Digoxin for the Reinduction of Radioiodine Uptake in Metastatic or Locally Advanced Non-medullary Thyroid Carcinoma

Inclusion Criteria: * Non-medullary thyroid carcinoma * Having undergone total thyroidectomy and at least 1 treatment with \[131\]sodium iodine (NaI) * Presence of local or metastatic disease, radiologically proven. A minimum of 1 target lesion (at least 1cm for soft tissue and 1.5cm for lymph nodes) must be present. * Radioiodine refractory disease; at least one lesion without therapeutic relevant uptake at previous post-therapeutic scintigraphy and/or negative diagnostic \[123\]NaI-scan. * The target lesion must not be eligible for local treatments. * Hematologic lab values should be at least: absolute neutrophil count \>1.4x10\^9/liter, hemoglobin\>5.5mmol/liter, thrombocytes \>99x10\^9/liter Exclusion Criteria: * Creatinine clearance \<50ml/min and/or active kidney disease * Cardiac arrhythmias * Electrolyte disorder * Concomitant drugs that interfere with digoxin metabolism such as P-glycoprotein inductors or inducers, including but not limited to penicillamine, sulfasalazin, tipranavir, amiodarona, diltiazem, itraconazole, ketoconazole, kinidin, lapatinib, propafenon, vemurafenib, verapamil, azithromycin, clarithromycin, erythromycin, roxithromycin, chloroquin, ciclosporin, anti hepatitis C drugs, anti-HIV drugs, hydroxychloroquine. * Pregnancy, lactating or breast-feeding women. * Having undergone a procedure with iodine contrast agent within the last 3 months. * Prior therapy with radioactive iodine \<6 months prior to participation. * External beam radiation thera…