Selpercatinib (9) – Retsevmo®

Non-small cell lung cancer, RET-fusion+, first-line treatment

Characteristics

Start date 01.01.2026 – Marketing authorisation: 21.06.2022
Resolution 18.06.2026
INN Selpercatinib
Brand name Retsevmo®
Pharm. company Lilly Deutschland GmbH
G-BA Procedure ID D-1277
ATC code L01EX22 Other protein kinase inhibitors (L01EX)
Therapeutic area Oncological diseases
Reason for procedure Reassessment: G-BA limitation

Studies and Results

  • Clinical trials
    • For the benefit assessment, the pharmaceutical manufacturer provided the results from the ongoing, open-label, randomised, controlled Phase IIILIBRETTO-431 trial, which is currently ongoing, to compare selpercatinib with a combination therapy consisting of cisplatin or carboplatin and pemetrexed, with or without pembrolizumab (hereinafter ‘platinum-based chemotherapy ± pembrolizumab’).

a) Adults with advanced RET-fusion-positive NSCLC with PD-L1 expression ≥ 50% of tumour cells; first-line treatment

  • An additional benefit is not proven.
  • Consequently, it is concluded that the data submitted are, on the whole, incomplete, which precludes a proper assessment.

b) Adults with advanced RET-fusion-positive NSCLC with PD-L1 expression < 50% of tumour cells; first-line treatment

  • An additional benefit is not proven.
  • It is therefore concluded that the data submitted are, on the whole, incomplete, which precludes a proper assessment.

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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