Evidence map›Paper›PMID 33169506›Full record

ArticleHead & neck2021

Neoadjuvant selpercatinib for advanced medullary thyroid cancer.

Yelda Jozaghi, Mark Zafereo, Michelle D Williams, Maria K Gule-Monroe, Jennifer Wang, Elizabeth G Grubbs, Ara Vaporciyan, Mimi I Hu, Naifa Busaidy, Ramona Dadu and 3 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Head & neck, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 74 citations in OpenAlex.

  1. Trial
  2. Review
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  7. Selpercatinib in the treatment of thyroid cancer.Future oncology (London, England) · 2025
    Review
  8. Article
  9. Landmark Studies in Differentiated Thyroid Cancer.Annals of surgical oncology · 2025
    Review
  10. The utility ofThyroid research · 2025
    Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
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  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Yelda JozaghiDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-1933-5746
Mark ZafereoDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0001-7918-9739
Michelle D WilliamsDepartment of Pathology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Maria K Gule-MonroeDepartment of Diagnostic Radiology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Jennifer WangDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-0807-3832
Elizabeth G GrubbsDepartment of Surgical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Ara VaporciyanDepartment of Thoracic and Cardiovascular Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Mimi I HuDepartment of Endocrine Neoplasia and Hormonal Disorders, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Naifa BusaidyDepartment of Endocrine Neoplasia and Hormonal Disorders, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Ramona DaduDepartment of Endocrine Neoplasia and Hormonal Disorders, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Steven G WaguespackDepartment of Endocrine Neoplasia and Hormonal Disorders, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Vivek SubbiahDepartment of Investigational Cancer Therapeutics, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Maria CabanillasDepartment of Endocrine Neoplasia and Hormonal Disorders, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-5124-1811
The University of Texas MD Anderson Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTargeted kinase inhibitors have been increasingly utilized in the treatment of advanced medullary thyroid cancer (MTC) over the last decade. Recently, highly potent next generation selective RET inhibitors have been clinically validated, and selpercatinib was recently Food and Drug Administration (FDA)-approved for advanced MTC. The advent of highly selective, potent RET inhibitors is broadening the treatment options for patients with RET-mutated cancers.

methodsWe report the first published case of neoadjuvant selpercatinib followed by surgery for a patient with initially unresectable, widely metastatic, RET-mutated MTC who was treated on a single patient protocol.

resultsAfter greater than 50% RECIST response, the patient underwent complete surgical resection followed by selpercatinib resumption. He remains locoregionally disease-free 21 months after starting therapy with stable metastatic disease (after initial partial response); and calcitonin/CEA continue to decline.

conclusionThis novel treatment strategy for locoregionally advanced RET-mutated MTC warrants further study in clinical trials.

Indexed as

Carcinoma, NeuroendocrineThyroid NeoplasmsHumansMaleNeoadjuvant TherapyProto-Oncogene Proteins c-retPyrazolesPyridinesProto-Oncogene Proteins c-retPyrazolesPyridinesselpercatinibLOXO-292medullaryneoadjuvantselective RET inhibitorselpercatinib

Identifiers

PMID33169506
PMCPMC7756223
OpenAlexW3098982779

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.