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)
ICD-10 codes (AIS) C34.0Malignant neoplasm of carina, C34.1Malignant neoplasm of upper lobe, bronchus or lung, C34.2Malignant neoplasm of middle lobe, bronchus or lung, C34.3Malignant neoplasm of lower lobe, bronchus or lung, C34.8Malignant neoplasm of overlapping sites of bronchus and lung, C34.9Malignant neoplasm of unspecified part of bronchus or lung
Alpha-ID codes (AIS) I111155Carcinoma of the upper lobe bronchus, I116693Non-small cell lung cancer, I24595Carcinoma of the main bronchus, I30015Lung carcinoma of the middle lobe, I30021Lung carcinoma of the lower lobe, I30022Malignant neoplasm of the bronchi and lungs, overlapping several sub-areas
Therapeutic area Oncological diseases
Reason for procedure Reassessment: G-BA limitation

Therapeutic indication of the resolution

Retsevmo is used as monotherapy for the treatment of adults with advanced RET-fusion-positive non-small cell lung cancer (NSCLC) who have not previously been treated with a RET inhibitor.

Subpopulation Indication Comparator
a) Erwachsene mit einem fortgeschrittenen RET-Fusions-positiven NSCLC mit einer PD-L1-Expression ≥ 50 % der Tumorzellen; Erstlinientherapie
b) Erwachsene mit einem fortgeschrittenen RET-Fusions-positiven NSCLC mit einer PD-L1-Expression < 50 % der Tumorzellen; Erstlinientherapie

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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