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Priya Life Science Compound trial record
Compound · clinical trials

Selpercatinib clinical trials

Also listed in trial records as LY3527723, LOXO-292, Retevmo, Retsevmo, LOXO292, WHO 10967
Source: ClinicalTrials.gov, U.S. National Library of Medicine — the 15 trials in our China, Australia, Spain, Italy, Canada, Japan, South Korea, UK, USA, Germany, France, Netherlands, Denmark, Israel, India, Belgium, Poland, Czechia, Brazil, Mexico, Taiwan, Singapore, Sweden, Norway, Turkey, Austria and Switzerland registers that name Selpercatinib as an intervention. Synced 9 Nov 2026
15Current trials
3Recruiting now
8Lead sponsors
27Country registers
At a glance

Selpercatinib is named as an intervention in 15 current clinical trials in our China, Australia, Spain, Italy, Canada, Japan, South Korea, UK, USA, Germany, France, Netherlands, Denmark, Israel, India, Belgium, Poland, Czechia, Brazil, Mexico, Taiwan, Singapore, Sweden, Norway, Turkey, Austria and Switzerland registers. 3 are recruiting patients now. The most common phase is Phase 2. The sponsor with the most trials is Eli Lilly and Company (6). The most-studied condition is Medullary Thyroid Cancer. The EU clinical trials register (CTIS) separately lists 2 authorised or ongoing trials.

Where Selpercatinib is approved

All regulators →

Of the three regulators tracked here, the first to approve Selpercatinib was the US, on 8 May 2020. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
8 May 2020
Retevmo
NDA213246 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
11 Feb 2021
Retsevmo
EMA product page
First centralised authorisation
CACanada (Health Canada)
15 Jun 2021
Retevmo
Notice of Compliance 26077
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

Selpercatinib patents and exclusivity

Expiry tracker →

Protections still running for marketed products containing Selpercatinib, as listed by the regulators. Expired patents and exclusivities, and discontinued products, are not shown.

US FDA Orange Book Retevmo
  • 6 listed patents; the last listed expires 10 Apr 2039 (US 12138250, including a 6-month paediatric extension).
  • Latest patent on the drug substance itself: 10 Apr 2039 (US 10584124, with paediatric extension).
  • Exclusivity PED: Pediatric exclusivity, until 29 Nov 2031.
  • Exclusivity ODE-484: Orphan drug exclusivity: treatment of pediatric patients 2 years of age to less than 12 years of age with advanced or metastatic medullary …, until 29 May 2031.
  • Exclusivity ODE-485: Orphan drug exclusivity: treatment of pediatric patients 2 years of age to less than 12 years of age with advanced or metastatic thyroid ca…, until 29 May 2031.
  • Exclusivity ODE-487: Orphan drug exclusivity: treatment of pediatric patients 2 years of age and older with locally advanced or metastatic solid tumors with a r…, until 29 May 2031.
  • Exclusivity ODE*: FDA has not recognized orphan-drug exclusivity (ode) for this drug, but it contains the same active moiety or moieties as another drug(s) t…, until 29 May 2031.
  • Exclusivity PED: Pediatric exclusivity, until 21 Mar 2030.
  • 6 further exclusivities are listed.
See the Orange Book listing for NDA 213246
Patents and exclusivities above are pooled across 2 applications for this substance.

Reproduced from the FDA Orange Book and Purple Book (checked 8 Nov 2026) and the European Commission's Union Register of medicinal products (CC BY 4.0; the EU expiry date is calculated exactly as the Commission's register displays it). Listed patents and dates are as submitted to or published by the regulator and may not reflect litigation, invalidation, settlements, lapsed fees or later extensions. This is not legal advice or a freedom-to-operate opinion, and it does not say when a generic or biosimilar will launch.

What health systems spend on Selpercatinib

All medicines →
ENNHS England
Not dispensed in the community in England in the last 12 months under this name
Net ingredient cost, community prescriptions
USUS Medicaid
$21.3m
1,102 prescriptions in 2025 · Retevmo
+44% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Selpercatinib works

