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Trial ยท NCT04194944

A Study of Selpercatinib (LY3527723) in Participants With Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung Cancer

NCT04194944, Phase 3, Active not recruiting, Eli Lilly and Company; results first posted 2024-06-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Selpercatinib (LY3527723) in Participants With Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung Cancer. Trials, record NCT04194944. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04194944

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study of Selpercatinib (LY3527723) in Participants With Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung Cancer
NCT number
NCT04194944
Status
Active not recruiting
Phases
Phase 3
Enrollment
261 participants, actual
Lead sponsor
Eli Lilly and Company
Conditions
Non-Small Cell Lung Cancer
Interventions
Selpercatinib, Carboplatin, Cisplatin, Pemetrexed, Pembrolizumab
First posted
2019-12-11
Last updated
2026-10-21
Other registries' IDs
eudract:2019-001979-36
Results first posted
2024-06-20

Source ClinicalTrials.gov

Registered outcomes25

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProgression Free Survival (PFS) by Blinded Independent Central Review (BICR) (With Pembrolizumab)Baseline to Progressive Disease or Death from Any Cause Up to 31 Months
PFS is defined as the time from randomization until the occurrence of documented disease progression by the BICR, per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria, or death from any cause in the absence of BICR-documented progressive disease.
PrimaryPFS by BICR (With or Without Pembrolizumab)Baseline to Progressive Disease or Death from Any Cause Up to 31 Months
PFS is defined as the time from randomization until the occurrence of documented disease progression by the BICR, per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria, or death from any cause in the absence of BICR-documented progressive disease.
SecondaryPercentage of Participant With Disease Control Rate (DCR) by BICR (With Pembrolizumab)Baseline to Progressive Disease or Death from Any Cause Up to 31 Months
DCR by BICR (with Pembrolizumab) is defined as the number of participants who achieve a BOR of complete response (CR), partial response (PR), or stable disease (SD) lasting 16 or more weeks divided by the total number of participants randomized to each treatment arm.
SecondaryPercentage of Participant With DCR by BICR (With or Without Pembrolizumab)Baseline to Progressive Disease or Death from Any Cause Up to 31 Months
DCR by BICR (with or without Pembrolizumab) is defined as the number of participants who achieve a BOR of CR, PR, or SD lasting 16 or more weeks divided by the total number of participants randomized to each treatment arm.
SecondaryPFS2 (With Pembrolizumab)Baseline to Second Disease Progression or Death from Any Cause Up to 38 MonthsPFS2 is defined as the time from randomization to disease progression on the next line of treatment or death from any cause in the absence of observed disease progression.
SecondaryPFS2 (With or Without Pembrolizumab)Baseline to Second Disease Progression or Death from Any Cause Up to 38 MonthsPFS2 is defined as the time from randomization to disease progression on the next line of treatment or death from any cause in the absence of observed disease progression.
SecondaryOverall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) by BICR (With Pembrolizumab)Baseline through Disease Progression or Death Up to 31 Months
ORR is defined as the number of participants who achieve a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the total number of participants randomized to each treatment arm.
SecondaryORR: Percentage of Participants With CR or PR by BICR (With or Without Pembrolizumab)Baseline through Disease Progression or Death Up to 31 Months
ORR is defined as the number of participants who achieve a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the total number of participants randomized to each treatment arm.
SecondaryDuration of Response (DoR) by BICR (With Pembrolizumab)Date of CR or PR to Date of Disease Progression or Death Due to Any Cause Up to 31 Months
DoR was defined as the time from the date that measurement criteria for CR or PR (whichever is first recorded) were first met until the first date that disease was recurrent or documented disease progression was observed, or the date of death from any cause in the absence of documented disease progression or recurrence. The DOR according to both BICR and investigator-assessed BOR was evaluated per RECIST 1.1 criteria.
SecondaryDOR by BICR (With or Without Pembrolizumab)Date of CR or PR to Date of Disease Progression or Death Due to Any Cause Up to 31 Months
DoR was defined as the time from the date that measurement criteria for CR or PR (whichever is first recorded) were first met until the first date that disease was recurrent or documented disease progression was observed, or the date of death from any cause in the absence of documented disease progression or recurrence. The DOR according to both BICR and investigator-assessed BOR was evaluated per RECIST 1.1 criteria.

