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Oral Supplementation With Selenium in Patients With Mild Thyroid Orbitopathy

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StatusCompleted
Sponsors
Instituto de Oftalmología Fundación Conde de Valenciana

Keywords

Abstract

Background: The activity of thyroid orbitopathy can be evaluated with CAS (Clinical Activity Score) based on 7 inflammatory signs. Selenium acts as an oxide-reducing agent in thioredoxin-reductase, and as an anti-inflammatory agent by reducing the hydroxy peroxide intermediates on the cyclo-oxygenase pathways. Increased oxidative stress has been observed in Graves' disease and therefore, by incorporating an antioxidant such as selenium in patients with mild thyroid ophthalmopathy, inflammatory activity could be reduced or inactivated.
General Objective: To determine the clinical differences between patients with mild thyroid orbitopathy who were administered oral supplementation with selenium and patients who were administered oral placebo.

Description

This is a simple controlled clinical trial. In which 66 eyes of 33 patients were studied. Fifteen patients were assigned to the placebo group and 18 to the Selenium group. We randomized into two groups the patients with mild clinical activity according to CAS score. Group A took placebo pills twice a day which consisted in 100µg of starch, and Group B took a pill of Selenium 100 µg twice a day. All the subjects tool the pills during six months. Patients of both groups where examined and evaluated with CAS score before and after the first, third and sixth month of treatment.

Dates

Last Verified: 08/31/2018
First Submitted: 03/14/2019
Estimated Enrollment Submitted: 03/24/2019
First Posted: 03/25/2019
Last Update Submitted: 03/24/2019
Last Update Posted: 03/25/2019
Actual Study Start Date: 07/31/2015
Estimated Primary Completion Date: 03/31/2016
Estimated Study Completion Date: 03/31/2016

Condition or disease

Thyroid Orbitopathy

Intervention/treatment

Dietary Supplement: Group B, Selenium group

Other: Group A, Placebo group

Phase

-

Arm Groups

ArmIntervention/treatment
Placebo Comparator: Group A, Placebo group
Placebo consisted in a pill of 100 micrograms of starch, to be taken twice a day.
Other: Group A, Placebo group
Placebo pill of 100 micrograms of starch was given to be taken twice a day.
Experimental: Group B, Selenium group
Selenium consisted in a pill of 100 micrograms, to be taken twice a day.
Dietary Supplement: Group B, Selenium group
A 100 micrograms of Selenium was given to be taken twice a day.

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyAll
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- Patients with active mild thyroid orbitopathy according to CAS scale.

- Older than 18 years of age.

Exclusion Criteria:

- Patients with mild thyroid orbitopathy undergoing treatment with corticosteroids.

- Active smokers

- Patients allergic to Selenium

- Follow-up shorter than 6 months

Outcome

Primary Outcome Measures

1. Clinical Activity Score (CAS) [6 months after treatment]

Clinical Activity Score (CAS) scale consists of 7 measurements used to evaluate clinical activity of thyroid orbitopathy: Spontaneus orbital pain Gaze evoked orbital pain Conjunctival redness that is considered to be due to active GO Eyelid erythema Chemosis Eyelid swelling that is considered to be due to active GO Inflammation of plica or caruncle

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