An Observational Study in Differentiated Thyroid Cancer Which is Radioactive Iodine (RAI) Refractory to Assess the Use of Multikinase Inhibitors

NCT ID: NCT02303444

Last Updated: 2023-06-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

667 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-04-08

Study Completion Date

2020-07-24

Brief Summary

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The purpose of the study was to assess the use of Multikinase Inhibitors (MKIs) in the treatment of patients with a progressive differentiated thyroid carcinoma (DTC) refractory to radioactive iodine (RAI) who do not have any symptoms.

Detailed Description

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The primary objective of this study was to compare time to symptomatic progression (TTSP) from study entry in asymptomatic patients with RAI-refractory progressive DTC for whom there is a decision to initiate MKIs at study entry with that of asymptomatic patients with RAI-refractory progressive DTC for whom there is a decision to not initiate MKIs at study entry.

Conditions

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Thyroid Neoplasms

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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MKI patients

Asymptomatic patients with RAI-refractory progressive DTC for whom there is a decision to initiate MKIs at study entry. For patients on sorafenib, treatment start and stop dates will be collected along with any adverse events observed.

Sorafenib (Nexavar, BAY43-9006)

Intervention Type DRUG

Patients can get sorafenib at any time during study.

Other Multikinase inhibitors

Intervention Type DRUG

Patients can get MKIs at any time during study.

non-MKI patients

Asymptomatic patients with RAI-refractory progressive DTC for whom there is a decision to not initiate MKIs at study entry. For patients on sorafenib, treatment start and stop dates will be collected along with any adverse events observed.

Sorafenib (Nexavar, BAY43-9006)

Intervention Type DRUG

Patients can get sorafenib at any time during study.

Other Multikinase inhibitors

Intervention Type DRUG

Patients can get MKIs at any time during study.

Interventions

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Sorafenib (Nexavar, BAY43-9006)

Patients can get sorafenib at any time during study.

Intervention Type DRUG

Other Multikinase inhibitors

Patients can get MKIs at any time during study.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically/cytologically documented DTC (papillary, follicular, Hurthle cell, and poorly differentiated carcinoma)
* DTC refractory to RAI
* Radiological progression and preferably according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
* No symptoms due to DTC
* \>/=1cm diameter of lesion confirmed by radiological exam
* Life expectancy of at least 6 months

Exclusion Criteria

* Plan to be treated according to a clinical trial protocol for intervention including a locoregional therapy or systemic therapy
* Previous treatment with MKIs for advanced disease
* Hospice patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Birmingham, Alabama, United States

Site Status

Los Angeles, California, United States

Site Status

Torrance, California, United States

Site Status

Aurora, Colorado, United States

Site Status

Washington D.C., District of Columbia, United States

Site Status

Plantation, Florida, United States

Site Status

Atlanta, Georgia, United States

Site Status

Honolulu, Hawaii, United States

Site Status

Chicago, Illinois, United States

Site Status

New Orleans, Louisiana, United States

Site Status

Boston, Massachusetts, United States

Site Status

Ann Arbor, Michigan, United States

Site Status

The Bronx, New York, United States

Site Status

Durham, North Carolina, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Dallas, Texas, United States

Site Status

Multiple Locations, , Algeria

Site Status

Multiple Locations, , Argentina

Site Status

Multiple Locations, , Brazil

Site Status

Multiple Locations, , Egypt

Site Status

Multiple Locations, , France

Site Status

Multiple Locations, , Germany

Site Status

Multiple Locations, , Greece

Site Status

Multiple Locations, , India

Site Status

Multiple Locations, , Japan

Site Status

Multiple Locations, , Lebanon

Site Status

Multiple Locations, , Mexico

Site Status

Multiple Locations, , Netherlands

Site Status

Multiple Locations, , Philippines

Site Status

Multiple Locations, , Russia

Site Status

Multiple Locations, , Saudi Arabia

Site Status

Multiple Locations, , Spain

Site Status

Multiple Locations, , Taiwan

Site Status

Multiple Locations, , Turkey (Türkiye)

Site Status

Countries

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United States Algeria Argentina Brazil Egypt France Germany Greece India Japan Lebanon Mexico Netherlands Philippines Russia Saudi Arabia Spain Taiwan Turkey (Türkiye)

References

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Gianoukakis AG, Choe JH, Bowles DW, Brose MS, Wirth LJ, Owonikoko T, Babajanyan S, Worden FP. Real-world practice patterns and outcomes for RAI-refractory differentiated thyroid cancer. Eur Thyroid J. 2024 Jan 24;13(1):e230039. doi: 10.1530/ETJ-23-0039. Print 2024 Feb 1.

Reference Type DERIVED
PMID: 38096102 (View on PubMed)

Brose MS, Smit JWA, Lin CC, Tori M, Bowles DW, Worden F, Shen DH, Huang SM, Tsai HJ, Alevizaki M, Peeters RP, Takahashi S, Rumyantsev P, Guan R, Babajanyan S, Ozgurdal K, Sugitani I, Pitoia F, Lamartina L. Multikinase Inhibitors for the Treatment of Asymptomatic Radioactive Iodine-Refractory Differentiated Thyroid Cancer: Global Noninterventional Study (RIFTOS MKI). Thyroid. 2022 Sep;32(9):1059-1068. doi: 10.1089/thy.2022.0061.

Reference Type DERIVED
PMID: 35950621 (View on PubMed)

Porcelli T, Luongo C, Sessa F, Klain M, Masone S, Troncone G, Bellevicine C, Schlumberger M, Salvatore D. Long-term management of lenvatinib-treated thyroid cancer patients: a real-life experience at a single institution. Endocrine. 2021 Aug;73(2):358-366. doi: 10.1007/s12020-021-02634-z. Epub 2021 Feb 3.

Reference Type DERIVED
PMID: 33537956 (View on PubMed)

Brose MS, Smit J, Lin CC, Pitoia F, Fellous M, DeSanctis Y, Schlumberger M, Tori M, Sugitani I. Timing of multikinase inhibitor initiation in differentiated thyroid cancer. Endocr Relat Cancer. 2017 May;24(5):237-242. doi: 10.1530/ERC-17-0016. Epub 2017 Mar 7.

Reference Type DERIVED
PMID: 28270435 (View on PubMed)

Related Links

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https://clinicaltrials.bayer.com/

Click here to find results for studies related to Bayer Healthcare products.

Other Identifiers

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NX1401

Identifier Type: OTHER

Identifier Source: secondary_id

17852

Identifier Type: -

Identifier Source: org_study_id

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