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Trial to Evaluate the Efficacy of a Zinc, Selenium, and L-Tyrosine Supplement in the Prevention of Thyrotoxicosis in Subjects With r25191G/A SEPP1 Polymorphism

A Randomized, Double-Blind, Placebo-Controlled Clinical Trial to Evaluate the Efficacy of a Zinc, Selenium, and L-Tyrosine Supplement in the Prevention of Thyrotoxicosis in Subjects With r25191G/A SEPP1 Polymorphism

Status
Not yet recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06264544
Acronym
ZEST-PREP
Enrollment
150
Registered
2024-02-20
Start date
2025-07-30
Completion date
2025-12-30
Last updated
2025-06-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Thyrotoxicosis

Keywords

Thyrotoxicosis Prevention, SEPP1 Polymorphism, Zinc, Selenium, and L-Tyrosine Supplementation, supplementation, Nutrigenomics, Thyroid Peroxidase Antibodies (TPOAb)

Brief summary

This randomized, double-blind, placebo-controlled trial evaluates the efficacy of a zinc, selenium, and L-tyrosine supplement in preventing thyrotoxicosis among adults aged 18-85 with elevated TPOAb levels and the r25191G/A SEPP1 polymorphism. The study excludes those with thyroid disease, pregnant/breastfeeding women, and individuals allergic to the supplement. Key endpoints include changes in thyroid antibodies and hormones over a 6-month period. With an estimated sample size of 150 participants per group, accounting for a 20% dropout rate, the trial seeks to demonstrate the supplement's potential in reducing thyrotoxicosis risk through a genetically-informed approach.

Interventions

OTHERPlacebo

placebo comparator in SEPP1 polymorphism group

DIETARY_SUPPLEMENTzinc, selenium, and L-tyrosine in SEPP1

zinc, selenium, and L-tyrosine in SEPP1 polymorphism

Sponsors

Center of New Medical Technologies
CollaboratorOTHER
S.LAB (SOLOWAYS)
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Caregiver)

Eligibility

Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No

Inclusion criteria

* Confirmed presence of one or more specified gene polymorphism r25191G/A SEPP1 * TPOAb levels \> 300 IU/mL

Exclusion criteria

* Age \< 18 years and \>85 * Pregnant or breastfeeding woman * Subjects with allergy to any of the supplementation component patients with any established diagnosis of thyroid disease

Design outcomes

Primary

MeasureTime frame
Percent change of Thyroid Peroxidase Antibodies (TPOAb) in subjects with r25191 SEPP1 polymorphism6 months

Secondary

MeasureTime frame
TSH Receptor Antibodies (TSHR-Ab) change in subjects with r25191 SEPP1 polymorphism6 months
Percent change in Thyroglobulin Antibodies (TgAb) in subjects with r25191 SEPP1 polymorphism6 months
Free Thyroxine (Free T4) change in subjects with r25191 SEPP1 polymorphism6 months
Free Triiodothyronine (Free T3) change in subjects with r25191 SEPP1 polymorphism6 months
Thyroid Receptor Antibodies (TRAb) change in subjects with r25191 SEPP1 polymorphism6 months

Countries

Russia

Contacts

Primary ContactAndrey V Ponomarenko, MD
dasyshadoff@gmail.com9628316017

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026