Selpercatinib (6) – Retsevmo®

Thyroid carcinoma, RET fusion+, refractory to radioiodine, first-line or after systemic prior therapy, ≥ 12 years of age

Characteristics

Start date 15.05.2024 – Marketing authorisation: 29.02.2024
Resolution 07.11.2024
INN Selpercatinib
Brand name Retsevmo®
Pharm. company Lilly Deutschland GmbH
G-BA Procedure ID D-1061
ATC code L01EX22 Other protein kinase inhibitors (L01EX)
Therapeutic area Oncological diseases
Reason for procedure New therapeutic indication
Regulatory status Conditional Approval
Specialty Bundling

Studies and Results

  • Clinical trials
    • The LIBRETTO-001 trial is a multicentre, single-arm, prospective, two-phase basket trial that has been ongoing since 2017.
    • The LIBRETTO-121 trial is a multicentre, single-arm, prospective basket trial that has been ongoing since 2019 and is also being conducted in two phases.

a) Adults and adolescents aged 12 years and over with advanced RET-fusion-positive, radioiodine-refractory thyroid cancer, first-line treatment

  • The additional benefit is not proven.
  • For the benefit assessment, the pharmaceutical manufacturer has submitted the results of the LIBRETTO-001 and LIBRETTO-121 studies. Due to their single-arm study design, the LIBRETTO-001 and LIBRETTO-121 studies do not allow for a comparison with the appropriate comparator therapy and are therefore not suitable for assessing the additional benefit of selpercatinib.

b) Adolescents aged 12 years and over with advanced RET-fusion-positive thyroid carcinoma, following prior treatment with a protein kinase inhibitor

  • An additional benefit is not proven.
  • The pharmaceutical manufacturer has not submitted any data that would enable an assessment of the additional benefit.

Courtesy translation only, please refer to the German original.

Associated procedures

Selpercatinib (12) Retsevmo® Lilly Deutschland GmbH Oncological diseases Thyroid carcinoma, RET-fusion-positive, refractory to radioactive iodine, ≥ 2 years n.d. active procedure
Selpercatinib (11) Retsevmo® Lilly Deutschland GmbH Oncological diseases Solid tumours, RET-fusion-positive, aged ≥ 2 to < 18 years n.d. active procedure
Selpercatinib (10) Retsevmo® Lilly Deutschland GmbH Oncological diseases RET-mutated medullary thyroid carcinoma (MTC), ≥ 2 years n.d. active procedure
Selpercatinib (9) Retsevmo® Lilly Deutschland GmbH Oncological diseases Non-small cell lung cancer, RET-fusion+, first-line treatment 155–270 100% additional benefit not proven
Selpercatinib (8) Retsevmo® Lilly Deutschland GmbH Oncological diseases Thyroid carcinoma, RET-mutated, monotherapy, from 12 years of age 40–170 100% Indication of major additional benefit
Selpercatinib (7) Retsevmo® Lilly Deutschland GmbH Oncological diseases Solid tumors, RET-Fusion+ 59–159 100% additional benefit not proven
Selpercatinib (6) Retsevmo® Lilly Deutschland GmbH Oncological diseases Thyroid carcinoma, RET fusion+, refractory to radioiodine, first-line or after systemic prior therapy, ≥ 12 years of age 6–36 100% additional benefit not proven
Selpercatinib (5) Retsevmo® Lilly Deutschland GmbH Oncological diseases Thyroid carcinoma (MTC), RET-mutated, monotherapy, 12 years and older 0
40–170
100% additional benefit not proven repealed
Selpercatinib (4) Retsevmo® Lilly Deutschland GmbH Oncological diseases Non-small cell lung cancer (NSCLC), RET fusion+, first-line 0
115–310
100% additional benefit not proven repealed
Selpercatinib (3) Retsevmo® Lilly Deutschland GmbH Oncological diseases Thyroid carcinoma (MTC), RET fusion+, after sorafenib and/or lenvatinib pre-therapy 2–16 100% additional benefit not proven
Selpercatinib (2) Retsevmo® Lilly Deutschland GmbH Oncological diseases Medullary thyroid carcinoma (MTC), RET-mutated, after cabozantinib and/or vandetanib prior therapy, ≥ 12 years 5–80 100% additional benefit not proven
Selpercatinib (1) Retsevmo® Lilly Deutschland GmbH Oncological diseases Non-small cell lung carcinoma (NSCLC), RET fusion+, after platinum-based chemotherapy and/or immunotherapy 55–200 100% additional benefit not proven


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