All drug targets →
  • Tyrosine-protein kinase receptor RET inhibitor Inhibitor
    Target: RET ret proto-oncogene
    ✓ In ChEMBL and the Guide to Pharmacology
  • Kinesin-1 heavy chain/ Tyrosine-protein kinase receptor RET inhibitor Inhibitor
    Target: Kinesin-1 heavy chain/ Tyrosine-protein kinase receptor RET
    ✓ In ChEMBL and the Guide to Pharmacology
  • Coiled-coil domain-containing protein 6/Tyrosine-protein kinase receptor RET inhibitor Inhibitor
    Target: Coiled-coil domain-containing protein 6/Tyrosine-protein kinase receptor RET
    ✓ In ChEMBL and the Guide to Pharmacology
Diseases it has been tested for in clinical trials, by furthest phase
  • Breast cancerPhase 2
  • Differentiated thyroid carcinomaPhase 2
  • Digestive system neoplasmPhase 2
  • LymphomaPhase 2
  • Non-Hodgkin lymphomaPhase 2
  • Plasma cell myelomaPhase 2
  • Thyroid gland carcinomaPhase 2
  • Thyroid gland papillary carcinomaPhase 2
  • Thyroid gland undifferentiated (anaplastic) carcinomaPhase 2
  • Colon carcinomaPhase 1/2
13 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL4559134, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3.1), ligand 10318, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Selpercatinib

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 6 technology appraisals of Selpercatinib. 5 are current, and 3 of these recommend it for at least some patients. 1 older appraisal was replaced or withdrawn.

AppraisalNICE recommendationPublishedStatus
Selpercatinib for previously treated RET fusion-positive advanced non-small-cell lung cancer
NICE TA1042
Optimised19 Feb 2025Current
Selpercatinib for advanced thyroid cancer with RET alterations after treatment with a targeted cancer drug in people 12 years and over
NICE TA1038
Optimised12 Feb 2025Current
Selpercatinib for advanced thyroid cancer with RET alterations untreated with a targeted cancer drug in people 12 years and over
NICE TA1039
Recommended12 Feb 2025Current
Selpercatinib for untreated RET fusion-positive advanced non-small-cell lung cancer
NICE TA911
Optimised (Cancer Drugs Fund)26 Jul 2023Current
Selpercatinib for previously treated RET fusion-positive advanced non-small-cell lung cancer
NICE TA760
Recommended (Cancer Drugs Fund)12 Jan 2022Current

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Selpercatinib

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 6 products on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Retsevmo
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Trials by status

  • Recruiting320%
  • Not yet open213%
  • Active, closed1067%

Trials by phase

  • Phase 2640%
  • Phase 3320%
  • Phase 4320%
  • Phase 1/2213%
  • Observational17%
01

