About this trial
This trial studies how well dabrafenib, trametinib, and intensity modulated radiation therapy (IMRT) work together in treating patients with BRAF mutated anaplastic thyroid cancer. Dabrafenib and trametinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Radiation therapy uses high energy beams to kill tumor cells and shrink tumors. Giving dabrafenib, trametinib, and IMRT together may kill more tumor cells.
Eligibility criteria
Qualifiers
Pathologic (histologic or cytologic) diagnosis of anaplastic thyroid cancer (a diagnosis that is noted to be ?consistent with anaplastic thyroid cancer? with the presence of a thyroid mass is acceptable; pathology showing additional types of thyroid cancer is allowed)
Note: Tissue collection for central review is mandatory, but central review is not required for eligibility. Due to the aggressiveness of this disease, treatment will be started prior to central review.
Presence of BRAF mutation (V600E or V600K) in tumor tissue.
Eastern Cooperative Oncology Group (ECOG) performance status < 2.
Disqualifiers
Patients with resectable stage IVA anaplastic thyroid cancer who are candidates for surgery and wish to proceed with surgery.
Patients who have had external beam radiotherapy to neck or chest for cancer that would result in overlap of radiation therapy fields.
Patients who have had cytotoxic chemotherapy, stereotactic brain radiation or external beam radiation within 2 weeks prior to study treatment initiation.
Patients who have had oral multikinase inhibitors within 1 week prior to study treatment initiation.
Trial design
Treatments tested in this trial
- Dabrafenib
- Intensity-Modulated Radiation Therapy
- Trametinib
Treatment groups
Sponsors and collaborators
City of Hope Medical Center
Lead sponsor
National Cancer Institute (NCI)
Collaborator