Outcomes25

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression Free Survival (PFS) by Blinded Independent Central Review (BICR) (With Pembrolizumab)Baseline to Progressive Disease or Death from Any Cause Up to 31 Months
Intent to Treat (ITT) Pembrolizumab: Participants included in the ITT population who were stratified with the intent to receive pembrolizumab in the event of the control-arm assignment. Participants censored: TRT A: 80, TRT B: 34.
MonthsMEDIAN
PRIMARYPFS by BICR (With or Without Pembrolizumab)Baseline to Progressive Disease or Death from Any Cause Up to 31 Months
ITT Population: All randomized participants, even if a participant did not take the assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Participants were analyzed according to the treatment arm they were assigned to regardless of what actual treatment they received. Participants censored: TRT A: 98, TRT B:45.
MonthsMEDIAN
SECONDARYPercentage of Participant With Disease Control Rate (DCR) by BICR (With Pembrolizumab)Baseline to Progressive Disease or Death from Any Cause Up to 31 MonthsITT Pembrolizumab: Participants included in the ITT population who were stratified with the intent to receive pembrolizumab in the event of the control-arm assignment.Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participant With DCR by BICR (With or Without Pembrolizumab)Baseline to Progressive Disease or Death from Any Cause Up to 31 Months
ITT Population: All randomized participants, even if a participant did not take the assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Participants were analyzed according to the treatment arm they were assigned to regardless of what actual treatment they received.
Percentage of ParticipantsNUMBER
SECONDARYPFS2 (With Pembrolizumab)Baseline to Second Disease Progression or Death from Any Cause Up to 38 Months
ITT Pembrolizumab: Participants included in the ITT population who were stratified with the intent to receive pembrolizumab in the event of the control-arm assignment. Participants censored: TRT A: 103; TRT B: 62
MonthsMEDIAN
SECONDARYPFS2 (With or Without Pembrolizumab)Baseline to Second Disease Progression or Death from Any Cause Up to 38 Months
ITT Population: All randomized participants, even if a participant did not take the assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Participants were analyzed according to the treatment arm they were assigned to regardless of what actual treatment they received. Participants censored: TRT A: 126; TRT B: 77
MonthsMEDIAN
SECONDARYOverall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) by BICR (With Pembrolizumab)Baseline through Disease Progression or Death Up to 31 MonthsITT Pembrolizumab: Participants included in the ITT population who were stratified with the intent to receive pembrolizumab in the event of the control-arm assignment.Percentage of participantsNUMBER
SECONDARYORR: Percentage of Participants With CR or PR by BICR (With or Without Pembrolizumab)Baseline through Disease Progression or Death Up to 31 Months
ITT Population: All randomized participants, even if a participant did not take the assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Participants were analyzed according to the treatment arm they were assigned to regardless of what actual treatment they received.
Percentage of ParticipantsNUMBER
SECONDARYDuration of Response (DoR) by BICR (With Pembrolizumab)Date of CR or PR to Date of Disease Progression or Death Due to Any Cause Up to 31 Months
ITT Pembrolizumab: Participants included in the ITT population who were stratified with the intent to receive pembrolizumab in the event of the control-arm assignment. Participants censored: TRT A:74; TRT B: 25.
MonthsMEDIAN
SECONDARYDOR by BICR (With or Without Pembrolizumab)Date of CR or PR to Date of Disease Progression or Death Due to Any Cause Up to 31 Months
ITT Population: All randomized participants, even if a participant did not take the assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Participants were analyzed according to the treatment arm they were assigned to regardless of what actual treatment they received. Participants censored: TRT A: 90; TRT B: 33.
MonthsMEDIAN

