HypothyroidismPhase 4NCT03631771
Pediatric Risk of Hypothyroidism With Iodinated Contrast Media
A Phase 4 study testing Iohexol, Iodixanol and Iopromide in people with Hypothyroidism, run by GE Healthcare.
Trial summary
This is a Phase 4 multicenter prospective study to estimate the proportion of patients aged birth to 3 years who develop hypothyroidism within 6 months after receiving intravascular iohexol (Omnipaque™), iodixanol (Visipaque™), iopromide (Ultravist®), or ioversol (Optiray®) as the iodinated contrast medium (ICM) for… Read more about this study
- Who is it for?
- Ages Up to 3 years
- Conditions the study is for
- Hypothyroidism
- What is being tested?
- Iohexol, Iodixanol and Iopromide
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- No sites listed yet
- Study dates
- Mar 2022to Feb 2025
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Up to 3 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Male and female patients aged birth to 3 years who, as part of the standard of care in the clinical practice of medicine, are referred to and will undergo a radiographic diagnostic imaging procedure that uses intravascularly administered iohexol (Omnipaque™), iodixanol (Visipaque™), iopromide (Ultravist®), or ioversol (Optiray®) as the ICM for contrast enhancement.
- Written informed consent has been given for the patient by one or more parents or other legally acceptable representatives, as required by local regulations and laws.
- When applicable (neonates), the patient's biological mother consents to providing information about her medical history and medication usage.
- The patient has normal pre-procedure (screening) serum TFTs (TSH, TT4, FT4, TT3), TSI, and urine (UI/UCr).
- The patient's pre-procedure (screening) serum chemistry is either normal or not clinically significantly abnormal.
- The patient has normal pre-procedure (screening) eGFR for age by the revised Schwartz formula [Schwartz et al 2009].
- The patient's parent(s) or other legally acceptable representative(s) is/are able and willing to comply with the study schedule and procedures.
Who cannot join
- The planned radiographic procedure is part of a clinical research study rather than clinical practice.
- The patient has known or suspected thyroid disease, Down syndrome (trisomy 21), or Type 1 diabetes.
- The patient currently receives thyroid hormone replacement therapy, or such therapy is planned or being considered.
- The patient has been exposed to thyroid protection for imaging procedures, within the last 6 months or such procedure is planned or being considered.
- The patient currently receives one or more anti-thyroid medications, or such therapy is planned or being considered.
- The patient has known or suspected past or present exposure to thyroid suppressants, including but not limited to drugs (e.g., amiodarone), inorganic iodide (potassium iodide, sodium iodide, etc.), perchlorate, thiocyanate, nitrate, lithium, and topical iodine disinfectant (e.g., povidone-iodine).
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- The patient has undergone (or is expected to undergo during the study) radiation treatments to the head or neck.
- There is a high likelihood that the patient will undergo surgery or more than one ICM-enhanced procedure in the following 10 weeks.
- The patient has a history of hypersensitivity to ICM or any components, or a history of a severe cutaneous adverse reaction to ICM.
About this study
Official title: A Multicenter, Prospective Study to Evaluate the Risk of Hypothyroidism in Pediatric Patients Administered Intravascular Iohexol, Iodixanol, Iopromide, or Ioversol. THYROPED.
This is a Phase 4 multicenter prospective study to estimate the proportion of patients aged birth to 3 years who develop hypothyroidism within 6 months after receiving intravascular iohexol (Omnipaque™), iodixanol (Visipaque™), iopromide (Ultravist®), or ioversol (Optiray®) as the iodinated contrast medium (ICM) for clinical evaluation during an ICM-enhanced diagnostic imaging procedure.
- Conditions
- Hypothyroidism
- Being tested
- Iohexol, Iodixanol, Iopromide, Ioversol
- Keywords
- Hypothyroidism, Child, Iodine, Iodinated contrast medium (ICM), Thyroid function test (TFT), Iodixanol, Iohexol, Iopromide, Ioversol
- Medical subject headings
- Hypothyroidism
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IohexolDrug
Also called Omnipaque™
Iohexol administered intravascularly
IodixanolDrug
Also called Visipaque™
Iodixanol administered intravascularly
IopromideDrug
Also called Ultravist®
Iopromide administered intravascularly
IoversolDrug
Also called Optiray®
Ioversol administered intravascularly
| Study group | Role | What they receive |
|---|---|---|
| Iodixanol, iohexol, iopromide, or ioversol | Experimental | Investigational medicinal product administered intravascularly per usual clinical practice at each participating institution. Doses will be per usual practice. The dose of ICM, timing of ICM administration in relation to the diagnostic procedure, rate of ICM administration, and route of ICM administration will be determined by the physician performing the enhanced radiologic procedure per medical need and local clinical practice. Receives: Drug: Iohexol; Drug: Iodixanol; Drug: Iopromide; Drug: Ioversol |
What is being measured
The primary outcome is the main question the study is designed to answer.
The proportion of subjects who develop hypothyroidism post-ICM.
Measured: 6 months
Secondary outcomes (2)
Proportion of subjects with changes from baseline in thyroid function tests that exceed the available literature-reported reference change values for these parameters (ca. >60% for TSH and >30% for thyroxine [T4]; [Chaler et al 2012])
Measured: 6 months
Proportion of subjects with abnormal thyroid function tests at each time point.
