Clinical trial Recruiting at 1 site Observational Ages 18 and up

Investigating the role of ctDNA in advanced thyroid cancer

Official title: A Multicentre Prospective Study Investigating the Utility of ctDNA as a Biomarker of Disease Burden, Genetic Heterogeneity and Tumour Evolution in Advanced Thyroid Cancer

Run by Royal Marsden NHS Foundation Trust · NCT05837260 · Data updated 2026-11-12

This study is trying to see if analyzing blood samples for tumor DNA can help doctors better understand and treat advanced thyroid cancer.

More Thyroid Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment120 (estimated)
SponsorRoyal Marsden NHS Foundation Trust
Academic / other
Locations1 site (London)
StatusRecruiting
StartedMarch 23, 2023
Main results expectedFebruary 7, 2027
Study endsFebruary 7, 2027
Registry record updatedAugust 9, 2024
Trial IDNCT05837260 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older with specific types of advanced thyroid cancer, including radioiodine refractory differentiated thyroid carcinoma, medullary thyroid cancer, or anaplastic thyroid cancer.

Probably not a fit

Patients with early-stage thyroid cancer or those not diagnosed with the specified advanced forms of thyroid cancer may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to explore the utility of circulating tumor DNA (ctDNA) and tumor evolution in patients with advanced thyroid cancer. It will collect blood and tissue samples from participants to analyze genetic markers and tumor biomarkers that may indicate disease progression and treatment response. By understanding the genetic landscape of these tumors, the study seeks to improve personalized treatment strategies and patient stratification. The research will focus on various types of thyroid cancer, including differentiated, medullary, and anaplastic thyroid cancers.

Why it matters

Potential benefit: If successful, this study could lead to more effective and personalized treatment options for patients with advanced thyroid cancer.

How similar studies have gone: Other studies have shown promise in using ctDNA for monitoring cancer progression, suggesting that this approach may yield valuable insights in thyroid cancer as well.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18 years or older. (all cohorts)
* Patients diagnosed with radioiodine refractory differentiated thyroid carcinoma (RR-DTC) under surveillance. (cohort 1)
* Patients with newly diagnosed resectable locally advanced medullary thyroid cancer Or Patients with newly diagnosed metastatic medullary thyroid cancer for surveillance Or Patients with locally advanced or metastatic medullary thyroid cancer on surveillance (cohort 2)
* Patients with RR-DTC starting systemic therapy Or Patients with RR-DTC on systemic therapy Or Patients with MTC starting systemic therapy Or Patients with MTC on systemic therapy (cohort 3)
* Patients with newly diagnosed anaplastic thyroid cancer (cohort 4)
* Availability of tissue from one archival diagnostic tumour tissue block or be willing to have biopsy of accessible disease (all cohorts)
* Patients must be willing to undergo standard monitoring and treatment as recommended by their clinical team (all cohorts)
* Ability to give informed consent for biological sample collection. (all cohorts)

Exclusion Criteria:

* Previous or concurrent illness, which in the investigator's opinion would interfere with collection of the complete sample collection
* Any invasive malignancy within previous 5 years (other than non-melanomatous skin carcinoma or carcinoma in situ)
* Pregnancy

Where it's running

  • The Royal Marsden NHS Foundation Trust
    London, United Kingdom
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.