At a glance
ClinicalIndex Comparison Record- ✓Locally recurrent unresectable and/or metastatic differentiated thyroid cancer (papillary, follicular, poorly differentiated variants) confirmed histologically or cytologically
- ✓Radioiodine-refractory disease: measurable lesions without RAI uptake, progressive ≤14 months after RAI, or persistent after ≥600 mCi cumulative dose, or FDG-avid (>5 SUV)
- ✓Measurable disease ≥1.0 cm (non-lymph node) or ≥1.5 cm short-axis (lymph node); if single non-lymph lesion must be ≥1.5 cm; post-EBRT/RF ablation lesions must show progressive disease per RECIST 1.1
- ✓Cohort 1: Disease progression ≤14 months prior to registration per RECIST 1.1; Cohort 2: Progressive disease on lenvatinib ≤60 days prior to registration with imaging within 30 days of pembrolizumab start
- ✕Cohort 1: prior treatment with VEGFR-active multikinase inhibitor; Cohort 2: discontinued lenvatinib due to toxicity or >1 prior VEGFR inhibitor
- ✕Prior anti-PD-1, anti-PD-L1, or anti-PD-L2 therapy
- ✕Active CNS metastases or carcinomatous meningitis (stable treated brain metastases allowed if stable ≥4 weeks, no progression, no steroids ≥7 days)
- ✕Immunocompromised, HIV+ on antiretroviral therapy, or known active TB
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Combination Targeted Therapy With Pembrolizumab and Lenvatinib in Progressive, Radioiodine-Refractory Differentiated Thyroid Cancers: A Phase II Study
In Brief
A Phase 2 clinical trial evaluating Laboratory Biomarker Analysis, Lenvatinib, and 2 other interventions for Columnar Cell Variant Thyroid Gland Papillary Carcinoma and 25 related conditions. Completed, enrolled 57 participants across 7 sites.
Detailed Summary
This phase II trial studies how well pembrolizumab and lenvatinib work in treating patients with differentiated thyroid cancer that has spread to other places in the body or has come back and cannot be removed by surgery. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread.
Study Details
Timeline
Interventions
Correlative studies
Given PO
Given PO
Given IV