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Brief Title: Restor. I-131 Upt. + Selpercatinib in RET F-P RAI-R TC
Official Title: Restoration of Radioiodine Uptake With Selpercatinib in RET Fusion-Positive Radioiodine-Refractory Thyroid Cancer: A Phase 2 Study Performed in Collaboration With the International Thyroid Oncology Group (ITOG)
Study ID: NCT05668962
Brief Summary: This research is being done to determine the efficacy of selpercatinib to restore radioactive iodine (I-131) uptake and allow for I-131 treatment in people with RET fusion-positive radioiodine-refractory thyroid cancer. This research study involves the study drug selpercatinib in combination with standard of care treatments, I-131 and thyrotropin alfa (rhTSH).
Detailed Description: The research study procedures include screening for eligibility and study treatment including evaluations and follow up visits. * This research study involves the study drug selpercatinib in combination with standard of care treatments, I-131 and thyrotropin alfa (rhTSH). Participants receive study treatment for as long as the disease does not worsen (disease progression) for approximately 1 month for up to two courses of treatment, if participants do not experience any unacceptable side effects, and/or until withdrawal of consent. * Participants will be followed for 2 years from the date of study registration. * It is expected that about 30 people will take part in this research study/ * This research study is a Phase II clinical trial. Phase II clinical trials test the safety and effectiveness of an investigational drug to learn whether the drug works in treating a specific disease. "Investigational" means that the drug is being studied. * The U.S. FDA has approved selpercatinib, I-131 and rhTSH as a treatment option for this disease. * The combination therapy is investigational as it has not been approved to treat this disease. * Selpercatinib, I-131 and rhTSH are standard of care treatment options for thyroid cancer. Selpercatinib is a small molecule designed to block the active RET signaling.
Minimum Age: 12 Years
Eligible Ages: CHILD, ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Massachusetts General Hospital, Boston, Massachusetts, United States
Name: Lori J. Wirth, MD
Affiliation: Massachusetts General Hospital
Role: PRINCIPAL_INVESTIGATOR