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CompletedNCT04964284Updated Sep 8, 2026

rhTSH for Radioactive Iodine Remnant Ablation in Participants With Differentiated Thyroid Cancer (DTC)

A Phase 3 interventional study of rhTSH and Radioiodine (131I) in Differentiated Thyroid Cancer, sponsored by Suzhou Zelgen Biopharmaceuticals Co.,Ltd. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Suzhou Zelgen Biopharmaceuticals Co.,Ltd · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
390
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This study was conducted in patients with differentiated thyroid cancer who had undergone total/near-total thyroidectomy. After surgery patients were randomized to one of two methods of performing thyroid remnant ablation. One group of patients who took thyroid hormone medicine and were euthyroid [i.e. their thyroid stimulating hormone (TSH) levels are normal], and received injections of rhTSH (0.9 mg daily on two consecutive days) followed by oral radioiodine. The second group of patients did not take thyroid hormone medicine so that they were hypothyroid (i.e. their TSH levels were high), and were given oral radioiodine.

02

Conditions studied

  • Differentiated Thyroid Cancer
03

In context

Lead sponsor

Suzhou Zelgen Biopharmaceuticals Co.,Ltd is the lead sponsor of 82 studies on the registry; 31 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subjects voluntarily sign the informed consent form (ICF).
  • Age ≥ 18 years old, either male or female.
  • Patients with diagnosed differentiated papillary or follicular thyroid carcinoma, including papillary-follicular variant, characterized as pT 1-3, N 0-1or Nx, and M0.
  • Eastern Cooperative Oncology Group (ECOG) score of 0-2;
  • Expected life expectancy is greater than 12 weeks;
  • Patients with a total or near-total thyroidectomy within 12 months prior to randomized.
  • Low iodine diet for two weeks prior to randomized.

Exclusion criteria

Exclusion Criteria:

  • patients with recent history of 131I whole body scan within 2 weeks prior to randomized.
  • Pregnant or breast feeding women.
  • patients with other malignancies (exception for in situ cervix uterine cancer, baso cellular skin cancer or breast cancer in remission)
  • Subjects who are unsuitable to the trial in combination with other serious diseases, as identified by the investigator.
  • Subjects who have participated in another clinical trial of a new drug or medical instrument within 1 months before screening.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
390 participants (actual)

Study arms

  • Experimental
    rhTSH group

    Patients received thyroid hormone suppression therapy (Euthyrox) . rhTSH (0.9 mg) was administered intramuscularly (IM) once daily (qd) for 2 days. Twenty-four hours following the second dose of rhTSH, an ablative activity of 131I (30 mCi±1.5 mCi) was administered.

    Biological: rhTSH · Radiation: Radioiodine (131I)

  • Experimental
    Thyroid hormone withdrawal group

    After randomization, patients with thyroid hormone withdrawal therapy(i.e. Stop taking thyroid hormone for 14 days, and then monitor the level of thyroid-stimulating hormone every week). When TSH\>30mU/L, an ablative activity of 131I (30 mCi±1.5 mCi) was administered.

    Radiation: Radioiodine (131I)

Interventions

  • BiologicalrhTSH

    rhTSH (0.9 mg) was administered intramuscularly (IM) once daily (qd) for 2 days. Twenty-four hours following the second dose of rhTSH

    Also known as: Recombinant human thyroid-stimulating hormone

  • RadiationRadioiodine (131I)

    Patients were given an ablative dose of 131I (30 mCi±1.5 mCi).

06

What researchers measure

Primary outcomes

  1. The rate of successful postoperative thyroid ablation

    Patients were considered successfully ablated if there was no visible thyroid bed uptake on the scan

    Time frame: 8 months later by a rhTSH stimulated radioiodine scan

07

Study locations

1 site
  • Peking Union Medical College Hospital
    Beijing, Beijing Municipality 100730, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04964284
Lead sponsor
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
Responsible party
Sponsor
First posted
Jul 16, 2021
Start date
Oct 6, 2021
Primary completion
Jan 31, 2026
Completion
Jan 31, 2026
Last update
Sep 8, 2026

Study contacts

Yansong Lin, PhD
principal investigator · Peking Union Medical College Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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