Prevalence of Thyroid Function Abnormalities in HIV-infected Patients

HIV Infections Clinical Trial

— THYVI  

Official title:

Prevalence of Thyroid Function Abnormalities in HIV-infected Patients: State of Play in 2012

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03149354
• Other study ID #: PI2012_843_0013
• Status: Recruiting
• Phase: N/A
• Start date: December 19, 2012
• Est. completion date: December 19, 2022

Study information

• Verified date: August 2018
• Source: Centre Hospitalier Universitaire, Amiens
• Contact: Rachel DESAILLOUD, PhD
• Phone: +33322455897
• Email: desailloud.rachel[@]chu-amiens.fr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Review the evolution of thyroid function in HIV-infected patients, with sufficient follow-up.

Description:

Since the appearance of high-efficiency anti-retrovirals (HAARTs) in the treatment of Human Immunodeficiency Virus (HIV), several studies have shown an increase in the prevalence of hypothyroidism (frank, rough or low hypothyroidism T4) in cohorts of HIV-infected adults and children. More specifically, rough hypothyroidism (increased TSH and normal thyroid peripheral hormones) have a prevalence of about 3-12% in HIV-treated patients, which is higher than the general population of about 4.3%. The etiology of frustrated hypothyroidism remains debated in the literature; Effects of antiretroviral therapy (ARV) such as Stavudine®, the effect of dyslipidemia, the effect of HIV infection itself, in proportion to severity (expressed as low CD4 cell count) and AIDS stage. Thyroid dysfunction does not appear to be of autoimmune origin, as anti-peroxidase antibodies are rarely present in HIV-infected patients, unlike the general population.

With the increased life expectancy of HIV-infected patients and the indications of different experts to be treated earlier, the duration of exposure to ARVs is also increasing. Therefore, their chronic toxicity deserves particular attention, in particular on thyroid function and / or thyroid hormone metabolism, since iatrogenicity has not been completely ruled out. In addition, clinical evidence suggests that dysthyroids may be corrected or worsened over time in HIV patients (unpublished personal data).

Today, the natural history of frustrated hypothyroidism and its consequences are not reported in patients infected with HIV. However, it is recognized in the elderly, fructified hypothyroidism evolves over time towards frank hypothyroidism; The latter is associated with an increased prevalence of dyslipidemia, atherosclerosis, diastolic hypertension and therefore an increased risk of myocardial infarction.

It therefore seems interesting to review the evolution of thyroid function in HIV-infected patients, with sufficient follow-up.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 104
• Est. completion date: December 19, 2022
• Est. primary completion date: December 19, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Major Patients.

• Infected with HIV, regardless of stage of disease and treatment, diagnosed between January 2001 and December 2012

• Follow-up at the University Hospital of Amiens.

Exclusion Criteria:

• Patients in the THIVY1 study lost to follow-up since 2001, having moved or undergoing therapeutic break-up

• Deceased Patients

• Major protected persons (under guardianship or guardianship)

• Pregnant women

• Refusal of participation

Related Conditions & MeSH terms

• HIV Infections
• Thyroid
• Thyroid Diseases

Intervention

Other:
• Assay of TSH, FT3 and FT4 by immuno-radiometric method
Assay of TSH, FT3 and FT4 by immuno-radiometric method Determine the current prevalence of hypothyroidism in HIV-infected patients

Locations

Country	Name	City	State
France	CHU Amiens Picardie	Amiens	Picardie

Sponsors (1)

Lead Sponsor	Collaborator
Centre Hospitalier Universitaire, Amiens

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Determine the current prevalence of hypothyroidism	Statistical evaluation of the occurrence of hypothyroidism (clinical and frustrated) in HIV-infected patients Presence or absence of hypothyroidism (clinical and frustration) in patients infected with HIV. Hypothyroidism is defined by TSH> 4mUI / ml and / or FT4	10 years