Targeting Thyroid Cancer

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Presentation transcript:

Targeting Thyroid Cancer

Program Goal

Thyroid Cancer Newly Detected 2013 (n=60,220)

Follicular Cell Thyroid Cancer Deaths 2013 (n = 1850)

Familial Syndromes

Thyroid Cancer Treatment “Pyramid”

Risk Stratification

RAI-Refractory Disease

Doxorubicin: Single-agent Activity

Doxorubicin +/- Cisplatin

Doxorubicin +/- Cisplatin: Results

Targets in Thyroid Cancer

VEGF and Thyroid Cancer

Sorafenib

Sorafenib University of Pennsylvania

Sorafenib Results University of Pennsylvania

Sorafenib Ohio State

Sorafenib Results Ohio State

Sorafenib Response Rates Ohio State vs Penn

DECISION Study

DECISION Study Results

DECISION Study Response Rates

Lenvatinib (E7080) Background

Lenvatinib Response Rate

Differentiated Thyroid Cancers Phase 2 Studies -- Multitargeted TKIs

Summary of Angiogenesis Inhibition

Genetic Alterations in Thyroid Cancer

Concordance of Genetic Alterations in MAPK but Not PI3K Pathway Oncogenes

Selumetinib (AZD6244)

Selumetinib Response Rate

Impact of Selumetinib on 124I Incorporation

Responses for RAI-Treated Patients

BRAF

Vemurafenib

Vemurafenib Response Rate

Current Studies for BRAF Mutant Thyroid Cancer

Summary of BRAF and MEK targets

Medullary Thyroid Cancer

Presentations of MCT

MTC: Hereditary vs Sporadic?

Hereditary MTC Until Proven Otherwise

Sporadic MTC Frequency of RET Mutations

Vandetanib (ZD6474)

Vandetanib: Randomized Phase 3 Trial

Vandetanib: PFS

Vandetanib: Objective Tumor Assessments

Cabozantinib (XL184)

Cabozantinib: Phase 3 Study Design (EXAM)

Cabozantinib: PFS

Summary of Medullary Thyroid Cancer

Abbreviations

Abbreviations (cont)

Abbreviations (cont)

References

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