Thyroid Hormone Dose Adjustment in Pregnancy
NCT00230802 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 48
Last updated 2016-12-23
Summary
Our aim is to compare the safety and efficacy of 2 different empiric levothyroxine dose adjustment recommendations to be made at the first confirmation of pregnancy in women with a history of hypothyroidism. Subjects will be women with a prior diagnosis of hypothyroidism who are taking thyroid hormone replacement and who are less than 8 weeks pregnant. Upon confirmation of pregnancy, subjects will be randomized to increase their weekly thyroid hormone dose by either 2 or 3 tablets (28 or 42%). Thyroid function will be evaluated every two weeks in the first 20 weeks and then again at week 30 and post-partum. Primary endpoints will be the proportion of women in each group who remain euthyroid throughout the first trimester and throughout pregnancy.
Conditions
- Pregnancy
- Hypothyroidism
Interventions
- DRUG
-
Anticipatory dose increase of levothyroxine
as it is know that levothyroxine requirement increases in pregnancy, both study arms will increase levothyroxine dose, though by different amounts.
- DRUG
-
levothyroxine
patients will increase levothyroxine dosage by 2 extra tablets of their current dose per week
- DRUG
-
levothyroxine
patients will increase levothyroxine by 3 extra tablets of their current dose per week.
Sponsors & Collaborators
-
Harvard Medical School (HMS and HSDM)
collaborator OTHER -
Brigham and Women's Hospital
lead OTHER
Principal Investigators
-
Erik Alexander, MD · Brigham and Women's Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2005-07-31
- Primary Completion
- 2010-07-31
- Completion
- 2010-07-31
Countries
- United States
Study Locations
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