Genotype-Driven Neoadjuvant Therapy for Locally Advanced Thyroid Cancer: A Real-World Cohort Study

PHASE4Not yet recruitingINTERVENTIONAL
Enrollment

335

Participants

Timeline

Start Date

July 1, 2025

Primary Completion Date

December 31, 2027

Study Completion Date

December 31, 2028

Conditions
Thyroid Neoplasms
Interventions
DRUG

Dabrafenib

150 mg orally twice daily; ≤4 × 28-day cycles

DRUG

Trametinib

2 mg orally once daily; same duration

DRUG

Selpercatinib

160 mg orally twice daily; ≤4 cycles

DRUG

Pralsetinib

retrospective, 400 mg orally once daily; ≤4 cycles

DRUG

Lenvatinib

24 mg orally once daily; ≤4 cycles

DRUG

Larotrectinib

Larotrectinib 100 mg orally twice daily, continuous 28-day cycles.

DRUG

Anlotinib

12 mg orally once daily; 2 weeks on / 1 week off, ≤4 cycles (alternative)

DRUG

Pembrolizumab

200 mg IV infusion every 3 weeks; ≤4 cycles

DRUG

Sintilimab

200 mg IV infusion every 3 weeks; ≤4 cycles

DRUG

Cabozantinib

Cabozantinib 60 mg orally once daily, continuous 28-day cycles.

DRUG

Bemosuzumab

China PD-L1 antibody bemosuzumab 900 mg IV every 2 weeks (14-day cycle).

PROCEDURE

Conversion Surgery

Conversion Surgery if resectable

Trial Locations (1)

350001

Fujian Medical University Union Hospital, Fuzhou

All Listed Sponsors
lead

Fujian Medical University

OTHER