2011 Aug 17. PubMed 21849528 ↗
  • Chng CL, Lim AY, Tan HC, Kovalik JP, Tham KW, Bee YM, Lim W, Acharyya S, Lai OF, Chong MF, Yen PM. Physiological and Metabolic Changes During the Transition from Hyperthyroidism to Euthyroidism in Graves' Disease. Thyroid. 2016 Oct;26(10):1422-1430. doi: 10.1089/thy.2015.0602. Epub 2016 Sep 7. PubMed 27465032 ↗
  • Kim MJ, Cho SW, Choi S, Ju DL, Park DJ, Park YJ. Changes in Body Compositions and Basal Metabolic Rates during Treatment of Graves' Disease. Int J Endocrinol. 2018 May 3;2018:9863050. doi: 10.1155/2018/9863050. eCollection 2018. PubMed 29853888 ↗
  • Krassas GE, Pontikides N, Loustis K, Koliakos G, Constantinidis T, Panidis D. Resistin levels in hyperthyroid patients before and after restoration of thyroid function: relationship with body weight and body composition. Eur J Endocrinol. 2005 Aug;153(2):217-21. doi: 10.1530/eje.1.01963. PubMed 16061827 ↗
  • Hoogwerf BJ, Nuttall FQ. Long-term weight regulation in treated hyperthyroid and hypothyroid subjects. Am J Med. 1984 Jun;76(6):963-70. doi: 10.1016/0002-9343(84)90842-8. PubMed 6731468 ↗
  • Alton S, O'Malley BP. Dietary intake in thyrotoxicosis before and after adequate carbimazole therapy; the impact of dietary advice. Clin Endocrinol (Oxf). 1985 Nov;23(5):517-20. doi: 10.1111/j.1365-2265.1985.tb01111.x. PubMed 4085132 ↗
  • Lonn L, Stenlof K, Ottosson M, Lindroos AK, Nystrom E, Sjostrom L. Body weight and body composition changes after treatment of hyperthyroidism. J Clin Endocrinol Metab. 1998 Dec;83(12):4269-73. doi: 10.1210/jcem.83.12.5338. PubMed 9851762 ↗

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 Apr 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06921304
Lead sponsor
Istituti Clinici Scientifici Maugeri SpA
Responsible party
Laura Croce (Professor, Istituti Clinici Scientifici Maugeri SpA) — Principal investigator
First posted
Apr 10, 2025
Start date
Jan 8, 2024
Primary completion
Sep 30, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Apr 9, 2026

Oversight

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

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This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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