Clinical trials of Selpercatinib

15 trials
StudyPhaseStatusLead sponsorRegisters
A Retrospective and Prospective Real-world Study of Molecular Typing in the Treatment of Advanced Thyroid Cancer
NCT06195228 · ClinicalTrials.gov ↗ · Advanced Thyroid Cancer Patients Who Received Target Therapy
Phase 4 Recruiting Fudan University China
The Drug Rediscovery Protocol (DRUP Trial)
NCT02925234 · ClinicalTrials.gov ↗ · Cancer, Tumors, Neoplasm
Phase 2 Recruiting The Netherlands Cancer Institute Netherlands
Response to Neoadjuvant Treatment in Locally Advanced Thyroid Cancer
NCT07419932 · ClinicalTrials.gov ↗ · Thyroid Cancer, Thyroid Neoplasms
Observational Recruiting Fujian Medical University China
Genotype-Driven Neoadjuvant Therapy for Locally Advanced Thyroid Cancer: A Real-World Cohort Study
NCT07010393 · ClinicalTrials.gov ↗ · Thyroid Neoplasms
Phase 4 Not yet open Fujian Medical University China
A Study of Selpercatinib (LY3527723) in Participants With Rearranged During Transfection (RET)-Altered Cancers in India
NCT07822880 · ClinicalTrials.gov ↗ · Thyroid Neoplasms, Carcinoma, Non-Small-Cell Lung
Phase 4 Not yet open Eli Lilly and Company India
A Study of Selpercatinib (LY3527723) in Participants With Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung Cancer
NCT04194944 · Non-Small Cell Lung Cancer
Phase 3 Active, closed Eli Lilly and Company UK, China, Germany, France, Spain, Italy, Netherlands, Belgium, Poland, Czechia, Turkey, Canada, Brazil, Mexico, Japan, South Korea, Taiwan, Singapore, Australia, Israel
A Study of Selpercatinib (LY3527723) in Participants With RET-Mutant Medullary Thyroid Cancer
NCT04211337 · Medullary Thyroid Cancer
Phase 3 Active, closed Loxo Oncology, Inc UK, USA, India, China, Germany, France, Spain, Italy, Netherlands, Belgium, Poland, Czechia, Canada, Brazil, Japan, South Korea, Australia, Israel
A Study of Selpercatinib After Surgery or Radiation in Participants With Non-Small Cell Lung Cancer (NSCLC)
NCT04819100 · Carcinoma, Non-Small-Cell Lung
Phase 3 Active, closed Eli Lilly and Company UK, USA, India, China, Germany, France, Spain, Italy, Netherlands, Belgium, Sweden, Denmark, Poland, Austria, Czechia, Norway, Turkey, Canada, Brazil, Mexico, Japan, South Korea, Taiwan, Singapore, Australia, Israel
Targeted Therapy Directed by Genetic Testing in Treating Pediatric Patients With Relapsed or Refractory Advanced Solid Tumors, Non-Hodgkin Lymphomas, or Histiocytic Disorders (The Pediatric MATCH Screening Trial)
NCT03155620 · ClinicalTrials.gov ↗ · Advanced Malignant Solid Neoplasm, Ann Arbor Stage III Non-Hodgkin Lymphoma, Ann Arbor Stage IV Non-Hodgkin Lymphoma
Phase 2 Active, closed National Cancer Institute (NCI) Canada, Australia
Phase 2 Platform Study in Patients With Advanced Non-Small Lung Cancer Who Progressed on First-Line Osimertinib Therapy (ORCHARD)
NCT03944772 · Non-Small Cell Lung Cancer
Phase 2 Active, closed AstraZeneca USA, Spain, Italy, Netherlands, Sweden, Denmark, Norway, Japan, South Korea
Targeted Treatment for RET Fusion-Positive Advanced Non-Small Cell Lung Cancer (A LUNG-MAP Treatment Trial)
NCT04268550 · ClinicalTrials.gov ↗ · Recurrent Lung Non-Small Cell Carcinoma, Stage IV Lung Cancer AJCC v8, Stage IVA Lung Cancer AJCC v8
Phase 2 Active, closed SWOG Cancer Research Network Mexico
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 · ClinicalTrials.gov ↗ · Solid Tumor, Medullary Thyroid Cancer
Phase 2 Active, closed Eli Lilly and Company China
Selpercatinib for the Treatment of Advanced Solid Tumors, Lymphomas, or Histiocytic Disorders With Activating RET Gene Alterations, a Pediatric MATCH Treatment Trial
NCT04320888 · ClinicalTrials.gov ↗ · Hematopoietic and Lymphatic System Neoplasm, Recurrent Ependymoma, Recurrent Ewing Sarcoma
Phase 2 Active, closed National Cancer Institute (NCI) Australia
A Study of Selpercatinib (LOXO-292) in Participants With Advanced Solid Tumors, RET Fusion-Positive Solid Tumors, and Medullary Thyroid Cancer (LIBRETTO-001)
NCT03157128 · Non-Small Cell Lung Cancer, Medullary Thyroid Cancer, Colon Cancer
Phase 1/2 Active, closed Eli Lilly and Company UK, USA, Germany, France, Spain, Italy, Denmark, Switzerland, Canada, Japan, South Korea, Taiwan, Singapore, Australia, Israel
A Study of Oral LOXO-292 (Selpercatinib) in Pediatric Participants With Advanced Solid or Primary Central Nervous System (CNS) Tumors
NCT03899792 · Medullary Thyroid Cancer, Infantile Myofibromatosis, Infantile Fibrosarcoma
Phase 1/2 Active, closed Eli Lilly and Company UK, USA, Germany, France, Spain, Italy, Denmark, Canada, Japan, South Korea, Australia

Registers list studies that are recruiting, about to open, active but closed to enrolment, or enrolling by invitation. The UK and USA registers cover industry-sponsored studies only. Trial titles and statuses are copied from the registry as published.

02

Selpercatinib in the EU trials register (CTIS)

2 trials

Authorised or ongoing trials in the EU Clinical Trials Information System that list a product containing Selpercatinib. Many trials are registered in both CTIS and ClinicalTrials.gov, so these are shown separately rather than added to the count above. Trials with a site in Ireland are listed first.

StudyPhaseStatusSponsorCountries
DYNAMIC ” IDentifY the best therapeutic sequeNcing strAtegy in oncogene addICted NSCLC:” “A multi-arms prospective, randomized phase II study to evaluate the best sequential therapeutic strategis in patients with metastatic non-small cell lung cancer harboring targetable genomic driver alterations”
2026-525268-16-00 · CTIS ↗ · Neoplasms
Phase 3 Authorised Universita' Degli Studi Di Torino Italy
TAILOR-PANC: Molecularly Tailored Therapy versus Standard Care in Advanced Pancreatic Cancer (DPCG-02)
2025-522431-34-00 · CTIS ↗ · Neoplasms
Phase 2 Authorised Region Hovedstaden Denmark
03

Selpercatinib across our data

Ireland · EU · US

The same active substance in our other registers, matched by its exact name. Each entry links to the register record it comes from.

