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Trial ยท NCT04280081

A Study of Selpercatinib (LY3527723) in Participants With Advanced Solid Tumors Including RET Fusion-positive Solid Tumors, Medullary Thyroid Cancer and Other Tumors With RET Activation

NCT04280081, Phase 2, Active not recruiting, Eli Lilly and Company; results first posted 2022-06-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Selpercatinib (LY3527723) in Participants With Advanced Solid Tumors Including RET Fusion-positive Solid Tumors, Medullary Thyroid Cancer and Other Tumors With RET Activation. Trials, record NCT04280081. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04280081

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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 Solid Tumors Including RET Fusion-positive Solid Tumors, Medullary Thyroid Cancer and Other Tumors With RET Activation
NCT number
NCT04280081
Status
Active not recruiting
Phases
Phase 2
Enrollment
77 participants, actual
Lead sponsor
Eli Lilly and Company
Conditions
Solid Tumor, Medullary Thyroid Cancer
Interventions
Selpercatinib
First posted
2020-02-21
Last updated
2026-08-07
Results first posted
2022-06-02

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryPrimary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)Date of First Dose to Disease Progression or Death (up to 12 Months)
ORR is the summary measure of best overall response (BOR) as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. BOR is defined as the best response designation for each participant that is recorded between the date of the first dose of selpercatinib and the date of documented disease progression per RECIST 1.1 or the date of subsequent therapy, whichever occurs first, and subsequently confirmed. BOR will be categorized as complete response (CR), partial response (PR). CR is defined as Disappearance of all target lesions. Any pathologic nodes (whether target or non-target lesions) must have a reduction in short axis diameter (SAD) to less than 10 mm. PR At least 30% decrease in the sum of the diameters (SOD) (LD for non-nodal lesions and SAD for nodal lesions) of target lesions, taking as reference the baseline sum LD.
PrimaryEnrolled Population: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by IRCDate of First Dose to Disease Progression or Death (Up to 12 months)
ORR is the summary measure of best overall response (BOR) as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. BOR is defined as the best response designation for each participant that is recorded between the date of the first dose of selpercatinib and the date of documented disease progression per RECIST 1.1 or the date of subsequent therapy, whichever occurs first, and subsequently confirmed. BOR will be categorized as complete response (CR), partial response (PR). CR is defined as Disappearance of all target lesions. Any pathologic nodes (whether target or non-target lesions) must have a reduction in short axis diameter (SAD) to less than 10 mm. PR At least 30% decrease in the sum of the diameters (SOD) (LD for non-nodal lesions and SAD for nodal lesions) of target lesions, taking as reference the baseline sum LD.
SecondaryEnrolled Population: Duration of Response (DoR) as Assessed by IRCDate of CR or PR to Date of Disease Progression or Death Due to Any Cause (Up to 11 Months)
DOR is defined as the number of months from the start date of PR or CR (whichever response is recorded first), and subsequently confirmed, to the date of disease progression or death, whichever occurs earlier.
SecondaryEnrolled Population: Time to Response (TTR) as Assessed by IRCDate of First Dose to First Occurrence of Confirmed Tumor Response (Up to 6 months)
TTR is defined as the number of months elapsed between the date of the first dose of selpercatinib and the first documentation of objective response (CR or PR, whichever occurs earlier) that is subsequently confirmed.
SecondaryEnrolled Population: Time to Best Response (TTBR) as Assessed by IRCDate of First Dose to First Occurrence of PR (If Subject's Best Overall Response [BOR] is PR) or CR (If Subject's BOR is CR) (Up to 8 months)
TTR is defined as the number of months elapsed between the date of the first dose of selpercatinib and the first documentation of objective response (CR or PR, whichever occurs earlier) that is subsequently confirmed.
SecondaryEnrolled Population: Clinical Benefit Rate (CBR): Percentage of Participants Who Achieve CR, PR, or Stable Disease (SD) With a Duration of At Least 16 or More Weeks as Assessed by IRCBaseline through Disease Progression or Death Due to Any Cause (Up to 12 Months)
CBR based on the percentage of participants with best overall response of CR, PR, or stable disease (SD) lasting 16 or more weeks following initiation of selpercatinib as assessed by IRC. CR is defined as disappearance of all target lesions. Any pathologic nodes (whether target or non-target lesions) must have a reduction in short axis diameter (SAD) to less than 10 mm. PR is defined as at least a 30% decrease in the sum of the diameters (SOD) (LD for non-nodal lesions) and SAD for nodal lesions) of target lesions, taking as reference the baseline sum LD. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.
SecondaryEnrolled Population: Progression Free Survival (PFS) as Assessed by IRCBaseline to Progressive Disease or Death from Any Cause (Up to 12 Months)
PFS is defined as the number of months elapsed between the date of the first dose and the earliest date of documented disease progression or death (whatever the cause). Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest sum on study) for target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5.0 mm. Progressive disease for non-target lesion is defined as the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.
SecondaryEnrolled Population: Overall Survival (OS)Baseline to Date of Death from Any Cause (Up to 12 Months)
OS is defined as the number of months elapsed between the date of the first dose and the date of death (whatever the cause). Participants who are alive or lost to follow-up as of the data cutoff date will be right-censored.
SecondaryPharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of SelpercatinibPK: Cycle 1 Day 1: Predose, 1 h, 2, h, 4 h, 8 h, 12 h postdose PK: Cycle 1 Day 8: Predose, 1 h, 2, h, 4 h, 8 h postdoseSerial blood samples for intensive PK monitoring will be collected for 12 participants.

