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Updated: May 16, 2026

Spontaneous Murine Model of Anaplastic Thyroid Cancer
Published on: February 3, 2023
Thyroid cancer: pathogenesis and targeted therapy
David A Liebner1, Manisha H Shah
1Division of Medical Oncology, Department of Internal Medicine, Ohio State University, Columbus, OH, USA.
Abstract:
Therapeutic options for advanced, unresectable radioiodine-resistant thyroid cancers have historically been limited. Recent progress in understanding the pathogenesis of the various subtypes of thyroid cancer has led to increased interest in the development of targeted therapies, with potential strategies including angiogenesis inhibition, inhibition of aberrant intracellular signaling in the MAPK and PI3K/AKT/mTOR pathways, radioimmunotherapy, and redifferentiation agents. On the basis of a recent positive phase III clinical trial, the RET, vascular endothelial growth factor receptor (VEGFR), and epidermal growth factor receptor (EGFR) inhibitor vandetanib has received FDA approval as of April 2011 for use in the treatment of advanced medullary thyroid cancer. Several other recent phase II clinical trials in advanced thyroid cancer have demonstrated significant activity, and multiple other promising therapeutic strategies are in earlier phases of clinical development. The recent progress in targeted therapy is already revolutionizing management paradigms for advanced thyroid cancer, and will likely continue to dramatically expand treatment options in the coming years.
Insights
Targeted therapies are revolutionizing advanced thyroid cancer treatment. Vandetanib, a RET, VEGFR, and EGFR inhibitor, is now FDA-approved for medullary thyroid cancer, expanding options beyond traditional methods.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Advanced, unresectable radioiodine-resistant thyroid cancers have limited therapeutic options.
- Understanding thyroid cancer subtypes' pathogenesis drives targeted therapy development.
- Targeted strategies include angiogenesis inhibition and MAPK/PI3K/AKT/mTOR pathway modulation.
Purpose of the Study:
- To review recent advancements in targeted therapies for advanced thyroid cancer.
- To highlight the FDA approval of vandetanib for medullary thyroid cancer.
- To discuss emerging therapeutic strategies in clinical development.
Main Methods:
- Review of recent phase II and III clinical trials.
- Analysis of FDA-approved targeted therapies.
- Exploration of ongoing research in novel treatment modalities.
Main Results:
- Vandetanib (RET, VEGFR, EGFR inhibitor) approved by FDA for advanced medullary thyroid cancer (April 2011).
- Phase II trials show significant activity for other targeted therapies.
- Multiple promising strategies are in earlier clinical development phases.
Conclusions:
- Targeted therapy is transforming advanced thyroid cancer management.
- Expanded treatment options are expected in the coming years.
- Further research into novel agents and pathways is crucial.
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