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NCT05678374

Exploring Immunological Markers Associated With Mental Fatigue in Graves' Disease

Recruiting now Last updated 29 September 2025
What this trial tests

trial in Graves Disease in 180 participants. Currently enrolling.

Timeline
1 October 2019
Primary endpoint
20 December 2028
20 December 2028

Quick facts

Lead sponsorVastra Gotaland Region
StatusRecruiting now
Study typeOBSERVATIONAL
Enrollment180
Start date1 October 2019
Primary completion20 December 2028
Estimated completion20 December 2028
Sites1 location across Sweden

Conditions studied

Sponsor

Vastra Gotaland Region — full company profile →

Who can join

Adults 18 to 72, female only, with Graves Disease or Graves Ophthalmopathy. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Mental fatigue occurs in many diseases and the reasons are mostly unknown. The investigators hypothesize that remaining mental fatigue after restored hyperthyroidism in Graves' disease is an autoimmune complication. The aim of this study is to explore immunological markers possibly associated with mental fatigue in Graves' disease, which the investigators plan to validate in another study (ImmunoGraves wp 2). Using a cross-sectional study design, mental fatigue is scored using a questionnaire to find 60 patients with and 60 without mental fatigue 15-60 months after diagnosis of Graves disease. The patients and 60 thyroid healthy controls without mental fatigue are assessed for thyroid hormones, quality of life, anxiety and depression, self-evaluated stress, coping strategies, eye symptoms and background variables. SciLifeLab in Stockholm, the national facility for autoimmune profiling, has pre-set large arrays including 42000 human proteins. Serum and cerebrospinal fluid will be separately pooled and analysed for a subgroup of patients with or without mental fatigue and for a subgroup of the control group. Proteins that preferably bind to antibodies in sera and/or cerebrospinal fluid from Graves' patients with mental fatigue in comparison to non-mental fatigue patients, will be screened against the Human Protein Atlas and the Allen brain map to identify those proteins that are expressed in the brain. Antibodies at higher concentration in the mental fatigue pools compared to the group without mental fatigue will be selected for further analyses on an individual level in the whole cohort together with antibodies targeting g-protein coupled receptors, thyroid autoantibodies, cytokines and biomarkers indicating organic and structural nerve damage.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Brain fatigue in Graves' disease: symptoms and presentation of a possible mechanism at the cellular level.
    Tammelin K, Holmberg M, Lindo A, Johansson B, et al · · 2026 · PMID 41711390 · DOI 10.1530/etj-25-0172

Verify or expand the search:

Other recruiting trials for Graves Disease

Currently open trials in the same condition.

Other Vastra Gotaland Region trials

Trials by the same sponsor.

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Data sources for this page

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