Studying Targeted Drugs to Help Thyroid Cancer Take Up Radioactive Iodine
Observes children and adults with spreading thyroid cancer receiving targeted drugs and iodine scans.
Plain-language title generated from the registry record
Registry title: Targeted Therapy to Increase RAI Uptake in Metastatic DTC
Key facts
- Where
- Atlanta, Boston, Houston, Memphis, Philadelphia, San Francisco, and Seattle, United StatesSee the 8 sites
Where in United States
- Emory University School of MedicineAtlanta, United StatesTaking people
- Boston Children's HospitalBoston, United StatesTaking people
- MD Anderson Cancer CenterHouston, United StatesTaking people
- Texas Children's HospitalHouston, United StatesTaking people
- St. Jude Children's Research HospitalMemphis, United StatesTaking people
- Children's Hospital of PhiladelphiaPhiladelphia, United StatesTaking people
- University of California San FranciscoSan Francisco, United StatesTaking people
- Seattle Children's HospitalSeattle, United StatesTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Children's Hospital of Philadelphia
- Trial code
- NCT05024929
- Record updated
- 14 November 2025
- Original description
Papillary thyroid cancer (PTC) is a common type of differentiated thyroid cancer (DTC) in children and represents the second most common cancer in adolescent females. Recently targeted drugs that block many of the genetic drivers of DTC have become available. While Investigators know that these drugs shrink DTC tumors in many cases, the impact on radioactive iodine (RAI) avidity has not been systematically studied.Read full original descriptionShow less
Targeted Therapy to Increase RAI Uptake in Patients With Metastatic Differentiated Thyroid Cancer
Papillary thyroid cancer (PTC) is a common type of differentiated thyroid cancer (DTC) in children and represents the second most common cancer in adolescent females. Recently targeted drugs that block many of the genetic drivers of DTC have become available. While Investigators know that these drugs shrink DTC tumors in many cases, the impact on radioactive iodine (RAI) avidity has not been systematically studied.
Inclusion: Patients with a histologic diagnosis of differentiated thyroid cancer; Presence of an neurotrophic tyrosine kinase receptors (NTRK)-fusion, RET-fusion, anaplastic lymphoma kinase (ALK)-fusion, BRAF V600 mutation, BRAF-fusion or other targetable alteration identified in a Clinical Laboratory Improvement Amendments/College of American Pathologists (CLIA/CAP) laboratory; Anatomically evaluable disease on chest Computed tomography (CT) meeting oneo f the following criteria (obtained within 180 days of enrollment):; multiple (10 or more) noncalcified solid pulmonary nodules visible on CT and/or; enlarging, discrete pulmonary nodules visible on CT of any number consistent with metastatic disease; Patients for whom systemic therapy with an oncogene-specific kinase inhibitor is planned from commercial supply or as part of a separate therapeutic clinical trial (that does not include data sharing with this protocol)/compassionate access protocol/single patient investigational new drug (IND). Such agents include, but are not limited to:; Larotrectinib, entrectinib, selitrectinib, and repotrectinib for NTRK fusions; Selpercatinib and pralsetinib for RET fusions; Crizotinib, lorlatinib, repotrectinib, and alectinib for ALK fusions; Dabrafenib and/or trametinib for BRAF V600 mutations; Oncogene-specific kinase inhibitors other than those specifically delineated above must be approved by the overall study PI prior to enrollment; Patients enrolled on other oncogene-specific targeted therapy trials who undergo whole body thyroid scan approximately 28 days after beginning targeted therapy and agree to data sharing as part of the consent process for that trial.
Exclusion: No prior oncogene-specific targeted therapy allowed. However, patients may enroll within 4 weeks of starting oncogene-specific therapy if a pre-therapy WBS is available. Prior therapy with non-oncogene specific multi-thyrosine kinase inhibitors (such as sorafenib, lenvatinib, and/or cabozantanib) is allowed; Females who are pregnant or breastfeeding are excluded due to the potential risks of the RAI used in the WBS to the fetus/neonate; Patients who require sedation/general anesthesia to complete a WBS are excluded; U.S. Military Personnel are excluded due to the Children's Hospital of Philadelphia (CHOP) Institutional Review Board (IRB) requirements.