Results by group40

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Progression Free Survival (PFS) by Blinded Independent Central Review (BICR) (With Pembrolizumab)Selpercatinib (TRT A)24.8495% Confidence Interval 16.89 to NAMonths
Progression Free Survival (PFS) by Blinded Independent Central Review (BICR) (With Pembrolizumab)Pemetrexed and Platinum With Pembrolizumab (TRT B)11.1795% Confidence Interval 8.77 to 16.76Months
PFS by BICR (With or Without Pembrolizumab)Selpercatinib (TRT A)24.8495% Confidence Interval 17.31 to NAMonths
PFS by BICR (With or Without Pembrolizumab)Pemetrexed and Platinum With or Without Pembrolizumab (TRT B)11.1795% Confidence Interval 8.77 to 16.76Months
Percentage of Participant With Disease Control Rate (DCR) by BICR (With Pembrolizumab)Selpercatinib (TRT A)89.195% Confidence Interval 82.5 to 93.9Percentage of Participants
Percentage of Participant With Disease Control Rate (DCR) by BICR (With Pembrolizumab)Pemetrexed and Platinum With Pembrolizumab (TRT B)84.395% Confidence Interval 74.7 to 91.4Percentage of Participants
Percentage of Participant With DCR by BICR (With or Without Pembrolizumab)Selpercatinib (TRT A)89.395% Confidence Interval 83.4 to 93.7Percentage of Participants
Percentage of Participant With DCR by BICR (With or Without Pembrolizumab)Pemetrexed and Platinum With or Without Pembrolizumab (TRT B)82.495% Confidence Interval 73.6 to 89.2Percentage of Participants
PFS2 (With Pembrolizumab)Selpercatinib (TRT A)NA95% Confidence Interval NA to NAMonths
PFS2 (With Pembrolizumab)Pemetrexed and Platinum With Pembrolizumab (TRT B)NA95% Confidence Interval NA to NAMonths

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSelpercatinib (TRT A)159
Overall StudySTARTEDPemetrexed and Platinum With or Without Pembrolizumab (TRT B)102
Overall StudyReceived at Least One Dose of Study DrugSelpercatinib (TRT A)158
Overall StudyReceived at Least One Dose of Study DrugPemetrexed and Platinum With or Without Pembrolizumab (TRT B)98
Overall StudyCOMPLETEDSelpercatinib (TRT A)61
Overall StudyCOMPLETEDPemetrexed and Platinum With or Without Pembrolizumab (TRT B)70
Overall StudyNOT COMPLETEDSelpercatinib (TRT A)98
Overall StudyNOT COMPLETEDPemetrexed and Platinum With or Without Pembrolizumab (TRT B)32

Adverse events318

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersSelpercatinib (TRT A)1815835
otherAnaemiaBlood and lymphatic system disordersCarboplatin or Cisplatin+Pemetrexed+/-Pembrolizumab (TRT B)5798209
otherLeukopeniaBlood and lymphatic system disordersSelpercatinib (TRT A)1115822
otherLeukopeniaBlood and lymphatic system disordersCarboplatin or Cisplatin+Pemetrexed+/-Pembrolizumab (TRT B)89837
otherNeutropeniaBlood and lymphatic system disordersSelpercatinib (TRT A)615813
otherNeutropeniaBlood and lymphatic system disordersCarboplatin or Cisplatin+Pemetrexed+/-Pembrolizumab (TRT B)189861
otherThrombocytopeniaBlood and lymphatic system disordersSelpercatinib (TRT A)1115817
otherThrombocytopeniaBlood and lymphatic system disordersCarboplatin or Cisplatin+Pemetrexed+/-Pembrolizumab (TRT B)109820
otherHyperthyroidismEndocrine disordersSelpercatinib (TRT A)41588
otherHyperthyroidismEndocrine disordersCarboplatin or Cisplatin+Pemetrexed+/-Pembrolizumab (TRT B)7987

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySelpercatinib (TRT A)32158
Total, all-cause mortalityCarboplatin or Cisplatin+Pemetrexed+/-Pembrolizumab (TRT B)1798
Total, other adverse eventsSelpercatinib (TRT A)156158
Total, other adverse eventsCarboplatin or Cisplatin+Pemetrexed+/-Pembrolizumab (TRT B)9798
Total, serious adverse eventsSelpercatinib (TRT A)55158
Total, serious adverse eventsCarboplatin or Cisplatin+Pemetrexed+/-Pembrolizumab (TRT B)2398

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33150799DERIVEDPubMed
35378489DERIVEDPubMed
37870973DERIVEDPubMed
38828957DERIVEDPubMed
41996652DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Selpercatinib (TRT A) vs Carboplatin or Cisplatin+Pemetrexed+/-Pembrolizumab (TRT B): deaths from any causeTrial comparisons
Selpercatinib (TRT A) vs Carboplatin or Cisplatin+Pemetrexed+/-Pembrolizumab (TRT B): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04194944

GET https://conductscience.org/api/trials/v1/NCT04194944/registered?page=2