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Comparison of Levothyroxine Absorption via Sublingual and Oral administration in the General Population: A Pilot Study

Comparison of Levothyroxine Absorption via Sublingual and Oral administration in the General Population: A Pilot Study

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
TCTR
Registry ID
TCTR20250818008
Enrollment
12
Registered
2025-08-18
Start date
2025-08-17
Completion date
Unknown
Last updated
2026-08-03

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

Conditions

Healthy volunteers Levothyroxine absorption, Oral Administration, Sublingual Administration, Healthy Volunteers

Interventions

Arm 1 Oral Levothyroxine Participants will receive a single oral dose of Levothyroxine 4 mcg/kg administered with water after an overnight fast No food will be allowed for at least 4 hours after drug
Active Comparator Drug,Active Comparator Drug
Oral administration,Sublingual administration

Sponsors

Siriraj Medical Research Center
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 45 Years

Inclusion criteria

Inclusion criteria: 1. Age 18 to 45 years 2. Healthy volunteers with no history of thyroid disease 3. Normal thyroid function defined as TSH and Free T4 within reference range 4. No use of levothyroxine or other thyroid hormones within the past 3 months 5. No use of medications or supplements that affect levothyroxine absorption including aluminum containing antacids, sucralfate, cholestyramine, orlistat, proton pump inhibitors, phenytoin, carbamazepine, protease inhibitors, ciprofloxacin, raloxifene, rifampin, calcium, iron, or biotin 6. No known allergy to levothyroxine 7. Body Mass Index 18.5 to 30 kg per m2 8. Systolic blood pressure less than 140 mmHg and diastolic blood pressure less than 90 mmHg 9. Resting heart rate 60 to 100 beats per minute 10. Willing and able to provide written informed consent

Exclusion criteria

Exclusion criteria: 1. History of thyroid diseases such as hypothyroidism, hyperthyroidism, Graves disease, or Hashimoto thyroiditis 2. Conditions affecting drug absorption including chronic inflammatory bowel disease, celiac disease, or history of partial gastric bypass surgery 3. Severe liver disease or kidney disease that may alter drug metabolism 4. Pregnancy or breastfeeding 5. Use of medications that affect thyroid hormone such as corticosteroids, estrogen therapy, amiodarone, or lithium 6. Severe cardiovascular diseases including uncontrolled hypertension, arrhythmias, or ischemic heart disease 7. Heavy smoking or alcohol consumption more than 14 drinks per week in men or more than 7 drinks per week in women 8. Inability to comply with study protocol including fasting requirements or scheduled follow up visits

Design outcomes

Primary

MeasureTime frame
Serum total thyroxine concentration and Serum free thyroxine concentration 0 hr 30 min 1 h 2 h 3 h 4 h blood samples

Countries

Thailand

Contacts

Public ContactTada Kunavisarut

Faculty of Medicine Siriraj Hospital, Mahidol University

kunavisarut@gmail.com024197799

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026