Medullary Thyroid Carcinoma Clinical Trial
— MOLTHYOfficial title:
Spanish Observational Study for MOLecular Characterization of THYroid Carcinoma MOLTHY Project
Verified date | April 2023 |
Source | Grupo Español de Tratamiento de Tumores de Cabeza y Cuello |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
This project is a retrospective observational study based on the molecular characterization of a Spanish population of patients with refractory radio-iodine differentiated thyroid cancer (DTC) and medullary thyroid carcinoma (MTC) with advanced and / or metastatic disease undergoing systemic treatment, or under clinical observation. Three diagnostic techniques will be performed on formalin-fixed paraffin embedded (FFPE) tumor samples from the study population: immunohistochemistry (IHC), fluorescence by in situ hybridization (FISH) as well as Next-Generation Sequencing (NGS) techniques by means of DNA and RNA analysis (Ion Platform Torrent - Oncomine Focus Assay, 52 gene detection). The results of each patient will be compared in order to correlate the results of each method.
Status | Active, not recruiting |
Enrollment | 150 |
Est. completion date | March 2024 |
Est. primary completion date | January 25, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: 1. All participants must be over 18 years old 2. Obtaining the informed consent signed by the patient or his legal representative. 3. Have a paraffinized tumor sample available for analysis in the central laboratory, preferably from total thyroidectomy. 4. Life expectancy greater than 6 months. 5. Thyroid carcinoma with a date of initial histological diagnosis before January 1, 2021 of the types: (1) Differentiated thyroid carcinoma (DTC) refractory to radio-iodine, including papillary carcinomas, follicular carcinomas, poorly differentiated thyroid carcinomas, and the corresponding different variants. The radio-refractoriness criteria will be defined by medical criteria and / or by decision of the tumor committee (depending on the organization of each hospital) or (2) Medullary thyroid carcinoma (MTC). 6. Potential candidate patients must meet at least one of the following premises: 1. Patients with advanced / metastatic disease in wait & see follow-up. 2. Patients with advanced / metastatic disease currently undergoing treatment or in progression to any type of multikinase inhibitor, such as, for example: sorafenib, lenvatinib, cabozantinib, axitinib, vandetanib, ... 3. Patients with advanced / metastatic disease under treatment or in progression to treatments that inhibit immune checkpoints (anti programed death (PD-1) or its ligand (PD-L1), anti Cytotoxic T-Lymphocyte Antigen 4 (CTLA-4), others) or who are participating in clinical trial regimen. They must be patients who have previously progressed to multikinase inhibitors. Exclusion Criteria: 1. Patients affected by other malignant histologies not mentioned in the previous section (eg melanoma, lymphoma, sarcoma, ...) or benign tumors exclusively of the thyroid gland. 2. Patients with radioiodine sensitive differentiated thyroid carcinoma or anaplastic thyroid carcinomas. 3. Patients with refractory radioiodine differentiated thyroid carcinoma and advanced medullary thyroid carcinomas with the possibility of local ablative treatment with radical or curative intent (surgery, radiosurgery, radio-ablation, ...). |
Country | Name | City | State |
---|---|---|---|
Spain | Hospital Clínic de Barcelona | Barcelona | |
Spain | Hospital Universitario Vall d'Hebron | Barcelona | |
Spain | Institut Català d'Oncologia Girona - ICO Girona | Girona | |
Spain | Hospital Universitario Durán i Reinals | L'Hospitalet De Llobregat | Barcelona |
Spain | Hospital Universitario La Paz | Madrid | |
Spain | Hospital Universitario Ramón y Cajal | Madrid | |
Spain | Fundació Althaia | Manresa | Barcelona |
Spain | Consorci Corporació Sanitària Parc Taulí de Sabadell | Sabadell | Barcelona |
Spain | Hospital universitario Marqués de Valdecilla | Santander | |
Spain | Hospital General Universitario de Valencia | Valencia | |
Spain | Hospital Universitario y Politécnico La Fe | Valencia | |
Spain | Hospital Universitario Miguel Servet | Zaragoza |
Lead Sponsor | Collaborator |
---|---|
Grupo Español de Tratamiento de Tumores de Cabeza y Cuello |
Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Progression free survival (PFS) | Time from start of data capture (retrospectively) to progression disease. Patients may be stratified in subgroups attending to their histologic subtype and molecular genetic profile. | Throughout the study. Approximately 2 years | |
Primary | Overall survival (OS) | Time from start of data capture (retrospectively) to death. Patients may be stratified in subgroups attending to their histologic subtype and molecular genetic profile. | Throughout the study. Approximately 2 years | |
Primary | Objective response rate | Response to systemic treatments received if available. Patients may be stratified in subgroups attending to their histologic subtype and molecular genetic profile. | Throughout the study. Approximately 2 years | |
Primary | Prevalence of genetic alterations | Frequency of genetic alterations in the study population determined by the molecular genetic interventions: IHC, FISH and NGS | Throughout the study. Approximately 2 years |
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