Selpercatinib

(Retevmo®)

Selpercatinib

Drug updated on 9/4/2024

Dosage FormCapsule (oral; 40 mg, 80 mg); Tablets (oral; 40 mg, 80 mg, 120 mg, 160 mg)
Drug ClassKinase inhibitors
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated for the treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with a rearranged during transfection (RET) gene fusion, as detected by an FDA-approved test.
  • Indicated for the treatment of adult and pediatric patients 12 years of age and older with advanced or metastatic medullary thyroid cancer (MTC) with a RET mutation, as detected by an FDA-approved test, who require systemic therapy.
  • Indicated for the treatment of adult and pediatric patients 12 years of age and older with advanced or metastatic thyroid cancer with a RET gene fusion, as detected by an FDA-approved test, who require systemic therapy and who are radioactive iodine-refractory (if radioactive iodine is appropriate).
  • Indicated for the treatment of adult patients with locally advanced or metastatic solid tumors with a RET gene fusion that have progressed on or following prior systemic treatment or who have no satisfactory alternative treatment options.

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Summary
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  • Retevmo (selpercatinib) is indicated for the treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with a rearranged during transfection (RET) gene fusion, as detected by an FDA-approved test; for the treatment of adult and pediatric patients 12 years of age and older with advanced or metastatic medullary thyroid cancer (MTC) with a RET mutation, as detected by an FDA-approved test, who require systemic therapy; for the treatment of adult and pediatric patients 12 years of age and older with advanced or metastatic thyroid cancer with a RET gene fusion, as detected by an FDA-approved test, who require systemic therapy and who are radioactive iodine-refractory (if radioactive iodine is appropriate); and for the treatment of adult patients with locally advanced or metastatic solid tumors with a RET gene fusion that have progressed on or following prior systemic treatment or who have no satisfactory alternative treatment options.
  • This summary is based on the review of one systematic review(s)/meta-analysis(es). [1]
  • Selpercatinib (retevmo) shows an objective-response rate (ORR) ranging from 60% to 89%, a complete-response rate (CRR) between 0% and 11%, and a partial-response rate (PRR) ranging from 55% to 89%.
  • Effectiveness outcomes for selpercatinib are comparable to those of pralsetinib, another RET-specific tyrosine kinase inhibitor, with no differentiation regarding their ORR, CRR, or PRR. 5. ≥Grade 3 Adverse Events: Reported in 28% to 53% of patients.
  • Common Adverse Effects: Include hypertension, changes in ALT levels, QT prolongation, neutropenia, and pneumonitis.
  • There is no population types or subgroups information available in the reviewed studies.

Product Monograph / Prescribing Information

Document TitleYearSource
Retevmo (selpercatinib) Prescribing Information. 2024Lilly USA, LLC., Indianapolis, IN

Systematic Reviews / Meta-Analyses

Clinical Practice Guidelines