Optimizing Care for Older Adults Through Thyroid Hormone Deprescribing

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorUniversity of Michigan

About this trial

The proposed study focuses on testing a novel adapted evidence-based multilevel intervention, Deprescribing Thyroid Hormone In Older Adults (D-THIO), to support thyroid hormone deprescribing (dose de-escalation and/or discontinuation) in older adults with thyroid hormone overtreatment and/or misuse and reduce patient harm. Findings from this study will lay the groundwork for broad implementation of D-THIO and serve as a model for deprescribing inappropriate medications for other endocrine conditions and conditions with biochemical monitoring.

Eligibility criteria

Qualifiers

age 65 years and older

on thyroid hormone therapy and have a serum Thyroid-stimulating hormone (TSH) <0.5 mIU/L or are on thyroid hormone therapy for an inappropriate indication

English speaking

without cognitive impairment

Disqualifiers

None

Trial design

Treatments tested in this trial

  • D-THIO (Deprescribing Thyroid Hormone In Older Adults)
  • Enhanced usual care

Treatment groups

900 Participants
are divided into 2 treatment groups

Locations

3
University of California San Francisco94143, San FranciscoCalifornia, United States
University of Michigan48109, Ann ArborMichigan, United States
Henry Ford Health System48202, DetroitMichigan, United States

Sponsors and collaborators

University of Michigan

Lead sponsor

National Institute on Aging (NIA)

Collaborator