Targeted therapies in advanced differentiated thyroid cancer
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Updated: Apr 8, 2026

Spontaneous Murine Model of Anaplastic Thyroid Cancer
Published on: February 3, 2023
Raquel M Carneiro1, Benedito A Carneiro2, Mark Agulnik3
1Northwestern Medicine Developmental Therapeutics Institute, Northwestern University, United States; Division of Endocrinology, Metabolism, and Molecular Medicine, Feinberg School of Medicine, Northwestern University, United States; Robert H. Lurie Comprehensive Cancer Center of Northwestern University, United States.
Abstract:
Differentiated thyroid cancer is the most common endocrine malignancy, and its incidence has been rising rapidly over the past 10 years. Although most patients with this disease have an excellent prognosis, a subset develops a more aggressive disease phenotype refractory to conventional therapies. Until recently, there was no effective therapy for these patients. With increasing knowledge of the molecular pathogenesis of thyroid cancer, novel targeted therapies are being developed for this group of patients. Sorafenib and lenvatinib, small-molecule multikinase inhibitors, were approved for the treatment of progressive, symptomatic, radioactive iodine refractory, advanced differentiated thyroid cancer in 2013 and 2015, respectively. This represents a major innovation in the therapy of patients with advanced thyroid cancer. However, these therapies still have many limitations and further research needs to be pursued with the ultimate goal of providing safe and effective personalized therapy for patients with advanced thyroid cancer.
Insights
Rising differentiated thyroid cancer incidence necessitates new treatments. Targeted therapies like sorafenib and lenvatinib offer options for advanced disease, but further research is crucial for personalized medicine.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Differentiated thyroid cancer is a common endocrine malignancy with increasing incidence.
- A subset of patients develops aggressive, treatment-refractory disease.
- Limited therapeutic options existed for advanced, refractory thyroid cancer previously.
Purpose of the Study:
- To review the development and application of novel targeted therapies for advanced differentiated thyroid cancer.
- To highlight the impact of multikinase inhibitors in managing refractory thyroid cancer.
- To emphasize the need for continued research in personalized thyroid cancer treatment.
Main Methods:
- Review of recent advancements in targeted therapy for differentiated thyroid cancer.
- Analysis of the role of small-molecule multikinase inhibitors (sorafenib, lenvatinib).
- Discussion of current limitations and future research directions.
Main Results:
- Sorafenib and lenvatinib are approved for radioactive iodine-refractory advanced differentiated thyroid cancer.
- These targeted therapies represent a significant advancement in treating advanced thyroid cancer.
- Despite progress, current therapies have limitations requiring further investigation.
Conclusions:
- Targeted therapies have improved outcomes for advanced differentiated thyroid cancer.
- Further research is essential to overcome existing limitations and develop personalized treatments.
- The ultimate goal is to provide safe, effective, and individualized therapy for all advanced thyroid cancer patients.
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