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Brief Title: Ponatinib in Advanced or Metastatic Medullary Thyroid Cancer
Official Title: A Study of Ponatinib in Advanced or Metastatic Medullary Thyroid Cancer (MTC)
Study ID: NCT03838692
Brief Summary: The primary objective of this study is to determine in an exploratory manner the objective overall response rate to ponatinib in the treatment of patients with advanced or metastatic MTC previously treated with cabozantinib or vandetanib who have tumors with rearranged-during-transfection (RET) mutations and have tumors without RET mutations.
Detailed Description: Ponatinib is an investigational agent that blocks abnormal cancer proteins and therefore harms cancer cells. It was recently approved by the Food and Drug Administration for leukemia treatment, but is not approved for medullary thyroid cancer treatment. Early studies, however, have shown that medullary thyroid tumors respond to ponatinib. These studies were done in the laboratory and not performed on humans. This is a study designed for patients with medullary thyroid cancer. Treatment will consist of a drug called ponatinib which is a pill that taken once each day and continue throughout the duration of the study. The purpose of the study is to: 1. Determine if this treatment will be effective in decreasing the amount of cancer and, if it does, to determine how long the response will last. 2. Determine the side effects that may occur with this treatment. 3. To analyze genetic mutations in tumors to help us understand how tumors grow and how these drugs interact with the mechanisms within the tumor. Ponatinib has been given to many patients with leukemia and is now approved by the United States Food and Drug Administration for treatment of certain types of leukemia. This study will seek to determine if ponatinib can bring benefit to patients with medullary thyroid cancer.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Name: Antonio Fojo, MD
Affiliation: Columbia University
Role: PRINCIPAL_INVESTIGATOR