Tyrosine kinase inhibitors and the thyroid

Steven I Sherman1

  • 1Department of Endocrine Neoplasia and Hormonal Disorders, Unit 1461, Division of Internal Medicine, The University of Texas M. D. Anderson Cancer Center, PO Box 301402, Houston, TX 77230-1402, USA. sisherma@mdanderson.org

Insights

Novel protein tyrosine kinase inhibitors (TKIs) show promise for advanced thyroid cancer, targeting angiogenesis. Monitoring thyroid function is crucial due to potential adverse effects from these targeted therapies.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Protein tyrosine kinase inhibitors (TKIs) represent a significant advancement in targeted cancer therapy.
  • Conventional treatments are often ineffective for advanced or metastatic differentiated and medullary thyroid carcinomas.

Purpose of the Study:

  • To review the emerging role of novel therapies, particularly TKIs targeting angiogenesis, in treating advanced thyroid carcinoma.
  • To highlight the efficacy and safety profiles of these agents, including their impact on thyroid function.

Main Methods:

  • Review of clinical trial data for novel angiogenesis-targeting agents in differentiated and medullary thyroid carcinomas.
  • Analysis of reported response rates, disease stabilization, and adverse effects, with a focus on vascular endothelial growth factor receptor inhibitors.

Main Results:

  • Partial response rates up to 30% observed in single-agent studies, with prolonged disease stabilization being a more common outcome.
  • Vascular endothelial growth factor receptor inhibitors, such as sorafenib and sunitinib, show promising preliminary results.
  • Adverse effects on thyroid function and hormone metabolism necessitate regular monitoring.

Conclusions:

  • Novel TKIs targeting angiogenesis offer promising therapeutic options for patients with advanced thyroid carcinoma unresponsive to conventional treatments.
  • Clinical trial participation is emphasized for accessing these novel agents.
  • Proactive monitoring of thyroid function is essential for patients undergoing TKI therapy.

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