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16

Patients with

DTC (n=392)

≥18 years old

IRR evidence of

progression within

previous 13 months

131

I-refractory disease

Blood pressure

≤150/90 mmHg

Up to 1 prior VEGF or

VEGFR-targeted

therapy

Placebo (n=131)

Daily PO

Lenvatinib (n=261)

24 mg daily PO

Stratification

Geographic region

(Europe,

N. America, Other)

Prior VEGF/

VEGFR targeted

therapy

(0,1)

Age

(≤65 years,

>65 years)

Treatment until

IRR-verified disease

progression by RECIST 1.1

Lenvatinib

(Optional, open-label)

Randomization 2:1

Global, randomized, double-blind Phase III trial

DTC, differentiated thyroid cancer;

131

I, radioiodine; IRR, independent radiologic review, ORR, overall response rate; OS,

overall survival; PFS, progression-free survival; PO, by mouth; VEGF, vascular endothelial growth factor; VEGFR, vascular

endothelial growth factor receptor

Primary endpoint

PFS

Secondary endpoints

ORR

OS

Safety

SELECT Trial

Schlumberger M, et al. N Engl J Med 2015;372:621-30. DOI: 10.1056/NEJMoa1406470