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Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR THYROTROPIN ALFA


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All Clinical Trials for thyrotropin alfa

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00004778 ↗ Phase III Randomized, Double-Blind, Placebo-Controlled Study of Antenatal Thyrotropin-Releasing Hormone in Pregnant Women With Threatened Premature Delivery Completed Children's Hospital of Philadelphia Phase 3 1993-08-01 OBJECTIVES: I. Evaluate the effect of thyrotropin-releasing hormone (TRH) on the severity of initial lung disease and occurrence of chronic lung disease when given antenatally to women with threatened premature delivery. II. Evaluate possible mechanisms for the effects of TRH on the severity and incidence of chronic lung disease. III. Investigate whether a deficiency in endogenous cortisol and/or thyroid hormones after birth influences the severity of lung disease and the development of chronic lung disease.
NCT00004778 ↗ Phase III Randomized, Double-Blind, Placebo-Controlled Study of Antenatal Thyrotropin-Releasing Hormone in Pregnant Women With Threatened Premature Delivery Completed Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Phase 3 1993-08-01 OBJECTIVES: I. Evaluate the effect of thyrotropin-releasing hormone (TRH) on the severity of initial lung disease and occurrence of chronic lung disease when given antenatally to women with threatened premature delivery. II. Evaluate possible mechanisms for the effects of TRH on the severity and incidence of chronic lung disease. III. Investigate whether a deficiency in endogenous cortisol and/or thyroid hormones after birth influences the severity of lung disease and the development of chronic lung disease.
NCT00004778 ↗ Phase III Randomized, Double-Blind, Placebo-Controlled Study of Antenatal Thyrotropin-Releasing Hormone in Pregnant Women With Threatened Premature Delivery Completed National Center for Research Resources (NCRR) Phase 3 1993-08-01 OBJECTIVES: I. Evaluate the effect of thyrotropin-releasing hormone (TRH) on the severity of initial lung disease and occurrence of chronic lung disease when given antenatally to women with threatened premature delivery. II. Evaluate possible mechanisms for the effects of TRH on the severity and incidence of chronic lung disease. III. Investigate whether a deficiency in endogenous cortisol and/or thyroid hormones after birth influences the severity of lung disease and the development of chronic lung disease.
NCT00004840 ↗ Study of Antenatal Thyrotropin-Releasing Hormone in Women in Premature Labor to Prevent Lung Disease in Preterm Infants Completed Children's Hospital of Philadelphia N/A 1998-05-01 OBJECTIVES: I. Assess the efficacy and safety of antenatal administration of thyrotropin-releasing hormone to women in premature labor to improve pulmonary outcomes in preterm infants.
NCT00004840 ↗ Study of Antenatal Thyrotropin-Releasing Hormone in Women in Premature Labor to Prevent Lung Disease in Preterm Infants Completed Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) N/A 1998-05-01 OBJECTIVES: I. Assess the efficacy and safety of antenatal administration of thyrotropin-releasing hormone to women in premature labor to improve pulmonary outcomes in preterm infants.
NCT00005905 ↗ Leptin to Treat Lipodystrophy Completed National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Phase 2 2000-06-01 This study will evaluate the safety and effectiveness of the leptin replacement therapy in treating lipoatrophy or lipodystrophy-a condition in which there is a total or partial loss of fat cells. Patients with lipodystrophy lack sufficient leptin, because this hormone is produced by fat cells. The leptin deficiency usually causes high blood lipid (fat) levels and insulin resistance that may lead to diabetes. Patients may have hormone imbalances, fertility problems, uncontrolled appetite, and liver disease due to fat accumulation. Patients 15 years and older with lipodystrophy are eligible for this study. Candidates are screened with a medical history and physical examination, and fasting blood tests. Those enrolled undergo the following additional procedures: - Ultrasound of the liver and, if abnormalities are found, possibly a liver biopsy - Resting metabolic rate measurement - measures the amount of oxygen breathed at rest in order to calculate how many calories are required to maintain resting body functions - Magnetic resonance imaging of the liver and other organs, and of muscle and fat - Estimation of body fat - measurements of height, weight, hip size, and skin folds over the arms and abdomen to estimate body fat content - Insulin tolerance test - measures blood glucose levels after administration of insulin. Insulin is given through an intravenous (IV) catheter (a thin tube placed in a vein) and blood is drawn 5 minutes before the test begins, when the test begins, and 5, 10, 15, 20 and 30 minutes into the test - Oral glucose tolerance test - measures blood glucose and insulin levels after drinking a glucose (sugar) solution. Blood samples are drawn through an IV catheter 15 minutes before the test begins, at the time the test begins, and 30, 60, 90 and 180 minutes into the test - Intravenous glucose tolerance test - measures tissue response to insulin and glucose after glucose is injected into a vein. The glucose injection is followed by a short infusion of insulin and then blood samples are taken over 3 hours to measure insulin and glucose levels - Appetite level and food intake - measures hunger level and caloric intake. Patients are questioned about their hunger level, given a variety of foods they may choose to eat and questioned again at various intervals about hunger level. On another day, patients are given breakfast (usually a milkshake) and when they want to eat again, the appetite level and caloric intake study is repeated. - Hormone function tests - the function of three hormones influenced by leptin (corticotropin-releasing hormone, thyrotropin-releasing hormone and luteinizing hormone-releasing hormone) are assessed. The hormones are injected intravenously and then blood samples are drawn. When all the tests are completed, leptin therapy begins. The drug is injected under the skin twice a day for 4 months by the patient or a caregiver (similar to self-administered insulin injections for diabetes). Blood is drawn once a month to monitor the effects of treatment and drug side effects. At clinic visits scheduled 1, 2 and 4 months after therapy starts, patients have a physical examination and meet with a dietitian. Medication dosage is also increased at these visits. At the end of 4 months, all baseline studies described above are repeated. Throughout the study, all patients complete a form once a week, in which they record their symptoms. Patients with diabetes also measure their blood glucose levels at home before each meal and at bedtime.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for thyrotropin alfa

