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Last Updated: January 19, 2025

CLINICAL TRIALS PROFILE FOR THYROTROPIN


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505(b)(2) Clinical Trials for Thyrotropin

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Formulation NCT00054756 ↗ Study of Thyrotropin-Releasing Hormone in Normal Volunteers and in Patients With Thyroid or Pituitary Abnormalities Completed National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Phase 2 2003-02-07 This study will determine the safety and activity of a new formulation of thyrotropin-releasing hormone (TRH), a drug used for diagnosing and evaluating patients with certain thyroid gland abnormalities. Normal thyroid gland function depends on proper chemical signaling between the thyroid gland, the hypothalamus (the part of the brain where TRH is made), and the pituitary (another part of the brain). The TRH test helps assess this interaction. Production of the only FDA-approved preparation of TRH was stopped in July 2002. As a result, to have a continuous source of TRH available for NIH clinical and research purposes, the NIH Clinical Center (CC) Pharmacy Department produced a pharmaceutical grade formulation of TRH for patient use. This study will test the CC formulation in healthy volunteers to show that its activity and side effects are similar to those of the previously available commercial test preparation. It will then be studied in CC patients for whom the diagnostic test is recommended. Healthy volunteers between 18 and 65 years of age and all patients requiring TRH evaluation of hypothalamic-pituitary-thyroid gland interaction may be eligible for this study. Patients include those with pituitary reserve, inconsistent thyroid function test, inappropriate TSH secretion, or pre- and post-operative evaluation of pituitary tumors. Normal volunteers will be screened with a medical history, physical examination, and blood tests. Women of child-bearing potential will be given a pregnancy test; pregnant and breast-feeding women may not participate. The TRH test procedure will be the same for healthy volunteers and patients. All participants fast from midnight before the morning of the test. In the morning, a catheter (flexible plastic tube) is inserted into an arm vein for easy injection of the TRH and collection of blood samples. Blood pressure is monitored before and during the test. A blood sample is drawn, and then TRH is given through the catheter over a 1-minute period. Another nine blood samples are collected over a 3-hour period from the time of the TRH injection for measuring levels of various hormones. A total of less than 4 tablespoons of blood is taken for the test.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Thyrotropin

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00004778 ↗ Phase III Randomized, Double-Blind, Placebo-Controlled Study of Antenatal Thyrotropin-Releasing Hormone in Pregnant Women With Threatened Premature Delivery Completed Children's Hospital of Philadelphia Phase 3 1993-08-01 OBJECTIVES: I. Evaluate the effect of thyrotropin-releasing hormone (TRH) on the severity of initial lung disease and occurrence of chronic lung disease when given antenatally to women with threatened premature delivery. II. Evaluate possible mechanisms for the effects of TRH on the severity and incidence of chronic lung disease. III. Investigate whether a deficiency in endogenous cortisol and/or thyroid hormones after birth influences the severity of lung disease and the development of chronic lung disease.
NCT00004778 ↗ Phase III Randomized, Double-Blind, Placebo-Controlled Study of Antenatal Thyrotropin-Releasing Hormone in Pregnant Women With Threatened Premature Delivery Completed Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Phase 3 1993-08-01 OBJECTIVES: I. Evaluate the effect of thyrotropin-releasing hormone (TRH) on the severity of initial lung disease and occurrence of chronic lung disease when given antenatally to women with threatened premature delivery. II. Evaluate possible mechanisms for the effects of TRH on the severity and incidence of chronic lung disease. III. Investigate whether a deficiency in endogenous cortisol and/or thyroid hormones after birth influences the severity of lung disease and the development of chronic lung disease.
NCT00004778 ↗ Phase III Randomized, Double-Blind, Placebo-Controlled Study of Antenatal Thyrotropin-Releasing Hormone in Pregnant Women With Threatened Premature Delivery Completed National Center for Research Resources (NCRR) Phase 3 1993-08-01 OBJECTIVES: I. Evaluate the effect of thyrotropin-releasing hormone (TRH) on the severity of initial lung disease and occurrence of chronic lung disease when given antenatally to women with threatened premature delivery. II. Evaluate possible mechanisms for the effects of TRH on the severity and incidence of chronic lung disease. III. Investigate whether a deficiency in endogenous cortisol and/or thyroid hormones after birth influences the severity of lung disease and the development of chronic lung disease.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Thyrotropin

