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CompletedNCT07754370CH-LT4Updated Aug 10, 2026

Levothyroxine Dosing in Neonatal Congenital Hypothyroidism

A Phase 4 interventional study of Levothyroxine and Levothyroxine in Congenital Hypothyroidism, sponsored by Menoufia University. Completed at 1 site in Egypt. Open to participants aged 0 Days to 28 Days. Per ClinicalTrials.gov, last updated 2026-08-10.

Sponsored by Menoufia University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Nov 2025, registered Aug 2026).
Phase
Phase 4
Study type
Interventional
Enrollment
101
Allocation
Randomized
Ages
0 Days to 28 Days
Sex
All
01

Study summary

This randomized controlled trial compared high-dose and moderate-dose levothyroxine as initial therapy for neonates with primary congenital hypothyroidism. One hundred one infants were randomized to receive either approximately 12.85 or 7.65 µg/kg/day. Thyroid function and dose adjustments were assessed every 2 weeks over the first six weeks of treatment to evaluate efficacy and safety.

02

Conditions studied

  • Congenital Hypothyroidism

Keywords

  • Congenital hypothyroidism; Levothyroxine; Neonatal screening; Randomized controlled trial
03

In context

Congenital Hypothyroidism

27 studies on the registry are indexed under Congenital Hypothyroidism; 9 are open to participants now.

Browse Congenital Hypothyroidism studies →

Lead sponsor

Menoufia University is the lead sponsor of 199 studies on the registry; 54 are open to participants now.

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

04

Who can participate

Ages eligible
0 Days to 28 Days
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

  • Neonates diagnosed with primary congenital hypothyroidism.
  • Full-term infants.
  • Newly diagnosed.
  • Treatment initiated during the neonatal period.
  • Written informed parental consent.

Exclusion criteria

Exclusion Criteria:

  • Central congenital hypothyroidism.
  • Prematurity.
  • Major congenital malformations.
  • Serious systemic illness affecting thyroid function.
  • Previously thyroid hormone therapy.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
101 participants (actual)

Study arms

  • Experimental
    High-dose Levothyroxine Group

    Participants received initial levothyroxine therapy at a mean dose of 12.85 ± 1.12 µg/kg/day

    Drug: Levothyroxine

  • Active comparator
    Moderate-dose Levothyroxine Group

    Participants received initial levothyroxine therapy at a mean dose of 7.65 ± 0.56 µg/kg/day.

    Drug: Levothyroxine

Interventions

  • High-dose Levothyroxine Group (Experimental Arm) Intervention Description: Oral levothyroxine sodium was initiated immediately after diagnosis of primary congenital hypothyroidism at a high initial dose of approximately 10-15 µg/kg/day (mean initial dose: 12.85 ± 1.12 µg/kg/day). The dose was subsequently adjusted according to serial thyroid function tests (TSH and free T4 levels) during follow-up.

  • Moderate-dose Levothyroxine Group (Active Comparator) Oral levothyroxine sodium was initiated immediately after diagnosis of primary congenital hypothyroidism at a moderate initial dose of approximately 7-9 µg/kg/day (mean initial dose: 7.65 ± 0.56 µg/kg/day). The dose was subsequently adjusted according to serial thyroid function tests (TSH and free T4 levels) during follow-up.

06

What researchers measure

Primary outcomes

  1. Normalization of thyroid function after two weeks of treatment

    Comparison of serum TSH and free T4 between treatment groups after two weeks of levothyroxine therapy.

    Time frame: Two weeks

07

Study locations

1 site
  • Faculty of Medicine, Menoufia University
    Shibīn al Kawm, Menoufia 32511, Egypt
08

References and documents

Individual participant data

Plan to share: No — IPD will not be shared due to ethical and privacy considerations related to neonatal participant data. Only aggregated study results will be reported.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2025 to primary completion in Jul 2026, 8 months.

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

Registered
Aug 4, 2026
First posted
Aug 10, 2026
StartActual
Nov 2, 2025
Primary completionActual
Jul 20, 2026
CompletionActual
Jul 20, 2026
Last update
Aug 10, 2026
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 Aug 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07754370
Responsible party
Amira Fathy El-Fiky (Lecturer of pediatrics, Menoufia University) — Principal investigator
First posted
Aug 10, 2026
Start date
Nov 2, 2025
Primary completion
Jul 20, 2026
Completion
Jul 20, 2026
Last update
Aug 10, 2026

Oversight

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 Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Thyroxine

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