Thyroid disease

Effect of Vitamin D Supplementation on Graves' Disease: The DAGMAR Trial

ThyroidPublished Randomised controlled trial

Primary result · Failure to enter and sustain remission (relapse ≤12 months after ATD cessation, inability to stop ATD within 24 months, or RAI or thyroidectomy)Result — go to the resultRR for failure to enter and sustain remission 1.30 CI 0.95–1.78

Authors' conclusion

Vitamin D supplementation did not improve the treatment of GD in patients with normal or insufficient vitamin D status.

Study context

Population
Adults with first-time diagnosis of Graves' disease (GD) treated with antithyroid drug (ATD); excluded pregnancy and glucocorticoid treatment; aged 44 ± 14 years, 79% female; inclusion 2015–20174 withdrew consent
Participants
278 adults
Comparison
Vitamin D 70 mcg once daily (2800 IU) vs placebo, as add-on to ATD and for 12 months after ATD cessation
Primary endpoint
Failure to enter and sustain remission: relapse of hyperthyroidism within 12 months after ATD cessation, inability to stop ATD within 24 months, or radioiodine treatment or thyroidectomy
Methodological detailsmulticenter, double-blinded, placebo-controlled, Inclusion 2015–2017; study completion by December 2020
  • Multicenter
  • Double-blinded
  • Placebo-controlled
  • Inclusion 2015–2017; study completion by December 2020

Primary result

As reported in the abstract

Failure to enter and sustain remission (relapse ≤12 months after ATD cessation, inability to stop ATD within 24 months, or RAI or thyroidectomy)

RR for failure to enter and sustain remission

1.30

CI 0.95–1.78

By group

Vitamin Dvs Placebo
RR for failure to enter and sustain remission 1.30 (CI 0.95–1.78)

Safety

No adverse effects were found

Original publication

Effect of Vitamin D Supplementation on Graves' Disease: The DAGMAR Trial. Thyroid. Published 26 June 2023. doi:10.1089/thy.2023.0111

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.