Thyroid removal for Graves' disease or amiodarone-induced thyrotoxicosis
Official title: Thyroidectomy for Graves' Disease or Amiodarone-induced Thyrotoxicosis: Is it Still Necessary to Achieve a Preoperative Euthyroid State? - A Prospective Observational Multicenter European Study (GRATES)
Run by Kantonsspital Winterthur KSW · NCT06963203 · Data updated 2026-11-12
The study will try to see if adults having their thyroid removed for Graves' disease or amiodarone-induced thyrotoxicosis have different complication rates depending on how active their thyroid is before or during surgery.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 486 (estimated) |
| Sponsor | Kantonsspital Winterthur KSW Academic / other |
| Locations | 15 sites (Aalst and 14 other locations) |
| Status | Recruiting |
| Started | July 1, 2025 |
| Main results expected | June 2027 |
| Study ends | December 2027 |
| Registry record updated | July 2, 2025 |
| Trial ID | NCT06963203 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) undergoing thyroidectomy for Graves' disease or amiodarone-induced thyrotoxicosis with biochemical hyperthyroidism or on specific antithyroid medications who can give informed consent.
✕Probably not a fit
Children, pregnant women, those unable to consent, patients undergoing concurrent parathyroid or other neck procedures, or those not having thyroidectomy are not included and are unlikely to benefit from these findings.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study will prospectively register adults undergoing thyroidectomy for Graves' disease or amiodarone-induced thyrotoxicosis in the EUROCRINE registry with an added module for study-specific routine data. It will compare surgical complication rates according to preoperative or perioperative thyroid metabolic status without changing standard preoperative, operative, or postoperative care. Collected data will include biochemical thyroid status, medications, surgical details, and postoperative outcomes across multiple European centers. The approach is registry-based and aims to identify whether patients who are not fully euthyroid at the time of surgery experience higher morbidity than those who are euthyroid.
Why it matters
Potential benefit: If successful, the results could help doctors choose timing and preparation for thyroidectomy that lower complication risks.
How similar studies have gone: Previous registry and retrospective studies have reported mixed results on perioperative outcomes in thyrotoxicosis, and randomized evidence is limited, so a prospective registry-based analysis addresses a recognized evidence gap.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patients (≥ 18 years of age) undergoing surgical treatment for Graves' disease or Amiodarone-induced thyrotoxicosis (AIT) with biochemically confirmed hyperthyroidism or on specific medication for the treatment of Graves' disease or AIT. * Patients providing signed informed consent. Exclusion Criteria: * Children and minors (\<18 years). * Pregnant women. * Patients unable or unwilling to provide informed consent due to language barriers or intellectual limitations. * Patients undergoing concurrent parathyroidectomy for primary or secondary hyperparathyroidism, lymph node clearance, or redo surgery. * Surgical procedures performed for other reasons than Graves' disease or AIT
Where it's running
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OLV Ziekenhuis
Aalst, Belgium Recruiting -
Universite de Lorraine, Cru Nancy
Nancy, France Recruiting -
Evgenidion Hospital Athens
Athens, Greece Recruiting -
Universitario Virgen de las Nieves
Granada, Spain Recruiting -
Hospital Costa del Sol
Marbella, Spain Recruiting -
Kantonsspital Winterthur
Zurich, Winterthur, Switzerland Recruiting
Show 9 more locations
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Universitätsspital Bern, Inselspital
Bern, Switzerland Recruiting -
University Hospitals of Geneva
Geneva, Switzerland Recruiting -
University Hospital of Lausanne CHUV
Lausanne, Switzerland Recruiting -
Spital Männedorf
Männedorf, Switzerland Recruiting -
Ospedale Regionale di Mendrisio
Mendrisio, Switzerland Recruiting -
HOCH Kantonsspital St. Gallen
Sankt Gallen, Switzerland Recruiting -
Spital Limmattal
Schlieren, Switzerland Recruiting -
Clarunis St. Clara Spital
Basel, Switzerland Not yet recruiting -
Kantonsspital Basel Land
Liestal, Switzerland Not yet recruiting
Study contacts
- Principal investigator: Andrea Goldmann, MD — Kantonsspital Winterthur KSW
- Study coordinator: Andrea Goldmann, MD
- Email: andrea.goldmann@ksw.ch
- Phone: 052 266 21 21
Similar studies
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.