About this trial
This study is aimed to investigate the effect of hydroxychloroquine in patients with mild Graves' orbitopathy (GO).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Mild GO according European Group on Graves' orbitopathy (EUGOGO) guidelines diagnosed by endocrinologist and ophthalmologist.
No previous treatment of GO except for eyedrops
Euthyroidism (normalized free T4 and TSH) for at least 2 months. If radioactive iodine is used for hyperthyroidism, euthyroidism needs to be achieved for at least 6 months.
Disqualifiers
Moderate-to-sever or sight-threatening GO according to EUGOGO guidelines diagnosed by endocrinologist and ophthalmologist.
Pregnancy
Drug or alcohol abuse
Unable to comply with the study protocol
Trial design
Parallel
Treatments tested in this trial
Hydroxychloroquine
DrugCompare the effects of hydroxychloroquine 200mg twice daily for 6 months with those without treatment.
Treatment groups
Trial outcomes
Primary outcomes
The change of ophthalmic outcome
The ophthalmic outcome is a composite outcome which includes three components: eyelid aperture, soft tissue involvement and exophthalmos. The outcome is defined as "improvement" if any of the three components improves without deterioration of any other components. The outcome of "deterioration" is defined if upgrading of soft tissue involvement or evidence of worsening sight or optic nerve compression. The outcome of "stable" is defined if the ophthalmic outcome does not fit the definition of "improvement" or "deterioration".
Secondary outcomes
The change of quality of life (GO-QoL)
The outcome is grading as improvement, stable and deterioration. Improvement is defined if there are more than 6 points increase in any of the category in GO-QoL. Deterioration is defined if there are more than 6 points decrease in any of the category in GO-QoL. Stable is defined if none of above criteria is achieved.
The change of muscle volume (cm^3) on computed tomography
Change of muscle volume on noncontrast orbital CT
The change of fat volume (cm^3) on computed tomography
Change of fat volume on noncontrast orbital CT
The change of orbital volume (cm^3) on computed tomography
Change of orbital volume on noncontrast orbital CT
Sponsors and contacts
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