Clinical trial Recruiting at 13 sites Observational Ages 18 and up

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 typeObservational
Ages18 Years and up
SexAll
Enrollment486 (estimated)
SponsorKantonsspital Winterthur KSW
Academic / other
Locations15 sites (Aalst and 14 other locations)
StatusRecruiting
StartedJuly 1, 2025
Main results expectedJune 2027
Study endsDecember 2027
Registry record updatedJuly 2, 2025
Trial IDNCT06963203 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.