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Radioactive iodine (RAI) administration is an effective and completely established treatment modality in hyperthyroidism including Graves' disease. Despite the long experience with radioiodine for hyperthyroidism, controversy remains regarding the optimal dose of iodine that is required to achieve long-term euthyroidism. The fixed activity administration method does not optimize the therapy, giving often too high or too low radiation to the gland, but the optimal dose per gram of thyroid mass in calculated activity administration method is also under much debates. This prospective study has been designed in order to compare the effect of different calculated doses of radioiodine on Graves' disease treatment outcome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low dose of I-131 | Active Comparator | Patients with Graves' disease who will be treated with I-131, using 100 microcurie per gram (uCi/gr) of thyroid weight |
|
| Intermediate dose | Active Comparator | Patients with Graves' disease who will be treated with 150 microcurie (uCi) of I-131 per gram of thyroid weight. |
|
| High dose | Active Comparator | Patients with Graves' disease who will be treated with I-131 using 200 uCi/gr of thyroid weight. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low dose of I-131 | Drug | We wil administer 100 micro currie of iodine per thyroid gram |
| |
| Measure | Description | Time Frame |
|---|---|---|
| change of thyroid related hormones blood level from baseline at 1,3,6 and 12 month | thyroid-stimulating hormone (TSH), T4, T3 | 1,3,6,12 month |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of hypothyroidism status at 1, 3,6 and 12 month post RAI therapy | Hypothyroidism index | 1,3,6,12 month |
| Measure | Description | Time Frame |
|---|---|---|
| Change of thyroid volume | Change of thyroid volume 1,3,6 and 12 months after therapy using ultrasonography | 1,3,6 and 12 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Seyed Rasoul Zakavi, MD. IBNM | Contact | +98-511 8012799 | Zakavir@mums.ac.ir | |
| Narjess Ayati, MD. FEBNM | Contact | +98-511 8012782 | Ayatin@mums.ac.ir |
| Name | Affiliation | Role |
|---|---|---|
| Narjess Ayati, MD, FEBNM | Nuclear Medicine Research Center | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nuclear Medicine Research Center, Ghaem Hospital | Recruiting | Mashhad | Razavi Khorasan Province | 9919991766 | Iran |
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| ID | Term |
|---|---|
| D006111 | Graves Disease |
| D006980 | Hyperthyroidism |
| ID | Term |
|---|---|
| D005094 | Exophthalmos |
| D009916 | Orbital Diseases |
| D005128 | Eye Diseases |
| D006042 | Goiter |
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| ID | Term |
|---|---|
| C000614965 | Iodine-131 |
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| Intermediate dose |
| Drug |
We will administer 150 micro currie of iodine per thyroid gram |
|
| High dose | Drug | We will administer 200 micro currie of iodine per thyroid gram |
|
| D013959 |
| Thyroid Diseases |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |