Evidence map›Paper›PMID 40488858›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2025

RhTSH in aiding dynamic assessment in patients with differentiated thyroid Cancer.

YanSong Lin, Qiang Wen, Wei Fu, Hui Yang, YongJu Gao, ZhiYong Li, JinXiong Huang, ZaiRong Gao, Jing Wu, ZhongWei Lv and 15 more

Registry-linked trialAbstract readMulticenter StudyClinical Trial, Phase III
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04971473 (An Open, Single-arm, Self-controlled, Multi-center Phase 3 Study to Compare the Efficacy and Safety of rhTSH as An Adjunctive Diagnostic Tool in Differentiated Thyroid Cancer Patients Who Had Been Thyroidectomized Vs. Patients Who After Thyroid Hormone Withdrawal), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT04971473 phase3completednot on this map

An Open, Single-arm, Self-controlled, Multi-center Phase 3 Study to Compare the Efficacy and Safety of rhTSH as An Adjunctive Diagnostic Tool in Differentiated Thyroid Cancer Patients Who Had Been Thyroidectomized Vs. Patients Who After Thyroid Hormone Withdrawal

TypeinterventionalSponsorSuzhou Zelgen Biopharmaceuticals Co.,LtdRan2021 to 2023Enrolled201ConditionsDifferentiated Thyroid CancerArmsrhTSH
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

25 authors.

YanSong LinDepartment of Nuclear Medicine, Peking Union Medical College Hospital, No.1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China. linyansong1968@163.com.ORCID 0000-0001-6095-4728
Qiang WenChina-Japan Union Hospital of Jilin University, Changchun, China.
Wei FuThe First Affiliated Hospital of Guilin Medical University, Guilin, China.
Hui YangThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
YongJu GaoHenan Provincial People's Hospital, Zhengzhou, China.
ZhiYong LiThe Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
JinXiong HuangThe First Affiliated Hospital of Xiamen University, Xiamen, China.
ZaiRong GaoUnion Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
Jing WuZhengzhou Central Hospital, Zhengzhou, China.
ZhongWei LvShanghai Tenth People's Hospital, Shanghai, China.
KeYi LuFirst Hospital of Shanxi Medical University, Taiyuan, China.
Yue ChenThe Affiliated Hospital of Southwest Medical University, Luzhou, China.
AiMin YangThe First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Wei OuYangZhujiang Hospital of Southern Medical University, Guangzhou, China.
ShuiXing ZhangDepartment of Radiology, The First Affiliated Hospital of Jinan University, Guangzhou, China.
HaiZhong ZhouNorthern Jiangsu People's Hospital, Yangzhou, China.
ZhiYong DengYunnan Cancer Hospital, The Third Affiliated Hospital of Kunming Medical University, Kunming, China.
ZhiJun ChenJiangxi Cancer Hospital, Nanchang, China.
Yong DingThe Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Chao YuanThe First Affiliated Hospital of Bengbu Medical University, Bengbu, China.
LinFa LiZhejiang Cancer Hospital, Hangzhou, China.
ChengHe LinThe First Hospital of Jilin University, Changchun, China.
ShiBiao SangFirst Affiliated Hospital of Soochow University, Suzhou, China.
ZhiFeng ChengThe Fourth Affiliated Hospital of Harbin Medical University, Harbin, China.
YiZhuang ChengAnhui Provincial Hospital, Hefei, China.

Funding

Suzhou Zelgen Biopharmaceuticals Co., Ltd. Suzhou Zelgen Biopharmaceuticals Co., Ltd.
6 · The paper itself

Abstract

purposeTo evaluate the efficacy of a novel recombinant human thyroid-stimulating hormone (ZGrhTSH) as an alternative to thyroid hormone withdrawal (THW) in dynamic assessment of DTC patients.

methodsThis phase 3, open-label, multicenter trial, conducted across 27 sites in China, employed a self-controlled design to enroll patients. Eligible patients had previously undergone total or near-total thyroidectomy, with or without RAI therapy. During both the ZGrhTSH-stimulated phase and the THW phase, Dx-WBS and serum Tg measurements were performed on all participants. The study focused on the concordance of Dx-WBS results, stimulated Tg levels, and their combination in patients across the two phases. Additionally, the safety and immunogenicity profiles of ZGrhTSH were assessed as well.

resultsIn the assessment of radioiodine uptake and stimulated Tg levels, ZGrhTSH demonstrated efficacy comparable to that of THW. The concordance rate for scans between the two phases was 88.2% (95% CI: 83.7-92.7%). When setting stimulated Tg levels with a cutoff of 1 ng/mL, the concordance rate was 90.4% (95% CI: 86.1-94.6%), and the concordance of scans combined with stimulated Tg was 93.6% (95% CI: 90.1-97.1%). Adverse events associated with ZGrhTSH were reported in 22 patients (10.9%), all of which were mild and transient, graded as 1 or 2.

conclusionZGrhTSH showed non-inferior performance in detecting radioiodine uptake and serum Tg, and could be an effective and safe alternative for the dynamic evaluation of DTC patients.

trial registrationClinicalTrials.gov, NCT04971473. Registered July 7, 2021.

Indexed as

Thyroid NeoplasmsThyrotropinAdultAgedFemaleHumansIodine RadioisotopesMaleMiddle AgedRecombinant ProteinsIodine RadioisotopesRecombinant ProteinsThyrotropinDifferentiated thyroid cancerRecombinant human thyroid-stimulating hormoneThyroid hormone withdrawalWhole body scan

Identifiers

PMID40488858
PMCPMC12660432

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Registered trials

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.