Condition Name

Condition Name for Thyrotropin
Intervention Trials
Thyroid Cancer 3
Subclinical Hypothyroidism 2
Hypothyroidism 2
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Condition MeSH

Condition MeSH for Thyrotropin
Intervention Trials
Thyroid Diseases 10
Thyroid Neoplasms 5
Hypothyroidism 4
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Clinical Trial Locations for Thyrotropin

Trials by Country

Trials by Country for Thyrotropin
Location Trials
United States 17
Denmark 4
France 2
China 2
United Kingdom 1
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Trials by US State

Trials by US State for Thyrotropin
Location Trials
Maryland 5
Texas 2
California 2
Connecticut 1
Minnesota 1
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Clinical Trial Progress for Thyrotropin

Clinical Trial Phase

Clinical Trial Phase for Thyrotropin
Clinical Trial Phase Trials
Phase 4 4
Phase 3 2
Phase 2/Phase 3 1
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Clinical Trial Status

Clinical Trial Status for Thyrotropin
Clinical Trial Phase Trials
Completed 18
Recruiting 3
Unknown status 3
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Clinical Trial Sponsors for Thyrotropin

Sponsor Name

Sponsor Name for Thyrotropin
Sponsor Trials
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) 7
Children's Hospital of Philadelphia 2
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 2
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Sponsor Type

Sponsor Type for Thyrotropin
Sponsor Trials
Other 29
NIH 14
Industry 4
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Thyrotropin: Clinical Trials, Market Analysis, and Projections

Introduction

Thyrotropin, specifically recombinant human thyrotropin (rhTSH), has been a significant advancement in the management of thyroid cancer and thyroid function testing. This article delves into the latest clinical trials, market analysis, and future projections for this drug.

Clinical Trials Update

Efficacy and Safety of Recombinant Human Thyrotropin

Recent clinical trials have focused on comparing the efficacy and safety of recombinant human thyrotropin (SNA001) with thyroid hormone withdrawal (THW) for radioactive iodine (RAI) therapy in patients with differentiated thyroid cancer (DTC).

  • A randomized clinical trial involving 307 patients with intermediate-risk DTC demonstrated that SNA001 was noninferior to THW in successful RAI therapy. The trial, conducted in China from 2020 to 2021, showed that SNA001 had a favorable safety profile with a lower incidence of adverse events compared to THW[4].

  • The primary endpoint of the trial was the success rate after 6 to 8 months of RAI therapy, defined as a negative diagnostic whole-body scan result and a stimulated thyroglobulin level less than 1.0 ng/mL. The results supported the use of recombinant human thyrotropin as an alternative to THW, avoiding the deleterious effects of short-term hypothyroidism and reducing radiation exposure[4].

Historical Context

Thyrogen (thyrotropin alfa), a recombinant form of TSH, was approved by the FDA in 1998 for use as an adjunctive diagnostic tool in the follow-up of patients with well-differentiated thyroid cancer. Clinical trials at that time showed that Thyrogen significantly enhanced the sensitivity of thyroglobulin testing in patients maintained on thyroid hormone therapy[1].

Market Analysis

Current Market Size and Growth

The thyroid function test market, which includes the use of thyrotropin, is experiencing significant growth. As of 2024, the market size is estimated at USD 1.79 billion and is projected to reach USD 2.35 billion by 2029, growing at a CAGR of 5.53% during the forecast period[2].

  • The COVID-19 pandemic had a notable impact on the market, as patients with thyroid disorders were more prone to severe COVID-19 infection, leading to increased demand for thyroid tests to manage thyroid hormone levels. Studies showed that the severity of COVID-19 was correlated with changes in serum TSH and TT3 levels, highlighting the importance of thyroid function testing during the pandemic[2].

Key Drivers of Market Growth

Several factors are driving the growth of the thyroid function test market:

  • Increasing Prevalence of Thyroid Disorders: The rising incidence of thyroid diseases, including thyroid cancer, is a major driver. For instance, the American Cancer Society estimates that about 43,720 new cases of thyroid cancer will be diagnosed in 2023[2].

