At a glance
ClinicalIndex Comparison Record- ✓Differentiated thyroid cancer (PTC, FTC, or HCC) classified as intermediate-risk per TNM 2017
- ✓T1b or T2 with minimal extra-thyroid extension and/or pN1 with nodal dimension 2-10mm, without extra-capsular invasion, ≤10 metastatic nodes
- ✓T1aN1 with nodal dimension 2-10mm, without extra-capsular invasion, ≤10 metastatic nodes
- ✓Total thyroidectomy with complete macroscopic tumor resection (R0 or R1)
- ✕Medullary or anaplastic thyroid cancer
- ✕Poorly differentiated carcinoma
- ✕FTC with ≥4 foci of vascular invasion
- ✕PTC with aggressive variants (tall cell, columnar cell, diffuse sclerosing, hobnail)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Multicentric Phase III Trial Comparing Two Strategies in Intermediate-risk Differentiated Thyroid Cancer Patients: Systematic Radioiodine Administration Versus Decision of Radioiodine Treatment Guided by a Post-operative Work-up Based on Serum Tg Values and Diagnostic RAI Scintigraphy
In Brief
A Phase 3 clinical trial evaluating Systematic RAI-treatment and Decision of RAI-treatment guided by a post-operative assessment for Thyroid Cancer and Intermediate Risk. Currently recruiting, targeting 368 participants across 29 sites.
Signals
Detailed Summary
This trial is comparing two strategies in intermediate-risk differentiated thyroid cancer patients: Systematic radioiodine administration versus decision of radioiodine treatment guided by a post-operative work-up based on serum Tg values and diagnostic RAI scintigraphy
Study Details
Timeline
Interventions
Administration of 3.7 GBq (100 mCi) or 1,1 GBq (30 mCi) of I131 at the choice of the investigator after rhTSH-stimulation
The decision-making for the administration of an adapted RAI-treatment will be taken according to the following criteria: * No RAI treatment if Tg/LT4 ≤1 ng/mL and rhTSH-sTg ≤10 ng/mL and normal diagnostic RAI-scintigraphy * 1.1 GBq after rhTSH if Tg/LT4\>1 ng/mL or rhTSH-sTg\>10 ng/mL and normal diagnostic RAI-scintigraphy. * 3.7 GBq after rhTSH if metastatic lymph-node(s) detected on diagnostic RAI-scintigraphy without distant metastasis * 3.7 GBq after hormone withdrawal if distant metastasis detected on diagnostic RAI-scintigraphy or on the hybrid CT scan of the SPECT-CT acquisition