Hydroxychloroquine in Mild Graves' Orbitopathy

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-75
SponsorNational Taiwan University Hospital

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Hydroxychloroquine

    Drug

    Compare the effects of hydroxychloroquine 200mg twice daily for 6 months with those without treatment.

Treatment groups

108 Participants
are divided into 2 treatment groups
Group A: HydroxychloroquineExperimental treatment 1 intervention
Group B: ControlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

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".

Time frame
at 24 weeks and 48 weeks

Secondary outcomes

1

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.

Time frame
at 24 weeks and 48 weeks
2

The change of muscle volume (cm^3) on computed tomography

Change of muscle volume on noncontrast orbital CT

Time frame
at 24 weeks and 48 weeks
3

The change of fat volume (cm^3) on computed tomography

Change of fat volume on noncontrast orbital CT

Time frame
at 24 weeks and 48 weeks
4

The change of orbital volume (cm^3) on computed tomography

Change of orbital volume on noncontrast orbital CT

Time frame
at 24 weeks and 48 weeks

Other outcomes

Sponsors and contacts

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