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Trial · NCT00565864

Neurocognitive and Metabolic Effects of Mild Hypothyroidism

NCT00565864, Phase 4, Completed, Oregon Health and Science University; results first posted 2018-08-22

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Neurocognitive and Metabolic Effects of Mild Hypothyroidism. Trials, record NCT00565864. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00565864

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Neurocognitive and Metabolic Effects of Mild Hypothyroidism
NCT number
NCT00565864
Status
Completed
Phases
Phase 4
Enrollment
173 participants, actual
Lead sponsor
Oregon Health and Science University
Conditions
Hypothyroidism
Interventions
L-thyroxine (L-T4)
First posted
2007-11-30
Last updated
2018-08-22
Results first posted
2018-08-22

Source ClinicalTrials.gov

Registered outcomes14

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryExecutive Function24 weeks
Iowa Gambling Task Net-5. Four decks of cards are shown face down on a computer screen. The subject chooses cards from any deck, resulting in the gain or loss of money. The subject is unaware that 2 decks are advantageous (small gains, smaller losses), while 2 are disadvantageous (large gains, larger losses). The subject's choices are classified as advantageous (X) or disadvantageous (Y), with a net score of X-Y, over 5 trials of 100 cards each. The outcome reported here is the score on the fifth trial, which is generally the best trial due to practice effects. The minimum score is -20 and the maximum score is +20. Higher scores indicate a better outcome.
PrimaryResting Energy Expenditure24 weeks
Measurement of resting energy expenditure (REE) by indirect calorimetry, corrected for lean body mass. Indirect calorimetry is performed at 21.1° C after the participant has fasted for 12h and abstains from significant physical activity for 24h. The indirect calorimeter (VMax Encore 29N Indirect Calorimeter, SensorMedics Viasys Healthcare, Yorba Linda, CA) samples expired air and analyzes it for the volume of oxygen consumed (VO2) and the volume of carbon dioxide produced (VCO2) each minute for 30mins. REE is then calculated using the modified Weir equation. Minimum REE is 23 kcal/kg LBM/day and maximum REE is 39 kcal/kg LBM/day. Within that range, higher levels are considered better for the purposes of this study.
OtherQuality of Life by SF-36 Survey24 weeks
Short Form Survey (SF-36) mental component summary, which combines results from mental component subscales of the SF-36. The SF-36 health survey (SF-36) is a questionnaire about general health and well-being (127). It consists of 8 subscales (bodily pain, general health, mental health, physical functioning, vitality, role physical, social functioning, role emotional) and two summary scales (Mental Component and Physical Component Summaries). The mental component summary is a weighted average of the 8 subscales, with more weight to role emotional and mental health subscales. Minimum score for the SF-36 mental component summary is 14. Maximum score is 50. Higher scores on the SF-36 summary scales and subscales reflect better health status and well-being.
OtherMood24 weeks
Profile of Mood States (POMS) fatigue subscale. The POMS consists of survey questions that cover 6 subscales: anxiety, confusion, depression-dejection, fatigue, tension, and vigor. Each subscale score is calculated from weighted averages of individual questions related to the subject's perception of fatigue. Minimum score for the fatigue subscale is 0. Maximum score is 30. Higher scores on the POMS fatigue subscale are worse.
OtherWorking Memory24 weeks
3-Back correct on target. The N-Back test consists of three conditions of increasing load on working memory, the 1-Back, 2-Back and 3-Back. In the 1-Back, letters are presented one at a time on a computer screen for 2 sec (1 sec interstimulus interval) during which the subject responds with a key press if a particular letter appears that had appeared on the previous screen. In the 2-Back, the subject must hold in mind letters and respond when s/he sees a letter that was previously presented two screens back. In the 3-Back, the subject responds when s'he sees a letter that was presented three screens back. N-back test measures the updating and storage functions of working memory. The test is scored as the number of targets correctly identified in each condition. The outcome of interest here is the number correct on target during the 3-Back, which is the most difficult of the three conditions. Minimum score is 0. Maximum score is 16. Higher scores are better.
