Selpercatinib

Not yet reviewed: Listed from FDA or ClinicalTrials.gov records; an editor has not checked it yetListed from FDA or ClinicalTrials.gov records; an editor has not checked it yet.

Also known as Retevmo

ELI LILLY & Co LLY · Carcinoma, Non-Small-Cell Lung; Non-Small Cell Lung Cancer

Key figures

  • Next catalyst

    None scheduled

    Only dates with a source are listed

  • Phase

    Approved

    Not recorded

  • Linked trials

    2

    From ClinicalTrials.gov

  • Latest FDA action

    Approved

    NDA213246,

Recalls, shortages, patents and EU status at a glance

Key information

Indications
Carcinoma, Non-Small-Cell Lung; Non-Small Cell Lung Cancer Source: Conditions from ClinicalTrials.gov (opens in a new tab)
Designations
None recorded
Next catalyst
None scheduled

Development timeline

  1. Preclinical Completed
  2. Phase 1 Completed
  3. Phase 2 Completed
  4. Phase 3 CompletedFirst trial start 17 Feb 20202 linked trials
  5. Filed Completed
  6. Approved Current stageFirst approval 8 May 2020

Overview

Mechanism
Not recorded
Route
Not recorded
Modality
Not recorded
Specialties
Not recorded

Overview text is written by HealthTrade editors.

Key dates

No catalysts yet. Editors add each date together with its source.

FDA designations

No FDA designations are on record for Selpercatinib. Editors add each one with its source.

Filed application

No filed application is on record for Selpercatinib. Approvals are listed under FDA actions.

FDA advisory committees

No FDA advisory committee meetings are on record for Selpercatinib.

Clinical trials

Trials linked to Selpercatinib
TrialTitlePhaseStatusEnrollmentPrimary completionResults posted
NCT04819100ClinicalTrials.gov record for NCT04819100 (opens in a new tab)LIBRETTO-432A Study of Selpercatinib After Surgery or Radiation in Participants With Non-Small Cell Lung Cancer (NSCLC)Phase 3Active, not recruiting152 (estimated)12 Jan 2026 (actual) No

Publications listing LIBRETTO-432 (2), newest first

  1. Selpercatinib in Early-Stage RET Fusion-Positive Non-Small-Cell Lung Cancer.

    The New England journal of medicine · 2026 Aug 13

  2. LIBRETTO-432, a phase III study of adjuvant selpercatinib or placebo in stage IB-IIIA RET fusion-positive non-small-cell lung cancer.

    Future oncology (London, England) · 2022 Sep

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT04194944ClinicalTrials.gov record for NCT04194944 (opens in a new tab)LIBRETTO-431A Study of Selpercatinib (LY3527723) in Participants With Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung CancerPhase 3Active, not recruiting261 (actual)1 May 2023 (actual) Yes First posted Results on ClinicalTrials.gov for NCT04194944 (opens in a new tab)

Posted results on ClinicalTrials.gov for LIBRETTO-431

  • Progression Free Survival (PFS) by Blinded Independent Central Review (BICR) (With Pembrolizumab) (Months)
    • Selpercatinib (TRT A) vs Pemetrexed and Platinum With Pembrolizumab (TRT B): Hazard Ratio (HR) 0.465 (95% CI 0.309 to 0.699), p-value 0.0002, Log Rank, superiority
  • PFS by BICR (With or Without Pembrolizumab) (Months)
    • Selpercatinib (TRT A) vs Pemetrexed and Platinum With or Without Pembrolizumab (TRT B): Hazard Ratio (HR) 0.482 (95% CI 0.331 to 0.700), p-value 0.0001, Log Rank, superiority

Serious adverse events (Baseline Up to 38 Months): Selpercatinib (TRT A) 55 of 158; Carboplatin or Cisplatin+Pemetrexed+/-Pembrolizumab (TRT B) 23 of 98

Source: ClinicalTrials.gov results for NCT04194944 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing LIBRETTO-431 (5), newest first

  1. Selpercatinib and the Crossover Conundrum: Potential Impact of Postprogression Therapies on Overall Survival.

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026 May 20

  2. CNS Protective Effect of Selpercatinib in First-Line RET Fusion-Positive Advanced Non-Small Cell Lung Cancer.

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024 Jul 20

  3. First-Line Selpercatinib or Chemotherapy and Pembrolizumab in RET Fusion-Positive NSCLC.

    The New England journal of medicine · 2023 Nov 16

  4. Targeted RNA sequencing for upfront analysis of actionable driver alterations in non-small cell lung cancer.

    Lung cancer (Amsterdam, Netherlands) · 2022 Apr

  5. Phase III study of selpercatinib versus chemotherapy ± pembrolizumab in untreated RET positive non-small-cell lung cancer.

    Future oncology (London, England) · 2021 Mar

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Posted results are shown as ClinicalTrials.gov prints them; results from company and journal sources are entered by editors and listed separately. Full result tables are on ClinicalTrials.gov.

Trial quality

About CT-VCA

Loading trial quality…

FDA actions

Original approvals and new-indication supplements for Selpercatinib, newest first
ApplicationActionDateOutcomeReviewSource
NDA213246Action letter for NDA213246 (opens in a new tab) Supplement 17 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA218160Action letter for NDA218160 (opens in a new tab) Supplement 7 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA213246Action letter for NDA213246 (opens in a new tab) Supplement 15 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA218160Action letter for NDA218160 (opens in a new tab) Supplement 6 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA213246Action letter for NDA213246 (opens in a new tab) Supplement 11 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA213246Action letter for NDA213246 (opens in a new tab) Supplement 13 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA218160Action letter for NDA218160 (opens in a new tab) Supplement 2 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA218160Action letter for NDA218160 (opens in a new tab) Supplement 3 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA213246Action letter for NDA213246 (opens in a new tab) Supplement 9 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA218160Action letter for NDA218160 (opens in a new tab) Supplement 1 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA213246Action letter for NDA213246 (opens in a new tab) Supplement 12 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA218160Action letter for NDA218160 (opens in a new tab) Original 1 Type 3 - New Dosage FormApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA213246Action letter for NDA213246 (opens in a new tab) Supplement 7 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA213246Action letter for NDA213246 (opens in a new tab) Supplement 8 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA213246Action letter for NDA213246 (opens in a new tab) Original 1 Type 1 - New Molecular EntityApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)

Data provided by the U.S. Food and Drug Administration.

FDA recalls load here.

FDA drug shortages load here.

Orange Book patents load here.

FAERS adverse event counts load here.

Papers and preprints load here.

Community discussion loads here.

EU status (EMA)

Authorised

Retsevmo (EMEA/H/C/005375)

Authorised
Therapeutic area
Carcinoma, Non-Small-Cell Lung;Thyroid Neoplasms;Cancer
Marketing authorisation holder
Eli Lilly Nederland B.V.
Active substance (INN)
selpercatinib
ATC code
L01EX22
Latest EMA decision

Matched by active substance: EMA's INN or active substance equals this drug's name.

Source: European Medicines Agency (EMA), medicines data download. Licence: EMA re-use with acknowledgement. EMA medicines report 2026-10-26.

Related news

No recent headlines mention this drug.

Sources

Record updated .

Dates come from company and FDA disclosures and can change. Nothing on this page is investment advice.