Systematic Radioiodine Administration Versus Decision of Radioiodine Treatment Guided by a Post-operative Work-up

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorCentre Francois Baclesse

About this trial

This trial is comparing two strategies in intermediate-risk differentiated thyroid cancer patients: Systematic radioiodine administration versus decision of radioiodine treatment guided by a post-operative work-up based on serum Tg values and diagnostic RAI scintigraphy

Eligibility criteria

Qualifiers

Papillary thyroid cancer (PTC) without aggressive subtype, follicular thyroid cancer (FTC) (with < 4 foci of vascular invasion) or Hürthle cell carcinoma (HCC)

T1b or T2 with minimal extra-thyroid extension into the perithyroidal soft tissues and/or pN1 with largest nodal dimension between 2 and 10 mm, without extra-capsular invasion and with a number of metastatic nodes ≤ 10

T1aN1 with largest nodal dimension between 2 and 10 mm, without extra-capsular invasion and with a number of metastatic nodes ≤ 10

Patient treated by total thyroidectomy with macroscopically complete tumor resection (R0 or R1) ± neck dissection

Disqualifiers

medullary or anaplastic thyroid cancer

or poorly differentiated carcinoma

or well differentiated FTC with at least more than 4 foci of vascular invasion

or PTC with aggressive variants (tall cell or columnar cell carcinoma, diffuse sclerosing papillary, hobnail variant)

Trial design

Treatments tested in this trial

  • Systematic RAI-treatment
  • Decision of RAI-treatment guided by a post-operative assessment

Treatment groups

368 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Centre Francois Baclesse

Lead sponsor

French cancer Institute INCa

Collaborator