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Redifferentiation Therapy Using Alpha Lipoic Acid in Thyroid Cancer (RALT)

Primary Purpose

Thyroid, Cancer

Status
Withdrawn
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
alpha-lipoic acids
Sponsored by
Asan Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Thyroid focused on measuring thyroid, cancer, redifferentiation, lipoic acid

Eligibility Criteria

20 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. aged 20 to 75 years
  2. under birth control, if fertile women
  3. Groups

    • who received radioactive iodine treatment for recurrent and metastatic thyroid cancer, and did not showed any uptake at post-therapeutic whole body scan
    • who planned to receive empirical radioactive treatment due to high expected recurrence

Exclusion Criteria:

  • allergic to alpha-lipoic acid
  • severe heart failure, lung disease, or end-stage renal disease
  • liver function abnormalities (x2.5 above normal limits)
  • neuropsychologically unstable patients
  • previous history of drug medication such as oral steroid, digoxin, theophylline, carbamazepine, valproic acid, phenobarbital, methotrexate, cyclosporin, tacrolimus within 3 months before this recruitment.
  • who is already taking alpha-lipoic acid for other purpose.

Sites / Locations

  • Asan Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Low dose group

High dose group

Arm Description

Patients who will receive 600 mg/day alpha-lipoic acid

Patients who will receive 1,200 mg/day alpha-lipoic acid

Outcomes

Primary Outcome Measures

Increment of radioactive iodine uptake

Secondary Outcome Measures

Full Information

First Posted
July 18, 2011
Last Updated
July 19, 2021
Sponsor
Asan Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT01396733
Brief Title
Redifferentiation Therapy Using Alpha Lipoic Acid in Thyroid Cancer
Acronym
RALT
Official Title
Clinical Trial to Evaluate Efficacy of Redifferentiation Therapy Using Alpha-lipoic Acid in Thyroid Cancer Patients With Decreased Radioactive Iodine Uptake
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Withdrawn
Study Start Date
April 2011 (undefined)
Primary Completion Date
December 2012 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Asan Medical Center

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Radioiodine (I-131) therapy is of proven efficacy for treatment of differentiated thyroid carcinoma (DTC). However, loss of differentiation in recurrent or metastatic DTC which decrease I-131 uptake may decrease the efficacy of I-131 therapy. Therefore, strategies to improve I-131 uptake are mandatory. This study is an open label clinical study to evaluate the effectiveness of alpha-lipoic acid (ALA) for improving I-131 uptake in recurrent or metastatic of DTC with defective I-131 uptake.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Thyroid, Cancer
Keywords
thyroid, cancer, redifferentiation, lipoic acid

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Low dose group
Arm Type
Active Comparator
Arm Description
Patients who will receive 600 mg/day alpha-lipoic acid
Arm Title
High dose group
Arm Type
Active Comparator
Arm Description
Patients who will receive 1,200 mg/day alpha-lipoic acid
Intervention Type
Drug
Intervention Name(s)
alpha-lipoic acids
Intervention Description
alpha-lipoic acid 600 mg/day or 1,200 mg/day 600 mg/day - Three tablets (200mg x 3), one time per day for 3 months 1,200 mg/day - Three tablets (200mg x 3), two times per day for 3 months
Primary Outcome Measure Information:
Title
Increment of radioactive iodine uptake
Time Frame
3months after alpha-lipoic acid treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: aged 20 to 75 years under birth control, if fertile women Groups who received radioactive iodine treatment for recurrent and metastatic thyroid cancer, and did not showed any uptake at post-therapeutic whole body scan who planned to receive empirical radioactive treatment due to high expected recurrence Exclusion Criteria: allergic to alpha-lipoic acid severe heart failure, lung disease, or end-stage renal disease liver function abnormalities (x2.5 above normal limits) neuropsychologically unstable patients previous history of drug medication such as oral steroid, digoxin, theophylline, carbamazepine, valproic acid, phenobarbital, methotrexate, cyclosporin, tacrolimus within 3 months before this recruitment. who is already taking alpha-lipoic acid for other purpose.
Facility Information:
Facility Name
Asan Medical Center
City
Seoul
ZIP/Postal Code
138-736
Country
Korea, Republic of

12. IPD Sharing Statement

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Redifferentiation Therapy Using Alpha Lipoic Acid in Thyroid Cancer

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