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. 2021 May 25;12:653407. doi: 10.3389/fendo.2021.653407

Table 1.

Summary (part 1) of the studies that have assessed neurocognitive and neurodevelopment of the child born to mothers with Gestational Hypothyroidism (GHT) and treated with appropriate dose of levothyroxine throughout pregnancy.

Type Name of the study Definition of GHT Sample size Treatment Time of initiation of therapy
RCT* Lazarus et al. (56) CATS-I trial TSH* > 97.5th percentile
Or/and fT4* < 2.5th percentile
794 Starting dose of 150ug of levothyroxine per day (adjusted as necessary) Median gestational age of 13 weeks + 3days
RCT Hales et al. (63) CATS-II trial TSH > 97.5th percentile
Or/and fT4 < 2.5th percentile
449 Starting dose of 150ug of levothyroxine per day (adjusted as necessary) Median gestational age of 13 weeks + 3days
RCT Hales et al. (62) (CATS-I trial cohort) TSH > 97.5th percentile
Or/and fT4 < 2.5th percentile
475 Starting dose of 150ug of levothyroxine per day (adjusted as necessary) Median gestational age of 13 weeks + 3days
RCT Casey et al. (55) SCH* –> TSH >= 4.0mU/L with normal fT4 677 Starting dose of 100ug of levothyroxine (adjusted as necessary) Mean gestational age of 16.7 weeks
IH*–> fT4 < 0.86ng/dL with normal TSH 526 Starting dose of 50ug of levothyroxine (adjusted as necessary) Mean gestational age of 17.8 weeks
Prospective Cohort Zhou et al. (61) TSH > 97.5th percentile and TPOAb (+) * 466 Levothyroxine treatment targeting TSH values of 0.1-2.5mU/L Before conception and after conception (mean gestational age 13.5 weeks)

*RCT, Randomised Controlled Trial; TSH, Thyroid-Stimulating Hormone; fT4, Free Thyroxine; SCH, Subclinical Hypothyroidism; IH, Isolated Hypothyroxinemia; TPOAb (+), Thyroid Peroxidases antibodies.