A shot to skip the misery of thyroid hormone withdrawal before cancer treatment?
NCT ID NCT04964284
First seen Sep 08, 2026 · Last updated Sep 09, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether giving recombinant human thyrotropin (rhTSH) injections before radioactive iodine can effectively destroy leftover thyroid tissue after surgery for differentiated thyroid cancer. Normally, patients must stop thyroid hormone medication to raise TSH levels, which causes uncomfortable hypothyroidism. The study compares this standard approach with rhTSH injections that raise TSH without stopping medication. About 390 adults who had their thyroid removed will be randomly assigned to one of the two methods, and success is measured by the absence of visible thyroid tissue on a scan.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Recombinant human thyrotropin (rhTSH) injections followed by radioactive iodine (131I)
- What this could lead to
- If successful, this approach could allow patients to avoid the discomfort and risks of stopping thyroid hormone therapy before radioactive iodine treatment, while achieving similar ablation success.
- What could go wrong
- The trial is still in progress, and results are not yet known. rhTSH may not be as effective as the standard hypothyroid method, and radioactive iodine carries risks such as dry mouth or low blood counts.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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390 people
The number who actually took part.
- Started
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Oct 2021
- Finished
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Jan 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Subjects voluntarily sign the informed consent form (ICF). * Age ≥ 18 years old, either male or female. * Patients with diagnosed differentiated papillary or follicular thyroid carcinoma, including papillary-follicular variant, characterized as pT 1-3, N 0-1or Nx, and M0. * Eastern Cooperative Oncology Group (ECOG) score of 0-2; * Expected life expectancy is greater than 12 weeks; * Patients with a total or near-total thyroidectomy within 12 months prior to randomized. * Low iodine diet for two weeks prior to randomized. Exclusion Criteria: * patients with recent history of 131I whole body scan within 2 weeks prior to randomized. * Pregnant or breast feeding women. * patients with other malignancies (exception for in situ cervix uterine cancer, baso cellular skin cancer or breast cancer in remission) * Subjects who are unsuitable to the trial in combination with other serious diseases, as identified by the investigator. * Subjects who have participated in another clinical trial of a new drug or medical instrument within 1 months before screening.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730, China
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