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Thyroid CancerOctober 2010

What Researchers Found Testing Pazopanib for Advanced Thyroid Cancer

This study tested pazopanib, a daily oral pill that blocks blood vessel growth in tumors, in 39 people with advanced radioiodine-resistant differentiated thyroid cancer. Tumors shrank meaningfully in about half.

What the trial was testing

The trial enrolled 152 patients with thyroid cancer. The study was sponsored by National Cancer Institute and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was initial testing (phase 2). Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

49% tumor response rate in advanced radioiodine-resistant thyroid cancer.

The Lancet Oncology · 2010 · NCT00625846

These findings — that in advanced radioiodine-resistant differentiated thyroid cancer on pazopanib — were published in the The Lancet Oncology and represent the headline result of the study.

Researchers tracked outcomes across 152 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with thyroid cancer, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

Pazopanib is FDA-approved for kidney cancer and soft tissue sarcoma but is used off-label for advanced thyroid cancer. Two similar drugs — lenvatinib and sorafenib — are specifically FDA-approved for radioiodine-resistant thyroid cancer. Ask an endocrine oncologist which approved option fits your case.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.