Outcomes9

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPrimary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)Date of First Dose to Disease Progression or Death (up to 12 Months)All treated participants who have confirmed RET fusion positive solid tumor NSCLC,TC, or RET mutant MTC by central lab, respectively.percentage of participantsNUMBER
PRIMARYEnrolled Population: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by IRCDate of First Dose to Disease Progression or Death (Up to 12 months)All eligible participants.percentage of participantsNUMBER
SECONDARYEnrolled Population: Duration of Response (DoR) as Assessed by IRCDate of CR or PR to Date of Disease Progression or Death Due to Any Cause (Up to 11 Months)All eligible participants with confirmed response. Number of participants censored: All NSCLC = 30, All TC = 1, and All MTC = 16.monthsMEDIAN
SECONDARYEnrolled Population: Time to Response (TTR) as Assessed by IRCDate of First Dose to First Occurrence of Confirmed Tumor Response (Up to 6 months)All eligible participants with confirmed response.monthsMEDIAN
SECONDARYEnrolled Population: Time to Best Response (TTBR) as Assessed by IRCDate of First Dose to First Occurrence of PR (If Subject's Best Overall Response [BOR] is PR) or CR (If Subject's BOR is CR) (Up to 8 months)All eligible patients with confirmed response.monthsGEOMETRIC_MEAN
SECONDARYEnrolled Population: Clinical Benefit Rate (CBR): Percentage of Participants Who Achieve CR, PR, or Stable Disease (SD) With a Duration of At Least 16 or More Weeks as Assessed by IRCBaseline through Disease Progression or Death Due to Any Cause (Up to 12 Months)All eligible participants.percentage of participantsNUMBER
SECONDARYEnrolled Population: Progression Free Survival (PFS) as Assessed by IRCBaseline to Progressive Disease or Death from Any Cause (Up to 12 Months)All eligible participants. Number of participants censored: All NSCLC = 40; All TC = 1, and All MTC = 28monthsMEDIAN
SECONDARYEnrolled Population: Overall Survival (OS)Baseline to Date of Death from Any Cause (Up to 12 Months)All eligible participants. Number of participants censored: All NSCLC = 42, All TC = 1, and All MTC = 28.monthsMEDIAN
SECONDARYPharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of SelpercatinibPK: Cycle 1 Day 1: Predose, 1 h, 2, h, 4 h, 8 h, 12 h postdose PK: Cycle 1 Day 8: Predose, 1 h, 2, h, 4 h, 8 h postdoseAll randomized participants who received at least one dose of study drug and had evaluable intensive PK data per protocol.nanogram * hour per milliliter (ng*h/mL)GEOMETRIC_MEAN