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Aug 2018
- Study startMar 2022 (estimated)
- Primary completionAug 2024 (estimated)
- Study completionFeb 2025 (estimated)
Why it stopped: It was determined that a study is no longer required because the clinical question posed by the study has been answered through published literature
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HypothyroidismStudies of the same condition, open and under way.
- More trials run by GE HealthcareThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- GE Healthcare
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Bayer, Guerbet/Liebel-Flarsheim
- Responsible party
- Sponsor
- Investigators
- Paul F. Sherwin, MD, PhD, Study director, GE HealthcareZuzana Jirakova Trnkova, MD, PhD, Study director, BayerPhilippe Bourrinet, PharmD, Study director, Guerbet
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03631771
- Sponsor's protocol ID
- GE-012-103/19476/OPY-44-002
- Status last verified
- Apr 2022
- First submitted
- 13 Aug 2018
- Last updated
- 20 Apr 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Apr 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Prospective Study to Evaluate the Risk of Hypothyroidism in Pediatric Patients Administered Intravascular Iohexol, Iodixanol, Iopromide, or Ioversol. THYROPED.
- ClinicalTrials.gov ID
- NCT03631771
- Acronym / sponsor ID
- GE-012-103/19476/OPY-44-002
- Conditions
- Hypothyroidism
- Keywords
- Hypothyroidism, Child, Iodine, Iodinated contrast medium (ICM), Thyroid function test (TFT), Iodixanol, Iohexol, Iopromide
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: It was determined that a study is no longer required because the clinical question posed by the study has been answered through published literature
- Enrolment
- 0 participants (actual)
- Lead sponsor
- GE HealthcareIndustry (pharma, biotech, devices)
- Collaborators
- Bayer, Guerbet/Liebel-Flarsheim
- Study start
- Mar 2022 (estimated)
- Primary completion
- Aug 2024 (estimated)
- Study completion
- Feb 2025 (estimated)
- First posted
- 15 Aug 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 4 multicenter prospective study to estimate the proportion of patients aged birth to 3 years who develop hypothyroidism within 6 months after receiving intravascular iohexol (Omnipaque™), iodixanol (Visipaque™), iopromide (Ultravist®), or ioversol (Optiray®) as the iodinated contrast medium (ICM) for clinical evaluation during an ICM-enhanced diagnostic imaging procedure.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Iodixanol, iohexol, iopromide, or ioversol | Experimental | Drug: Iohexol, Drug: Iodixanol, Drug: Iopromide, Drug: IoversolInvestigational medicinal product administered intravascularly per usual clinical practice at each participating institution. Doses will be per usual practice. The dose of ICM, timing of ICM administration in relation to the diagnostic procedure, rate of ICM administration, and route of ICM administration will be determined by the physician performing the enhanced radiologic procedure per medical need and local clinical practice. |
Who may qualify
- Ages
- Up to 3 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (7 listed)
- Male and female patients aged birth to 3 years who, as part of the standard of care in the clinical practice of medicine, are referred to and will undergo a radiographic diagnostic imaging procedure that uses intravascularly administered iohexol (Omnipaque™), iodixanol (Visipaque™), iopromide (Ultravist®), or ioversol (Optiray®) as the ICM for contrast enhancement.
- Written informed consent has been given for the patient by one or more parents or other legally acceptable representatives, as required by local regulations and laws.
- When applicable (neonates), the patient's biological mother consents to providing information about her medical history and medication usage.
- The patient has normal pre-procedure (screening) serum TFTs (TSH, TT4, FT4, TT3), TSI, and urine (UI/UCr).
- The patient's pre-procedure (screening) serum chemistry is either normal or not clinically significantly abnormal.
Key exclusion criteria (9 listed)
- The planned radiographic procedure is part of a clinical research study rather than clinical practice.
- The patient has known or suspected thyroid disease, Down syndrome (trisomy 21), or Type 1 diabetes.
- The patient currently receives thyroid hormone replacement therapy, or such therapy is planned or being considered.
- The patient has been exposed to thyroid protection for imaging procedures, within the last 6 months or such procedure is planned or being considered.
- The patient currently receives one or more anti-thyroid medications, or such therapy is planned or being considered.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| IohexolAlso: Omnipaque™Iohexol administered intravascularly | Drug | Iodixanol, iohexol, iopromide, or ioversol |
| IodixanolAlso: Visipaque™Iodixanol administered intravascularly | Drug | Iodixanol, iohexol, iopromide, or ioversol |
| IopromideAlso: Ultravist®Iopromide administered intravascularly | Drug | Iodixanol, iohexol, iopromide, or ioversol |
| IoversolAlso: Optiray®Ioversol administered intravascularly | Drug | Iodixanol, iohexol, iopromide, or ioversol |
Primary outcome
The proportion of subjects who develop hypothyroidism post-ICM.
Time frame: 6 months
2 secondary outcomes
Proportion of subjects with changes from baseline in thyroid function tests that exceed the available literature-reported reference change values for these parameters (ca. >60% for TSH and >30% for thyroxine [T4]; [Chaler et al 2012])
Time frame: 6 months
Proportion of subjects with abnormal thyroid function tests at each time point.
Time frame: 6 months
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Apr 2022.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Paul F. Sherwin, MD, PhD study director
GE Healthcare
Zuzana Jirakova Trnkova, MD, PhD study director
Bayer
Philippe Bourrinet, PharmD study director
Guerbet
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Iohexol, Iodixanol and Iopromide in people with Hypothyroidism, run by GE Healthcare.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 20 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The proportion of subjects who develop hypothyroidism post-ICM. (time frame: 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Apr 2022.