OtherDeclarative Memory24 weeks
Paragraph Recall - 30 min. Subjects were read a brief story and verbally recalled it immediately and after 30 minutes. The score was the total number of story elements recalled at 30 minutes. Minimum score is 0; Maximum score is 20. Higher scores are better.
OtherMotor Learning24 weeks
Pursuit Rotor Trial 4. This test is performed on a photoelectric pursuit Rotor (Model 30014, Lafayette Instrument Company, Lafayette, IN). Subjects hold a photosensitive wand to maintain contact with a 2 cm. light disk rotating on a variable speed turntable. An initial block of 4 trials is administered at 15, 30, 45, and 60 revolutions per minute. The speed at which the subject remains on-target is the rate at which remaining trials are performed. Three blocks of eight 20-second trials are then administered, with a 20-sec rest after each trial, and a 60-sec rest period after 4 trials. This sequence is repeated after a retention interval of 30 minutes. The measure of interest here is the time the wand maintains on target during the final trial. Minimum score is 0; maximum score is 80 seconds. Higher numbers are better.
OtherTotal Energy Expenditure24 weeks
Total energy expenditure (TEE) measured by isotopic doubly labelled water (DLW) technique, corrected for lean body mass. A urine sample is collected and analyzed for background enrichment of deuterium and 18-O. The subject then drinks a dose of doubly labeled water at 1.7 gm per kg body weight, Samples are collected 2, 3 and 4 hours and seven days following the DLW dose to determine whole body equilibrium. Samples are measured as a ratio of deuterium to hydrogen in hydrogen gas and 18-O/ 16-O in CO2 using a Europa 20/20 Isotope Ratio Mass Spectrometer (Metabolic Solutions, Inc., Nashau, NH). CO2 production is then used to calculate TEE by Weir's equation. Minimum value is 36 kcal/kg LBM/day. Maximum value is 74 kcal/kg LBM/day. Within this range, higher values are considered to be better for the purposes of this study.
OtherThermic Effect of Food24 weeks
Thermic effect of food (TEF)is a measurement of energy expenditure over 5 hours following consumption of a standard test meal by indirect calorimetry. Each subject consumes a liquid mixed meal (Ensure, Ross Laboratories, 14% protein, 31.5% fat, and 54.5% carbohydrate) over 5 minutes and sampling for O2 and CO2 is then done by indirect calorimetry for the last 6 min of every 0.5 h for 5 h. For each metabolic measurement the respiratory exchange ratio (respiratory quotient or RQ = VCO2/VO2) is calculated and results converted to kilocalories by the Weir equation. Minimum value is 5 kcal/day. Maximum value is 730 kcal/day. Within this range, higher values are considered to be better for the purposes of this study.
OtherPhysical Activity Energy Expenditure24 weeks
Physical activity energy expenditure (PAEE) by accelerometry, corrected for lean body mass. The Actical activity monitoring device (Mini Mitter Co Inc, Bend, OR) utilizes a multidirectional accelerometer to monitor the occurrence and intensity of motion, or epoch (137). The Actical device measures 3 cm by 3 cm, weighs 17.0 grams, and is securely attached to a waistband and placed around the waist. The device is worn for 7 days. Data are downloaded from the accelerometer using an ActiReader and converted into total activity counts, average activity (counts per minute), time interval duration (minutes), activity ranges during sedentary, light, moderate, and vigorous activity, and accumulated time within each activity range (minutes). These data are then converted to PAEE by proprietary algorithms. Minimum value is 3 kcal/kg LBM/day. Maximum value is 40 kcal/kg LBM/day. Higher values are better.

