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Trial · NCT07886905

Pulsed Stereotactic Ablative Radiotherapy (PULSAR) With Systematic Therapy for Thyroid Cancer

NCT07886905, Phase 2, Not yet recruiting, Washington University School of Medicine

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Pulsed Stereotactic Ablative Radiotherapy (PULSAR) With Systematic Therapy for Thyroid Cancer. Trials, record NCT07886905. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT07886905

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Pulsed Stereotactic Ablative Radiotherapy (PULSAR) With Systematic Therapy for Thyroid Cancer
NCT number
NCT07886905
Status
Not yet recruiting
Phases
Phase 2
Enrollment
12 participants, estimated
Lead sponsor
Washington University School of Medicine
Conditions
Anaplastic Thyroid Carcinoma, Thyroid Cancer, Thyroid Carcinoma
Interventions
Dabrafenib, Trametinib, Pembrolizumab, Pulsed Stereotactic Ablative Radiotherapy, Ethos
First posted
2026-10-21
Last updated
2026-10-21

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryRate of 30-day mortalityWithin 30 days after any administered PULSAR fraction (up to approximately 9 weeks)
Defined as death considered possibly, probably, or definitely related to PULSAR-DT +/- pembrolizumab occurring within 30 days after any administered PULSAR fraction. The treatment-related mortality rate will be calculated as the number of participants experiencing a qualifying death divided by the total number of participants in the Safety Analysis Set (all enrolled participants who receive at least one fraction or dose of any treatment, including PULSAR, dabrafenib, trametinib, or pembrolizumab) and will be presented with an exact binomial 95% confidence interval (CI).
PrimaryObjective response rate (ORR) at 1st restagingAt 1st restaging (estimated to be 4 weeks)
ORR is defined as the proportion of participants achieving a confirmed complete response (CR) or partial response (PR) as assessed by RECIST 1.1. Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.
PrimaryObjective response rate (ORR) at 2nd restagingAt 2nd restaging (estimated to be 13-14 weeks)
ORR is defined as the proportion of participants achieving a confirmed complete response (CR) or partial response (PR) as assessed by RECIST 1.1. Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.
SecondaryFeasibility as measured by the total percentage of participants who are able to undergo surgical resection following completion of neoadjuvant PULSAR-DT +/- pembrolizumabBaseline until completion of surgery (total estimated time 5-19 weeks)
Feasibility rate will be calculated as the number of participants who undergo surgical resection divided by the total number of participants in the Feasibility Analysis Set. The rate will be presented with an exact binomial 95% CI.
SecondaryPill compliance - dabrafenibStart of dabrafenib treatment to completion of treatment (total estimated time 9 weeks)
Dabrafenib pill compliance will be evaluated among participants who receive at least one dose of dabrafenib. For each participant and each agent, pill compliance will be calculated as the number of prescribed doses actually taken divided by the total number of doses prescribed and expressed as a percentage. Compliance will be calculated for dabrafenib based on pill diaries and returned pill counts.
SecondaryPill compliance - trametinibStart of trametinib treatment to completion of treatment (total estimated time 9 weeks)
Trametinib pill compliance will be evaluated among participants who receive at least one dose of trametinib. For each participant and each agent, pill compliance will be calculated as the number of prescribed doses actually taken divided by the total number of doses prescribed and expressed as a percentage. Compliance will be calculated for trametinib based on pill diaries and returned pill counts.
SecondaryNumber of planned PULSAR pulses completed by participantsAt completion of PULSAR (estimated to be 5 weeks)
The number of PULSAR fractions completed will be evaluated among participants who receive at least one PULSAR fraction. The number of completed fractions will be summarized. The proportion of participants who complete all planned PULSAR fractions will also be presented with an exact binomial 95% CI.

Outcomes0

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

None in this release.

Results by group0

Each measurement the trial posted, group by group, in the words and numbers it posted.

None in this release.

Participant flow0

How many started, completed or left each group, period by period.

None in this release.

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals0

The totals the trial posted for each group.

None in this release.

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT07886905

GET https://conductscience.org/api/trials/v1/NCT07886905/registered