Actively Recruiting

Phase 1
Age: 18Years +
All Genders
ID03647358

Lesion Dosimetry With Iodine-124 in Metastatic Thyroid Carcinoma

Led by Memorial Sloan Kettering Cancer Center · Updated on 2026-04-14

60

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to evaluate a new diagnostic imaging test called positron emission tomography (PET) using a radioactive form of iodine known as iodine-124 in adults with metastatic thyroid carcinoma. The study will assess how well this test measures the amount of radioactive iodine uptake in cancer lesions to help determine the best treatment approach, especially whether radioiodine therapy is suitable or if alternative therapies should be considered. Participants will receive injections of rhTSH on two consecutive days followed by an oral dose of iodine-124. They will undergo up to four whole-body PET/CT scans at specific times after the iodine-124 dose to collect detailed imaging data on tumor uptake and clearance. A subgroup of patients will receive additional doses of iodine-124 during their radioiodine therapy and undergo further PET scans to compare treatment effects. Throughout the study, participants will have measurable disease documented by imaging within six months prior. Researchers will monitor individual lesion responses over one year using PET imaging data. The study involves careful tracking of tumor behavior, safety monitoring, and follow-up assessments to determine the diagnostic test's value in guiding treatment decisions.

CONDITIONS

Brief Title

Lesion Dosimetry With Iodine-124 in Metastatic Thyroid Carcinoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults with thyroid carcinoma confirmed by pathology
  • Adults who have undergone total thyroidectomy
  • Adults with metastatic disease or suspicion of metastatic disease or under a protocol exploring re-induction therapy for 131I uptake
  • Patients planning to receive 131I therapy if persistent radioiodine-avid metastases are present
  • Measurable disease documented within the previous six months by ultrasonography, MRI, FDG PET/CT, or CT scanning
Not Eligible

You will not qualify if you...

  • Age less than 18 years
  • Patients who are pregnant

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Diagnostic Evaluation

Duration - Approximately 1 week

Participants receive 0.9 mg injections of rhTSH on two consecutive days, followed by a single oral dose of 124I. Up to four whole-body PET/CT scans are performed to assess lesion dosimetry based on 124I uptake and clearance.

Up to 4 PET/CT scanning visits and 2 injection visits

Trial Site Locations

Total: 1 location

1

Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065

Actively Recruiting

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Research Team

R

Ravinder Grewal, MD

S

Steven Larson, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

DIAGNOSTIC

Number of Arms

1

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Published Research Related To This Trial

The use of single-timepoint images to link administered radioiodine activity (MBq) to a prescribed lesion radiation-absorbed dose (cGy): a regression-based prediction interval tool for the management of well-differentiated thyroid cancer patients.

Audrey Mauguen, Ravinder K Grewal, Finn Augensen...

https://pubmed.ncbi.nlm.nih.gov/37171634