Licensed in Ireland (HPRA)

6 single-substance products containing Selpercatinib on the HPRA medicines list.

All 6 Irish products →

Supply shortages

No entry for Selpercatinib in the EMA, FDA or German BfArM shortage lists we track.

04

Conditions studied with Selpercatinib

28 conditions
Medullary Thyroid Cancer4Non-Small Cell Lung Cancer3Thyroid Neoplasms3Carcinoma, Non-Small-Cell Lung2Infantile Myofibromatosis1Infantile Fibrosarcoma1Papillary Thyroid Cancer1Colon Cancer1Any Solid Tumor1Advanced Thyroid Cancer Patients Who Received Target Therapy1Thyroid Cancer1Solid Tumor1
All 28 conditions
Condition (as registered)Trials
Medullary Thyroid Cancer4
Non-Small Cell Lung Cancer3
Thyroid Neoplasms3
Carcinoma, Non-Small-Cell Lung2
Infantile Myofibromatosis1
Infantile Fibrosarcoma1
Papillary Thyroid Cancer1
Colon Cancer1
Any Solid Tumor1
Advanced Thyroid Cancer Patients Who Received Target Therapy1
Thyroid Cancer1
Solid Tumor1
Cancer1
Tumors1
Neoplasm1
Neoplasia1
Advanced Malignant Solid Neoplasm1
Ann Arbor Stage III Non-Hodgkin Lymphoma1
Ann Arbor Stage IV Non-Hodgkin Lymphoma1
Histiocytic Sarcoma1
Recurrent Lung Non-Small Cell Carcinoma1
Stage IV Lung Cancer AJCC v81
Stage IVA Lung Cancer AJCC v81
Stage IVB Lung Cancer AJCC v81
Hematopoietic and Lymphatic System Neoplasm1
Recurrent Ependymoma1
Recurrent Ewing Sarcoma1
Recurrent Hepatoblastoma1
07

Related compounds

08

Questions about Selpercatinib trials

How many clinical trials are testing Selpercatinib?

15 current trials in our China, Australia, Spain, Italy, Canada, Japan, South Korea, UK, USA, Germany, France, Netherlands, Denmark, Israel, India, Belgium, Poland, Czechia, Brazil, Mexico, Taiwan, Singapore, Sweden, Norway, Turkey, Austria and Switzerland registers name Selpercatinib (also registered as LY3527723) as a drug or biological intervention, as of the registry sync on 9 November 2026. Completed and withdrawn studies are not counted.

Are Selpercatinib trials recruiting patients?

Yes. 3 of the 15 trials are recruiting: 2 with sites in China and 1 with sites in Netherlands. Eligibility and site contacts are on each trial's record. Only the study team can confirm whether a patient is eligible.

Who sponsors Selpercatinib clinical trials?

Eli Lilly and Company (6), Fujian Medical University (2), National Cancer Institute (NCI) (2) and Loxo Oncology, Inc (1), among 8 lead sponsors in total. The number in brackets is how many trials each organisation leads.

Is Selpercatinib licensed in Ireland?

Yes. The HPRA medicines list includes 6 single-substance products containing Selpercatinib, for example Retsevmo 120 mg film-coated tablets (Eli Lilly Nederland B.V.). A licence does not mean a product is currently marketed or reimbursed; see each product's record.

Is there a Selpercatinib shortage?

Not in the lists we track: Selpercatinib has no entry in the EMA, FDA or German BfArM shortage registers as of their latest sync.

Where does this information come from?

Every trial, status, phase and sponsor on this page is copied from public ClinicalTrials.gov records by a daily sync. Nothing here describes how Selpercatinib works or whether it is effective, and it is not medical advice.

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How this page is built

Everything on this page is copied from public ClinicalTrials.gov registry records — it is not written from memory, and nothing here describes how Selpercatinib works or whether it is effective. Each trial links to its own record so you can check it yourself.

This page is built automatically: a daily sync job reads the registry records behind our country trial registers, collects every trial that lists Selpercatinib (or a registered synonym) as a drug or biological intervention, and tabulates the registry fields directly. Placebos and generic comparators are excluded. There is no AI drafting and no per-compound editorial pass, and the page has not been clinically reviewed. The “last verified” date above is the timestamp of that sync, not a review date. Our general editorial approach is described in our editorial standards and corrections policy. The ClinicalTrials.gov data on this page was last retrieved on 9 Nov 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.