Hypothyroidism Clinical Trial
Official title:
Effects of Thyroid Hormone Withdrawal on Metabolic and Cardiovascular Parameters During Radioactive Iodine Therapy in Differentiated Thyroid Cancer
1. The incidence of differentiated thyroid cancer is increasing in Korea. A significant
number of them experience severe hypothyroidism in preparation for radioactive iodine
(RAI) therapy after total thyroidectomy.
2. Because the function of thyroid hormone is closely linked with lipid and glucose
metabolism, overt hypothyroidism after thyroid hormone withdrawal during RAI therapy
may induce the changes of metabolic parameters.
3. We investigate the effects of thyroid hormone withdrawal on metabolic and
cardiovascular parameters during radioactive iodine therapy in differentiated thyroid
cancer.
1. Study design measurement of various parameters during hypothyroid state (before 1
month, the day and after 1 month of RAI therapy)
2. Measurements
1. Measurement of metabolic and cardiovascular parameters
- glucose profiles : HbA1c, fasting glucose level
- lipid profiles : free fatty acid, total, LDL-, HDL-, cholesterol,
triglyceride
- adipocytokines : retinol binding protein(RBP)
- 4, leptin, resistin, adiponectin
- markers of endothelial and cardiac function : high-sensitivity C-reactive
protein(hsCRP), homocystein, B-type natriuretic peptide(BNP)
- bone turnover markers : CTX, bone ALP
2. Scoring of symptoms and signs of hypothyroidism (Zulewski score)
- symptoms
- physical signs
;
Observational Model: Case-Only, Time Perspective: Prospective
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