Review Article

Neoadjuvant Therapy in Differentiated Thyroid Cancer

Table 4

Summary of studies of targeted therapy in differentiated thyroid cancer.

Author and yearSample size InterventionResponse

Brose et al., 2014 [15]
Phase III DECISION trial
417 with RAI-refractory DTC. Sorafenib 400 mg 2x daily.ORR 12.2% and 0.5%, SD 42% and 33%.
Marotta et al., 2013 [16]17 with RAI-refractory DTC.Sorafenib 400 mg 2x daily.30% PR, 41% SD.
de la Fouchardiere et al., 2013 [17]45 with RAI-refractory DTC.Sorafenib.29% PR.
Chen et al., 2011 [18]9 with RAI-refractory DTC.Sorafenib 200 mg 2x daily.33% PR, 44% SD.
Cabanillas et al., 2010 [19]13 with RAI-refractory DTC.Sorafenib 400 mg.20% PR, 60% SD, 20% PD.
Sherman et al., 2013 [20]19 with DTC.Sorafenib 400 mg 2x daily and everolimus 5 mg daily.Papillary, 50% PR and 38% SD.
Hurthle cell, 67% PR and 33% SD.
Follicular, 50% PR and 50% SD.
Sherman et al., 2012 [21]27 with recurrent/refractory DTC, 6 of whom with prior sorafenib.Sorafenib 200 mg 2x daily with temsirolimus 25 mg weekly.38% PR if no prior sorafenib.
Hong et al., 2011 [22]16 with metastatic DTC.Sorafenib 400 mg daily with tipifarnib 100 mg 2x daily.4.5% PR and 36% SD.
Cabanillas et al., 2010 [23]22 with metastatic DTC.Sorafenib with tipifarnib, dose escalation trial.7% PR, 86% SD, 7% PD.
Schlumberger, 2014 [24]
Phase III SELECT trial
392 with RAI-refractory DTC. Lenvatinib 24 mg daily. CR 1.5% and 0%. PR 63.2% and 1.5%.
Sherman  et al., 2011 [25]58 with RAI-refractory DTC.Lenvatinib 24 mg daily.PR 50%.
Bible et al., 2010 [26]37 with RAI-refractory DTC.Pazopanib 800 mg daily. 49% PR.

Definitions: CR: complete response, DTC: differentiated thyroid cancer, ORR: overall response rate, PD: progressive disease, PR partial response, RAI: radioactive iodine, and SD: stable disease.