Real-world insights into the efficacy and safety of tyrosine kinase inhibitors against thyroid cancers

Crit Rev Oncol Hematol. 2022 Apr:172:103624. doi: 10.1016/j.critrevonc.2022.103624. Epub 2022 Feb 9.

Abstract

Based on clinical trials demonstrating favorable short-term efficacy and tolerable toxicity, several tyrosine kinase inhibitors have been approved for treating locally recurrent or metastatic, progressive radioiodine-refractory differentiated thyroid cancer, BRAFV600E-mutant anaplastic thyroid cancer, and advanced or progressive medullary thyroid cancer. Longer term efficacy and safety of these treatments have been investigated in multiple real-world studies, demonstrating indispensable complementary value. Hereby, we summarize data from a total of 27 real-world studies with a focus on long-term survival data and rare but life-threatening adverse effects. An overall picture of current real-world study was drawn, and integrated experience of multiple centers would be helpful to clinical practice and further research.

Keywords: Real-world evidence; Thyroid cancer; Tyrosine kinase inhibitor.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents* / adverse effects
  • Carcinoma, Neuroendocrine* / drug therapy
  • Carcinoma, Neuroendocrine* / genetics
  • Humans
  • Iodine Radioisotopes / therapeutic use
  • Protein Kinase Inhibitors / adverse effects
  • Thyroid Neoplasms* / drug therapy
  • Thyroid Neoplasms* / pathology

Substances

  • Antineoplastic Agents
  • Iodine Radioisotopes
  • Protein Kinase Inhibitors