A Randomized Controlled Trial of Thyroid Hormone Supplementation in Hemodialysis Patients
NCT03977207 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 336
Last updated 2025-09-08
Summary
Hypothyroidism, defined by elevated thyrotropin (TSH) levels, is a common endocrine complication in chronic kidney disease patients, and prior evidence shows that higher TSH levels, even within the normal laboratory range, are strongly associated with impaired quality of life and cardiovascular disease in this population. Levothyroxine is one of the most frequently prescribed medications in chronic kidney disease, yet its efficacy and safety in these patients have not been well-studied. Hence, this study will investigate 1) whether levothyroxine improves patient-centered (e.g., health-related quality of life, physical performance, strength) and 2) cardiovascular (e.g., coronary artery calcification, endothelial function, systolic function) outcomes in dialysis patients, and 3) if thyroid hormone replacement exerts classic metabolic effects (i.e., changes in body fat and resting energy expenditure) in this population.
Conditions
- Thyroid; Functional Disturbance
- Hypothyroidism
- Hemodialysis
Interventions
- DRUG
-
Levothyroxine Sodium
Thyroid hormone supplement
- DRUG
-
Placebos
Placebo oral capsule
Sponsors & Collaborators
-
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
collaborator NIH -
University of California, Irvine
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-07-20
- Primary Completion
- 2025-11-30
- Completion
- 2025-11-30
Countries
- United States
Study Locations
More Related Trials
-
Thyroid Hormone Replacement for Subclinical Hypothyroidism
NCT01660126 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Thyroid Hormone Replacement on Fatigability in Untreated Older Adults With Subclinical Hypothyroidism
NCT02500342 ·Status: COMPLETED ·Phase: PHASE4
-
Thyroxine Replacement in Organ Donors
NCT00238030 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Levothyroxine Supplementation for Heart Transplant Recipients
NCT06428097 ·Status: RECRUITING ·Phase: PHASE1
-
Thyroid Hormone Dose Adjustment in Pregnancy
NCT00230802 ·Status: COMPLETED ·Phase: NA
-
Levothyroxine Treatment and IVF Outcomes in Women With Subclinical Hypothyroidism: A Target Trial Emulation
NCT07257250 ·Status: RECRUITING
-
Thyroid Hormone Replacement for Subclinical Hypothyroidism and Chronic Heart Failure (ThyroHeart-CHF)
NCT03096613 ·Status: UNKNOWN ·Phase: PHASE4
-
Study of Optimal Replacement of Thyroxine in the Elderly
NCT01647750 ·Status: COMPLETED ·Phase: PHASE4
-
Novel Approaches to the Treatment of Hypothyroidism
NCT06731764 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Thyroid Replacement Therapy in Patients With Subclinical Hypothyroidism
NCT04953195 ·Status: UNKNOWN ·Phase: PHASE4
-
Evluation of Thyroid Functions in Hemodialysis Childern in Sohag University Hospital
NCT05451472 ·Status: UNKNOWN ·Phase: NA
-
Neurocognitive and Metabolic Effects of Mild Hypothyroidism
NCT00565864 ·Status: COMPLETED ·Phase: PHASE4
-
Desiccated Thyroid Extract Versus Synthetic T3/T4 Combination (ThyrolarTM) Versus L-T4 Alone in the Therapy of Primary Hypothyroidism With Special Attention to the Gene Polymorphism
NCT02317926 ·Status: UNKNOWN ·Phase: NA
-
Effects of L-carnitine on Hypothyroidism
NCT01769157 ·Status: COMPLETED ·Phase: PHASE4
-
Evaluation of Oxidative Stress and Effect of Levothyroxine Treatment on Oxidative Stress in Hashimoto Disease
NCT01102205 ·Status: COMPLETED
-
Effect of Age, Weight and Sex on Levothyroxine Pharmacokinetics
NCT03102177 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Effects of Levothyroxine on Endothelial Function of Patients With Subclinical Hypothyroidism
NCT02090907 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Effects of Thyroid Hormone Enzyme Blocking on Hypothyroidism
NCT01801033 ·Status: WITHDRAWN
-
Discontinuation of Levothyroxine Therapy for Patients With Subclinical Hypothyroidism
NCT04288115 ·Status: COMPLETED ·Phase: PHASE4
-
Long-Term Efficacy and Safety of Once-Weekly Levothyroxine Regimen in Hypothyroid Patients
NCT07133295 ·Status: COMPLETED
-
Thyroid Hormone Replacement for Hypothyroidism and Acute Myocardial Infarction(ThyroHeart-AMI)
NCT02512978 ·Status: UNKNOWN ·Phase: PHASE4
-
Thyroxine Therapy for Recurrent Pregnancy Loss in Hypothyroid Women
NCT06036576 ·Status: COMPLETED ·Phase: PHASE3
-
Quality of Life After Interventional Thyroid Treatment
NCT03880578 ·Status: COMPLETED
-
Thyroxin in Subclinical Hypothyroidism
NCT03712683 ·Status: COMPLETED ·Phase: NA
-
Study of Resistance to Thyroid Hormone After Long-term Exposure in People With Thyroid Cancer
NCT04868045 ·Status: WITHDRAWN ·Phase: PHASE1