Outcomes14

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYExecutive Function24 weeksunits on a scaleMEAN
PRIMARYResting Energy Expenditure24 weekskcal/kg LBM/dayMEAN
OTHER_PRE_SPECIFIEDQuality of Life by SF-36 Survey24 weeksunits on a scaleMEAN
OTHER_PRE_SPECIFIEDMood24 weeksunits on a scaleMEAN
OTHER_PRE_SPECIFIEDWorking Memory24 weeksunits on a scaleMEAN
OTHER_PRE_SPECIFIEDDeclarative Memory24 weeksunits on a scaleMEAN
OTHER_PRE_SPECIFIEDMotor Learning24 weekssecondsMEAN
OTHER_PRE_SPECIFIEDTotal Energy Expenditure24 weeks
The number of participants analyzed is less than the total number of participants due to a nationwide shortage of doubly labelled water during the study. This meant that not all subjects entered into the study were able to receive the doubly labelled water.
kcal/kg LBM/dayMEAN
OTHER_PRE_SPECIFIEDThermic Effect of Food24 weeks
The number of subjects who underwent measurement of thermic effect of food was less than the total number of subjects in the study due to scheduling constraints. TEF measurements take over 5 hours, and some subjects did not have sufficient time to participate in this part of the study, but were still able to conduct the other activities.
kcal/dayMEAN
OTHER_PRE_SPECIFIEDPhysical Activity Energy Expenditure24 weeksA few subjects did not have data collected due to a technical problem with downloading their data from the Actical device.kcal/kg LBM/dayMEAN

Results by group42

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Executive FunctionArm 17.9Standard Error 1.6units on a scale
Executive FunctionArm 27.5Standard Error 1.5units on a scale
Executive FunctionArm 38.8Standard Error 1.6units on a scale
Resting Energy ExpenditureArm 130.3Standard Error 0.4kcal/kg LBM/day
Resting Energy ExpenditureArm 230.0Standard Error 0.4kcal/kg LBM/day
Resting Energy ExpenditureArm 330.0Standard Error 0.5kcal/kg LBM/day
Quality of Life by SF-36 SurveyArm 141.0Standard Error 0.9units on a scale
Quality of Life by SF-36 SurveyArm 239.8Standard Error 1.1units on a scale
Quality of Life by SF-36 SurveyArm 339.4Standard Error 1.0units on a scale
MoodArm 17.4Standard Error 0.8units on a scale

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm 158
Overall StudySTARTEDArm 259
Overall StudySTARTEDArm 356
Overall StudyCOMPLETEDArm 146
Overall StudyCOMPLETEDArm 247
Overall StudyCOMPLETEDArm 345
Overall StudyNOT COMPLETEDArm 112
Overall StudyNOT COMPLETEDArm 212
Overall StudyNOT COMPLETEDArm 311

Adverse events6

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
othermedication errorProduct IssuesArm 12462
othermedication errorProduct IssuesArm 21471
othermedication errorProduct IssuesArm 32452
othersymptomsEndocrine disordersArm 10460
othersymptomsEndocrine disordersArm 21471
othersymptomsEndocrine disordersArm 31451

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm 1
Total, all-cause mortalityArm 2
Total, all-cause mortalityArm 3
Total, other adverse eventsArm 1246
Total, other adverse eventsArm 2247
Total, other adverse eventsArm 3345
Total, serious adverse eventsArm 1046
Total, serious adverse eventsArm 2047
Total, serious adverse eventsArm 3045

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
24423358DERIVEDPubMed
26700485DERIVEDPubMed
27338133DERIVEDPubMed
28460140DERIVEDPubMed
29509918DERIVEDPubMed
30165520DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests4

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed asSource
Iowa Gambling LitePrimary outcomeConductCognition
1-Back TaskOther outcomeConductCognition
2-Back TaskOther outcomeConductCognition
Pursuit Tracking TestOther outcomeConductCognition

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00565864

GET https://conductscience.org/api/trials/v1/NCT00565864/results?page=2