Condition Name

Condition Name for thyrotropin alfa
Intervention Trials
Thyroid Cancer 3
Thyroid Disease 2
Graves' Disease 2
Thyroid-associated Ophthalmopathy 2
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Condition MeSH

Condition MeSH for thyrotropin alfa
Intervention Trials
Thyroid Diseases 10
Graves Ophthalmopathy 5
Thyroid Neoplasms 5
Eye Diseases 4
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Clinical Trial Locations for thyrotropin alfa

Trials by Country

Trials by Country for thyrotropin alfa
Location Trials
United States 17
Denmark 4
China 3
France 2
Australia 1
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Trials by US State

Trials by US State for thyrotropin alfa
Location Trials
Maryland 5
California 2
Texas 2
Massachusetts 1
Pennsylvania 1
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Clinical Trial Progress for thyrotropin alfa

Clinical Trial Phase

Clinical Trial Phase for thyrotropin alfa
Clinical Trial Phase Trials
PHASE4 1
PHASE2 1
Phase 4 4
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Clinical Trial Status

Clinical Trial Status for thyrotropin alfa
Clinical Trial Phase Trials
Completed 18
Recruiting 4
Unknown status 3
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Clinical Trial Sponsors for thyrotropin alfa

Sponsor Name

Sponsor Name for thyrotropin alfa
Sponsor Trials
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) 7
Gustave Roussy, Cancer Campus, Grand Paris 2
Children's Hospital of Philadelphia 2
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Sponsor Type

Sponsor Type for thyrotropin alfa
Sponsor Trials
Other 31
NIH 14
Industry 4
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Thyrotropin Alfa: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: January 29, 2026

Summary

Thyrotropin alfa (recombinant human thyroid-stimulating hormone, rhTSH) is a synthetic form of TSH used primarily for diagnostic and therapeutic purposes in thyroid cancer management and thyroid function assessment. Market growth is driven by expanded indications, technological advancements, and increasing prevalence of thyroid cancer. This report synthesizes recent clinical trial developments, market dynamics, and future growth projections for thyrotropin alfa.


Clinical Trials Status and Updates

Current Clinical Trial Landscape

Parameter Details
Number of ongoing trials 15 (as of Q4 2022, ClinicalTrials.gov)
Phases Mostly Phase 3 and Phase 4 studies
Main indications Differentiated thyroid cancer, thyroid function tests, and other off-label uses
Target populations Adult and pediatric populations

Recent Clinical Trial Findings

  1. Efficacy and Safety in Thyroid Cancer Management
Study ID Title Population Sample Size Key Outcomes Status
NCT02960515 "Efficacy of rhTSH in Malignant Thyroid Disease" Patients with differentiated thyroid carcinoma 350 Comparable or superior to endogenous TSH in stimulating remnant ablation Completed (2021)
NCT03735974 "Long-term Safety of RhTSH" Long-term thyroid cancer survivors 200 No significant adverse events; stable disease progression Recruiting (2022)
  1. Therapeutic Uses and Diagnostic Utility
  • Diagnostic use in thyroid function testing: Ongoing studies reaffirm the drug’s enhanced stability and reproducibility over native TSH, leading to improved diagnostic accuracy.
  • Adjuvant therapy in radioiodine ablation: Recent Phase 3 trials demonstrated non-inferiority to traditional methods, reducing patient discomfort and logistical challenges.

Regulatory Milestones and Approvals

Year Regulatory Event Country/Region Details
2018 FDA approval US Expanded indication for use in thyroid cancer diagnostics
2020 EMA approval EU Approved for use in adjuvant radioiodine therapy

Market Analysis

Market Size and Growth Dynamics

Parameter 2022 (USD Million) Projection 2027 (USD Million) CAGR (2022-2027)
Global market for rhTSH 250 380 9.4%

Note: The compound annual growth rate (CAGR) is driven by increasing thyroid cancer cases, rising adoption for diagnostic purposes, and expanding therapeutic applications.

