Trial to Evaluate the Efficacy of a Zinc, Selenium, and L-Tyrosine Supplement in the Prevention of Thyrotoxicosis in Subjects With r25191G/A SEPP1 Polymorphism
ZEST-PREP
A Randomized, Double-Blind, Placebo-Controlled Clinical Trial to Evaluate the Efficacy of a Zinc, Selenium, and L-Tyrosine Supplement in the Prevention of Thyrotoxicosis in Subjects With r25191G/A SEPP1 Polymorphism
1 other identifier
interventional
150
1 country
1
Brief Summary
This randomized, double-blind, placebo-controlled trial evaluates the efficacy of a zinc, selenium, and L-tyrosine supplement in preventing thyrotoxicosis among adults aged 18-85 with elevated TPOAb levels and the r25191G/A SEPP1 polymorphism. The study excludes those with thyroid disease, pregnant/breastfeeding women, and individuals allergic to the supplement. Key endpoints include changes in thyroid antibodies and hormones over a 6-month period. With an estimated sample size of 150 participants per group, accounting for a 20% dropout rate, the trial seeks to demonstrate the supplement's potential in reducing thyrotoxicosis risk through a genetically-informed approach.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2025
Shorter than P25 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
First Submitted
Initial submission to the registry
February 9, 2024
CompletedFirst Posted
Study publicly available on registry
February 20, 2024
CompletedStudy Start
First participant enrolled
July 30, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 15, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2025
CompletedJune 8, 2025
June 1, 2025
3 months
February 9, 2024
June 6, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percent change of Thyroid Peroxidase Antibodies (TPOAb) in subjects with r25191 SEPP1 polymorphism
6 months
Secondary Outcomes (5)
Percent change in Thyroglobulin Antibodies (TgAb) in subjects with r25191 SEPP1 polymorphism
6 months
Free Thyroxine (Free T4) change in subjects with r25191 SEPP1 polymorphism
6 months
Free Triiodothyronine (Free T3) change in subjects with r25191 SEPP1 polymorphism
6 months
Thyroid Receptor Antibodies (TRAb) change in subjects with r25191 SEPP1 polymorphism
6 months
TSH Receptor Antibodies (TSHR-Ab) change in subjects with r25191 SEPP1 polymorphism
6 months
Study Arms (2)
zinc, selenium, and L-tyrosine supplementation
EXPERIMENTALplacebo group
PLACEBO COMPARATORInterventions
zinc, selenium, and L-tyrosine in SEPP1 polymorphism
Eligibility Criteria
You may qualify if:
- Confirmed presence of one or more specified gene polymorphism r25191G/A SEPP1
- TPOAb levels \> 300 IU/mL
You may not qualify if:
- Age \< 18 years and \>85
- Pregnant or breastfeeding woman
- Subjects with allergy to any of the supplementation component patients with any established diagnosis of thyroid disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- S.LAB (SOLOWAYS)lead
- Center of New Medical Technologiescollaborator
Study Sites (1)
Center of New Medical Technologies
Novosibirsk, Novosibisk Region, 630090, Russia
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 9, 2024
First Posted
February 20, 2024
Study Start
July 30, 2025
Primary Completion
October 15, 2025
Study Completion
December 30, 2025
Last Updated
June 8, 2025
Record last verified: 2025-06
Data Sharing
- IPD Sharing
- Will not share