  • Lifestyle Factors: Increasing tobacco and alcohol consumption, along with sedentary lifestyles and rising obesity rates, are contributing to the growth. The World Obesity Atlas 2023 estimates that the population of overweight or obese individuals will be 3,041 million in 2025[2].

  • Advancements in Testing: Technological advancements in thyroid testing and the emergence of new diagnostic tools are also driving market growth[2].

Regional Market Analysis

North America is anticipated to hold a significant market share due to the high prevalence of thyroid diseases and strategic activities by key players. The region's high incidence of thyroid cancer and government initiatives for endocrinology studies further contribute to the demand for thyroid function tests[2].

Market Projections

Future Growth

The thyroid function test market is expected to continue its growth trajectory. By 2030, the market is projected to reach USD 2.47 billion, growing at a CAGR of 5.53% from 2024 to 2030[2].

  • Long-Term Projections: Some reports suggest that the market could expand even further, reaching USD 9.62 billion by 2037, with a CAGR of around 8.8% from 2025 to 2037[5].

Impact of Clinical Trials

The positive outcomes from clinical trials comparing recombinant human thyrotropin with THW are expected to further boost the market. The noninferiority and favorable safety profile of SNA001 will likely increase its adoption in clinical practice, contributing to market growth[4].

Industry Insights and Expert Opinions

Expert Views

Industry experts emphasize the importance of recombinant human thyrotropin in improving patient outcomes. For example, the American Thyroid Association guidelines recommend the use of recombinant human thyrotropin instead of THW to prepare for RAI therapy in patients with low- or intermediate-risk DTC, highlighting its clinical utility[4].

Technological Advancements

Advancements in diagnostic technologies and the integration of new biomarkers are expected to enhance the accuracy and efficiency of thyroid function tests. This will not only improve patient care but also drive market growth by increasing the demand for these advanced diagnostic tools[2].

Key Takeaways

  • Clinical Efficacy: Recombinant human thyrotropin has been shown to be noninferior to THW in successful RAI therapy for patients with intermediate-risk DTC, with a favorable safety profile.
  • Market Growth: The thyroid function test market is expected to grow significantly, driven by the increasing prevalence of thyroid disorders, lifestyle factors, and advancements in testing technologies.
  • Regional Dominance: North America is anticipated to lead the market due to high prevalence rates and strategic initiatives.
  • Future Projections: The market is projected to reach USD 2.47 billion by 2030 and potentially USD 9.62 billion by 2037.

FAQs

What is recombinant human thyrotropin used for?

Recombinant human thyrotropin (rhTSH) is used as an adjunctive diagnostic tool for serum thyroglobulin testing and radioiodine imaging in the follow-up of patients with well-differentiated thyroid cancer. It helps avoid the need for thyroid hormone withdrawal and its associated debilitating effects[1].

How does recombinant human thyrotropin compare with thyroid hormone withdrawal?

Clinical trials have shown that recombinant human thyrotropin is noninferior to thyroid hormone withdrawal (THW) in successful RAI therapy for patients with intermediate-risk DTC. It also has a favorable safety profile, reducing the incidence of adverse events associated with THW[4].

What are the key drivers of the thyroid function test market growth?

The key drivers include the increasing prevalence of thyroid disorders, lifestyle factors such as tobacco and alcohol consumption and sedentary lifestyles, and advancements in thyroid testing technologies[2].

Which region is expected to lead the thyroid function test market?

North America is anticipated to hold a significant market share due to the high prevalence of thyroid diseases, strategic activities by key players, and government initiatives for endocrinology studies[2].

What are the long-term projections for the thyroid function test market?

The market is projected to reach USD 2.47 billion by 2030 and potentially USD 9.62 billion by 2037, growing at a CAGR of around 8.8% from 2025 to 2037[2][5].

Sources

  1. Aetna: Thyrogen (Thyrotropin Alfa) - Medical Clinical Policy Bulletins.
  2. Mordor Intelligence: Thyroid Function Test Market Size & Share Analysis - Growth Trends.
  3. Fortune Business Insights: Clinical Trials Market SIZE, SHARE | GROWTH REPORT [2032].
  4. JAMA Network Open: Recombinant Human Thyrotropin Plus Radioactive Iodine Among Patients With Thyroid Cancer: A Noninferiority Randomized Clinical Trial.
  5. Research Nester: Thyroid Function Test Market Size & Share | Global Forecast Report.

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