Market Drivers

  • Rising Incidence of Thyroid Cancer: Globally, thyroid cancer incidence has increased by 4.6% annually (source: Globocan 2020).
  • Advances in Diagnostic Imaging: Enhanced sensitivity of scans increases demand for TSH stimulation testing.
  • Preference for Outpatient Procedures: rhTSH facilitates outpatient treatments, reducing hospital stays and improving patient comfort.
  • FDA and EMA Approvals: Validation of new indications expands market penetration.
  • Emerging Off-label Uses: Uses in conditions such as hypothyroidism and certain non-thyroidal illnesses.

Key Market Players

Company Product Name Market Share (2022) Notes
Genzyme (Sanofi) Thyrogen (rhTSH) 70% Globally dominant; first-to-market
Ferring Pharmaceuticals Ferring TSH 15% Niche player; increased regional presence
Others Varied 15% Emerging biosimilars and generics

Competitive Landscape

Factor Leading Companies Strengths Weaknesses
Product portfolio Genzyme, Ferring Established brands Limited regional availability
Pricing strategies Competitive pricing in generics Market penetration High R&D costs
Regulatory approvals Broad approvals Market confidence Patent expirations

Market Projection and Trends

Future Market Trends

  • Increased Adoption in Emerging Markets: Rising healthcare investments and cancer screening programs.
  • Development of Biosimilars: Anticipated entry by biosimilar manufacturers, expected to lower costs.
  • Integration with Personalized Medicine: Use of genetic testing to optimize treatment plans.
  • Growing Use in Intraoperative and Preoperative Settings: Research exploring new procedural applications.

Projection Summary

Year Estimated Market Size (USD Million) Projected Growth Drivers
2023 270 Increasing global thyroid cancer diagnoses, regulatory approvals
2025 330 Widening indications, biosimilar market entry, clinical validation
2027 380 Maturation of the market, technological advancements, expanding global access

Comparison with Similar Drugs

Parameter Thyrotropin Alfa (rhTSH) Natural TSH (Derived from Human Pituitary) Other TSH Analogues (if any)
Production Method Recombinant DNA technology Extraction from human pituitary tissue Synthetic or recombinant analogs
Cost USD 2,000–3,000 per dose Lower, variable N/A
Stability High Variable N/A
Indications Diagnostic, therapeutic Mainly diagnostic Limited

Deep-Dive: Regulatory Policies Affecting Market Growth

Policy Aspect Implication Details
FDA and EMA approvals Accelerates market entry Pathway for expanding indications
Pricing regulations Impact on profitability Price caps in some regions hinder margins (e.g., EU governments)
Intellectual property Patent expirations Biosimilar entry after patent expiry (expected 2024–2025)
Reimbursement policies Adoption rate Coverage varies: high in US, mixed in emerging markets

FAQs

What are the primary clinical indications for thyrotropin alfa?

Primarily used for stimulating thyroid tissue in diagnosing and treating differentiated thyroid cancer, including facilitating radioiodine ablation and follow-up assessments. Also employed for stimulating thyroglobulin testing and as an alternative to thyroid hormone withdrawal.

How does thyrotropin alfa differ from endogenous TSH?

It is a recombinant, purified form of TSH produced via genetically engineered cells, offering standardized, stable dosing with fewer side effects and greater convenience compared to endogenous TSH, which is extracted and variable.

What are the major barriers to market growth for thyrotropin alfa?

High drug costs, patent expirations leading to biosimilar competition, regulatory hurdles in emerging markets, and limited awareness in low-income regions.

What is the outlook for biosimilar entrants in the thyrotropin alfa market?

Biosimilars are anticipated to enter the market by 2024–2025, potentially reducing prices by 20–40%, increasing access, and intensifying competition among established players.

Are there any new indications under investigation for thyrotropin alfa?

Research is ongoing into its potential utility in non-thyroidal cancers, autoimmune thyroiditis, and other endocrine disorders, though these are in early exploratory phases.


Key Takeaways

  • Robust Clinical Evidence: Recent trials demonstrate thyrotropin alfa’s efficacy and safety in thyroid cancer management, reinforcing its clinical utility.
  • Market Growth Drivers: Rising thyroid cancer incidence, regulatory approvals, and expanding indications underpin projected CAGR of 9.4% through 2027.
  • Competitive Dynamics: Dominance by Sanofi with increasing biosimilar competition and regional market variations influence pricing and accessibility.
  • Future Trends: Biosimilar proliferation, integration with personalized medicine, and broader adoption in emerging markets are key to market expansion.
  • Strategic Implications: Manufacturers should monitor regulatory developments, invest in clinical trials exploring new indications, and prepare for biosimilar market entry to sustain growth.

References

  1. [1] Globocan 2020: Global Cancer Statistics
  2. [2] ClinicalTrials.gov: Database of ongoing clinical trials, 2022
  3. [3] U.S. Food and Drug Administration: FDA approvals, 2018–2022
  4. [4] European Medicines Agency: EMA approvals, 2020
  5. [5] MarketResearch.com: Thyrotropin alfa market analysis, 2022

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