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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: Netherlands Trial Register
Last refreshed on: 28 April 2013
Main ID:  NTR525
Date of registration: 01/12/2005
Primary sponsor: Academic Medical Center (AMC), Department of Endocrinology and Metabolism
Public title: Comparison of the effectiveness and tolerability of different doses of intravenous glucocorticoid for the treatment of moderately severe Graves' ophthalmopathy. EUGOGO study C
Scientific title: Comparison of the effectiveness and tolerability of different doses of intravenous glucocorticoid for the treatment of moderately severe Graves' ophthalmopathy. EUGOGO study C - EUGOGO study C
Date of first enrolment: 21/9/2005
Target sample size: 159
Recruitment status: recruiting
URL:  http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=525
Study type:  intervention
Study design:  Randomised: Yes; Masking: Double; Control: Active; Group: Parallel; Type: -  
Countries of recruitment
The Netherlands
Contacts
Name: W.M.   Wiersinga
Address:  Academic Medical Center (AMC), Department of Endocrinology and Metabolism, P.O. Box 22660, Meibergdreef 9 1105 AZ Amsterdam The Netherlands
Telephone: +31 (0)20 5669111
Email: w.m.wiersinga@amc.uva.nl
Affiliation: 
Name: W.M.   Wiersinga
Address:  Academic Medical Center (AMC), Department of Endocrinology and Metabolism, P.O. Box 22660, Meibergdreef 9 1105 AZ Amsterdam The Netherlands
Telephone: +31 (0)20 5669111
Email: w.m.wiersinga@amc.uva.nl
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: 1. Graves' hyperthyroidism, euthyroid for at least two months by antithyroid drugs or surgery (at least 6 months if I131 is used;
2. Moderately severe Graves' ophthalmopathy defined as having at least one of the following signs:
a. class 2b-c
b. mono-ocular duction <30 degrees
c. diplopia Gorman score grade a-c;
3. Active Graves' ophthalmopathy (CAS 3 or higher out of 7);
4. No past treatment of the ophthalmopathy except for local measures;
5. Age 18-70 years.

Exclusion criteria: 1. CAS <3;
2. Clinically relevant optic nerve involvement;
3. General contra-indications to glucocorticoid infusions;
4. Pregnancy;
5. No informed consent;
6. Viral hepatitis;
7. Liver enzymes increased by a factor 2.


Age minimum:
Age maximum:
Gender:
Health Condition(s) or Problem(s) studied
Severe Graves' orbitopathy

Intervention(s)
Treatment with weekly methylprednisolone iv infusions, total dose 2.5, 5.0 or 7.5 gram during 12 weeks
Primary Outcome(s)
1. Efficacy
Improvement in:
a. lid aperture of at least 3 mm
b. 2 or more degrees of class 2 signs
c. proptosis by at least 2 mm
d. any duction by at least 8 degrees or improvement in diplopia score
e. CAS by at least 2 points
f. improvement of 6 or more points on the GO-QOL scales.
2. Safety
safety score (2 points to each major side effect and 1 point to each minor side effect).
Secondary Outcome(s)
Secondary ID(s)
ISRCTN17061437
MEC 05/101
Source(s) of Monetary Support
None
Secondary Sponsor(s)
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