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targeted-therapy / targeted-therapyThyroid Cancer

Marcia S. Brose

MD, PhD

🏢Sidney Kimmel Cancer Center, Thomas Jefferson University🌐USA

Professor of Oncology; Director, Center for Rare Cancers and Personalized Therapy

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Key Contributions

👥Biography 个人简介

Marcia S. Brose, MD, PhD is Professor of Oncology and Director of the Center for Rare Cancers and Personalized Therapy at Sidney Kimmel Cancer Center, Thomas Jefferson University. She is internationally recognized as one of the foremost experts in thyroid cancer pharmacology and targeted therapy, with landmark contributions to the clinical development of sorafenib and lenvatinib for radioiodine-refractory differentiated thyroid cancer (RAI-refractory DTC). Her translational research integrates molecular oncology with precision medicine to identify actionable targets in thyroid and other rare cancers. Dr. Brose served as a principal investigator for DECISION, the phase III trial that established sorafenib as the first approved targeted therapy for RAI-refractory DTC, published in The Lancet in 2014. She has also led and contributed to SELECT and subsequent studies evaluating lenvatinib, cabozantinib, and novel combination regimens in thyroid cancer, building a comprehensive framework for sequencing kinase inhibitors in this disease. Her research has defined biomarker strategies for treatment selection in RAI-refractory thyroid cancer. Beyond thyroid cancer, Dr. Brose has contributed to the molecular characterization of rare solid tumors and leads one of the most active rare cancer clinical trials programs in the United States. She has authored over 200 peer-reviewed publications and is a frequent invited faculty member at ASCO, ESMO, and the American Thyroid Association annual meetings.

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🧪Research Fields 研究领域

Differentiated Thyroid Cancer
Radioiodine-Refractory Thyroid Cancer
BRAF-Targeted Therapy
Lenvatinib
Sorafenib
Kinase Inhibitor Clinical Trials

🎓Key Contributions 主要贡献

DECISION Trial: Sorafenib as First Approved Targeted Therapy for RAI-Refractory DTC

Led the DECISION phase III trial demonstrating that sorafenib significantly prolonged progression-free survival versus placebo in patients with radioiodine-refractory differentiated thyroid cancer, resulting in FDA approval and establishing the first targeted treatment standard for this population.

Lenvatinib and Multi-Kinase Inhibitor Sequencing in Thyroid Cancer

Contributed to the SELECT phase III trial and subsequent studies establishing lenvatinib as a highly active agent in RAI-refractory DTC, and led translational work on optimal sequencing and resistance mechanisms for kinase inhibitors in advanced thyroid cancer.

BRAF-Targeted Combination Strategies in Thyroid Cancer

Pioneered investigation of BRAF V600E inhibitor combinations (dabrafenib/trametinib) in anaplastic thyroid cancer and BRAF-mutant papillary thyroid cancer, informing clinical development programs that led to approval of this combination in ATC.

Representative Works 代表性著作

[1]

Sorafenib in Radioactive Iodine–Refractory, Locally Advanced or Metastatic Differentiated Thyroid Cancer

The Lancet (2014)

Phase III DECISION trial demonstrating PFS benefit of sorafenib over placebo in RAI-refractory DTC, leading to the first FDA-approved targeted therapy for this disease.

[2]

Cabozantinib in Patients with Radioiodine-Refractory Differentiated Thyroid Cancer

Journal of Clinical Oncology (2021)

Phase III COSMIC-311 trial establishing cabozantinib as a second-line option in RAI-refractory DTC following VEGFR-targeted therapy failure.

[3]

Phase II Study of Sorafenib in Metastatic Thyroid Cancer

Journal of Clinical Oncology (2011)

Early phase II study demonstrating activity of sorafenib across thyroid cancer subtypes, providing proof-of-concept for the DECISION phase III trial.

🏆Awards & Recognition 奖项与荣誉

🏆American Thyroid Association Research Achievement Award
🏆ASCO Conquer Cancer Foundation Merit Award
🏆National Cancer Institute R01 Investigator

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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