Thyroid Disease in Pregnancy: Case Finding Versus Universal Screening
Impact of Treating Thyroid Hormone Dysfunction During Pregnancy: A Randomized Controlled Trial of Universal Screening Versus Case Finding
1 other identifier
interventional
4,657
1 country
1
Brief Summary
The purpose of this study is to determine whether treatment of thyroid disease during pregnancy decrease the incidence of adverse outcome, and to compare the impact of Universal Screening versus case Finding strategy in detecting thyroid dysfunction
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2005
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedFirst Submitted
Initial submission to the registry
February 18, 2009
CompletedFirst Posted
Study publicly available on registry
February 19, 2009
CompletedSeptember 27, 2011
September 1, 2011
3 years
February 18, 2009
September 26, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
number of adverse outcomes which occur during pregnancy and in the neonatal period in patients divided in Case Finding and Universal Screening groups
9 months
Secondary Outcomes (2)
Evaluation of the efficacy of Case Finding and Screening strategy
4 years
Intelligence Quotient
6 years
Study Arms (2)
Levothyroxine, Propylthiouracil
ACTIVE COMPARATORDrugs for the treatment of thyroid disease, are administered, when necessary, in high risk women, either in case finding, or in Universal Screening Group
clinical checks
NO INTERVENTIONLow risk women whose sera are tested postpartum. Then patients with undiagnosed thyroid disease, are not treated
Interventions
Drugs were titrated to render euthyroid pregnant patients with thyroid disease
Eligibility Criteria
You may qualify if:
- Pregnant women
- Within 11 week of gestation
You may not qualify if:
- Already known thyroid disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
"V. Fazzi" Hospital
Lecce, 73100, Italy
Related Publications (2)
Negro R, Schwartz A, Gismondi R, Tinelli A, Mangieri T, Stagnaro-Green A. Thyroid antibody positivity in the first trimester of pregnancy is associated with negative pregnancy outcomes. J Clin Endocrinol Metab. 2011 Jun;96(6):E920-4. doi: 10.1210/jc.2011-0026. Epub 2011 Mar 16.
PMID: 21411559DERIVEDStagnaro-Green A, Schwartz A, Gismondi R, Tinelli A, Mangieri T, Negro R. High rate of persistent hypothyroidism in a large-scale prospective study of postpartum thyroiditis in southern Italy. J Clin Endocrinol Metab. 2011 Mar;96(3):652-7. doi: 10.1210/jc.2010-1980. Epub 2010 Dec 29.
PMID: 21190974DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Roberto Negro, Dr
"V. Fazzi" Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
February 18, 2009
First Posted
February 19, 2009
Study Start
March 1, 2005
Primary Completion
March 1, 2008
Study Completion
December 1, 2008
Last Updated
September 27, 2011
Record last verified: 2011-09