Results by group38

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

OutcomeGroupCategoryValueSpreadUnits
Primary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)RET Fusion Positive Non-small Cell Lung Cancer (NSCLC) Cohort 1Complete Response3.895% Confidence Interval 0.1 to 19.6percentage of participants
Primary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)RET Fusion Positive Thyroid Cancer (TC) Cohort 1Complete Response095% Confidence Interval 0.0 to 97.5percentage of participants
Primary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)RET Mutant Medullary Thyroid Cancer (MTC) Cohort 2Complete Response7.795% Confidence Interval 0.9 to 25.1percentage of participants
Primary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)RET Fusion Positive Non-small Cell Lung Cancer (NSCLC) Cohort 1Partial Response65.495% Confidence Interval 44.3 to 82.8percentage of participants
Primary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)RET Fusion Positive Thyroid Cancer (TC) Cohort 1Partial Response100.095% Confidence Interval 2.5 to 100.0percentage of participants
Primary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)RET Mutant Medullary Thyroid Cancer (MTC) Cohort 2Partial Response50.095% Confidence Interval 29.9 to 70.1percentage of participants
Primary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)RET Fusion Positive Non-small Cell Lung Cancer (NSCLC) Cohort 1Overall Response (CR/PR)69.295% Confidence Interval 48.2 to 85.7percentage of participants
Primary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)RET Fusion Positive Thyroid Cancer (TC) Cohort 1Overall Response (CR/PR)100.095% Confidence Interval 2.5 to 100.0percentage of participants
Primary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)RET Mutant Medullary Thyroid Cancer (MTC) Cohort 2Overall Response (CR/PR)57.795% Confidence Interval 36.9 to 76.6percentage of participants
Enrolled Population: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by IRCNon-small Cell Lung Cancer (All NSCLC)Complete Response6.495% Confidence Interval 1.3 to 17.5percentage of participants

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSelpercatinib77
Overall StudyEnrolled: All NSCLCSelpercatinib47
Overall StudyEnrolled: All TCSelpercatinib1
Overall StudyEnrolled: All MTCSelpercatinib29
Overall StudyPAS: RET Fusion Positive NSCLCSelpercatinib26
Overall StudyPAS: RET Fusion Positive TCSelpercatinib1
Overall StudyPAS: Advance RET-mutant MTCSelpercatinib26
Overall StudyCOMPLETEDSelpercatinib65
Overall StudyNOT COMPLETEDSelpercatinib12

Adverse events83

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersSelpercatinib137714
otherLeukopeniaBlood and lymphatic system disordersSelpercatinib5779
otherNeutropeniaBlood and lymphatic system disordersSelpercatinib5778
otherSinus bradycardiaCardiac disordersSelpercatinib5776
otherSinus tachycardiaCardiac disordersSelpercatinib6777
otherHypothyroidismEndocrine disordersSelpercatinib87711
otherThyroid disorderEndocrine disordersSelpercatinib87712
otherAscitesGastrointestinal disordersSelpercatinib4774
otherConstipationGastrointestinal disordersSelpercatinib117712
otherDiarrhoeaGastrointestinal disordersSelpercatinib2577136

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySelpercatinib377
Total, other adverse eventsSelpercatinib7577
Total, serious adverse eventsSelpercatinib1777

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
35923928DERIVEDPubMed
36062046DERIVEDPubMed
37315261DERIVEDPubMed
37655205DERIVEDPubMed
39759832DERIVEDPubMed

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 comparisons0

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

None in this release.

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/NCT04280081

GET https://conductscience.org/api/trials/v1/NCT04280081/results?page=2