Non-small cell lung cancer, RET-positive

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Amit Kulkarni, MBBS
University of Minnesota
Minneapolis, MN

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Travis Osterman, DO, MS
Vanderbilt University
Nashville, TN

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Note: these are regimens tested in biomarker-specific populations, please see the main NSCLC page for other regimens.

1 regimens on this page
1 variants on this page


Advanced or metastatic disease

Selpercatinib monotherapy

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Regimen

FDA-recommended dose
Study Evidence
Drilon et al. 2020 (LIBRETTO-001) Phase I/II (RT)

Biomarker eligibility criteria

  • RET fusion positive

Chemotherapy

  • Selpercatinib (Retevmo) with or without food, as follows:
    • Less than 50 kg: 120 mg PO twice per day
    • 50 kg or more: 160 mg PO twice per day

Continued indefinitely

References

  1. LIBRETTO-001: Drilon A, Oxnard GR, Tan DSW, Loong HHF, Johnson M, Gainor J, McCoach CE, Gautschi O, Besse B, Cho BC, Peled N, Weiss J, Kim YJ, Ohe Y, Nishio M, Park K, Patel J, Seto T, Sakamoto T, Rosen E, Shah MH, Barlesi F, Cassier PA, Bazhenova L, De Braud F, Garralda E, Velcheti V, Satouchi M, Ohashi K, Pennell NA, Reckamp KL, Dy GK, Wolf J, Solomon B, Falchook G, Ebata K, Nguyen M, Nair B, Zhu EY, Yang L, Huang X, Olek E, Rothenberg SM, Goto K, Subbiah V. Efficacy of Selpercatinib in RET Fusion-Positive Non-Small-Cell Lung Cancer. N Engl J Med. 2020 Aug 27;383(9):813-824. link to original article PubMed NCT03157128