This is a multi-center, prospective, parallel-group, open-label, randomized clinical study in one hundred and twenty-six (126) neonates and infants diagnosed with CH. Subjects will be randomized in a 2:1 ratio to Treatment (Tirosint®-SOL) or Control (conventional therapy with levothyroxine sodium crushed tablets).
Newly diagnosed neonates will be randomly assigned to start therapy with LT4 at the initial dose recommended by the Standard of Care (SOC). Infants already on LT4 therapy will continue at the same daily dose within the randomly assigned treatment group (dose adjustments are allowed, if needed based on laboratory parameters and clinical response). Once enrolled, subjects will be treated and followed for 12 months (±1.5 months), participating in 7-8 study visits, consisting of 6-7 inclinic and 1-2 (or more if follow-up visits are required) telemedicine (TM) visits. The total number of visits depends on the age at inclusion.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
34
Dosage will be according to the USPI and Standard of Care.
Tablets will be crushed and dissolved in solution. Dosage will be according to the USPI and Standard of Care.
Children's Hospital of Los Angeles
Los Angeles, California, United States
CHOC Children's Hospital
Orange, California, United States
University of California San Francisco
San Francisco, California, United States
LT4 dose required to maintain TSH in target range (unit: mcg/kg/day)
The LT4 dose is calculated based on the daily LT4 dose (mcg) used in the time period preceding the visit (or the average daily dose on a weekly basis if more than one strength is used over the course of the week) and the body weight (kg) measured during the visit.
Time frame: Up to 22 months based on age group
Hormonal profile for TSH
TSH (unit mU/L)
Time frame: Up to 22 months based on age group
Hormonal profile for FT4
FT4 (unit ng/dL)
Time frame: Up to 22 months based on age group
Frequency of dose adjustments
Percent number of subjects (%) who need a dose adjustment in the long-term follow up phase
Time frame: Up to 22 months based on age group
Number of events of TSH values above 4.5 mU/L
TSH value above 4.5 mU/L
Time frame: Up to 22 months based on age group
Number of events of FT4 values below the middle of the laboratory normal range
FT4 value below the middle of the laboratory normal range
Time frame: Up to 22 months based on age group
Growth pattern for length of body
Subject growth measurements in Length (cm) of body
Time frame: Up to 22 months based on age group
Growth pattern for body weight
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Yale University
New Haven, Connecticut, United States
Children's Hospital of Atlanta
Atlanta, Georgia, United States
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
Boston Children's Hospital
Boston, Massachusetts, United States
Children's Mercy Hospital and Clinics
Kansas City, Missouri, United States
Children's Hospital Medical Center
Cincinnati, Ohio, United States
Cook Children's Health Care Systems
Fort Worth, Texas, United States
Subject growth measurements in Body weight (kg)
Time frame: Up to 22 months based on age group
Growth pattern for head circumference
Subject growth measurements in Head circumference (cm)
Time frame: Up to 22 months based on age group
Parent/caregiver reports of satisfaction and ease of administration
Parents Satisfaction Questionnaire is a study-specific tool measuring coping and mental well-being and satisfaction Score: 1-Strongly disagree, 2-Disagree, 3-Neutral, 4-Agree, 5-Strongly agree.
Time frame: Up to 22 months based on age group
Subject acceptance of the treatment (CareCAT)
Caregiver Administered Children's Acceptance Tool (CareCAT) is a 5-point nominal scale used to assess the acceptance of oral medicines in infants and toddlers who are unable to verbally give their opinion about a medicine
Time frame: Up to 22 months based on age group
Signs and symptoms of hypothyroidism
Total number of subjects experiencing hypothyroidism's signs and symptoms
Time frame: Up to 22 months based on age group
Signs and symptoms of hyperthyroidism
Total number of subjects experiencing hyperthyroidism's signs and symptoms
Time frame: Up to 22 months based on age group