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Cited by 790

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Efficacy of Selpercatinib in RET -Altered Thyroid Cancers

Open access
Wirth, Lori J., Sherman, Eric, Robinson, Bruce, Solomon, Benjamin, Kang, Hyunseok, Lorch, Jochen, Worden, Francis, Brose, Marcia, Patel, Jyoti, Leboulleux, Sophie, Godbert, Yann, Barlesi, Fabrice, Morris, John C., Owonikoko, Taofeek K., Tan, Daniel S.W., Gautschi, Oliver, Weiss, Jared, de la Fouchardière, Christelle, Burkard, Mark E., Laskin, Janessa, Taylor, Matthew H., Kroiss, Matthias, Medioni, Jacques, Goldman, Jonathan W., Bauer, Todd M., Levy, Benjamin, Zhu, Viola W., Lakhani, Nehal, Moreno, Victor, Ebata, Kevin, Nguyen, Michele, Heirich, Dana, Zhu, Edward Y., Huang, Xin, Yang, Luxi, Kherani, Jennifer, Rothenberg, S. Michael, Drilon, Alexander, Subbiah, Vivek, Shah, Manisha H., Cabanillas, Maria E.·2020·New England Journal of Medicine

Abstract

BACKGROUND: -altered thyroid cancers, the efficacy and safety of selective RET inhibition are unknown. METHODS: fusion-positive thyroid cancer, in a phase 1-2 trial of selpercatinib. The primary end point was an objective response (a complete or partial response), as determined by an independent review committee. Secondary end points included the duration of response, progression-free survival, and safety. RESULTS: fusion-positive thyroid cancer, the percentage who had a response was 79% (95% CI, 54 to 94), and 1-year progression-free survival was 64% (95% CI, 37 to 82). The most common adverse events of grade 3 or higher were hypertension (in 21% of the patients), increased alanine aminotransferase level (in 11%), increased aspartate aminotransferase level (in 9%), hyponatremia (in 8%), and diarrhea (in 6%). Of all 531 patients treated, 12 (2%) discontinued selpercatinib owing to drug-related adverse events. CONCLUSIONS: In this phase 1-2 trial, selpercatinib showed durable efficacy with mainly low-grade toxic effects in patients with medullary thyroid cancer with and without previous vandetanib or cabozantinib treatment. (Funded by Loxo Oncology and others; LIBRETTO-001 ClinicalTrials.gov number, NCT03157128.).

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Metadata

Authors
Wirth, L. J., Sherman, E., Robinson, B., Solomon, B., Kang, H., Lorch, J., Worden, F., Brose, M., Patel, J., Leboulleux, S., Godbert, Y., Barlesi, F., Morris, J. C., Owonikoko, T. K., Tan, D. S. W., Gautschi, O., Weiss, J., de la Fouchardière, C., Burkard, M. E., Laskin, J., Taylor, M. H., Kroiss, M., Medioni, J., Goldman, J. W., Bauer, T. M., Levy, B., Zhu, V. W., Lakhani, N., Moreno, V., Ebata, K., Nguyen, M., Heirich, D., Zhu, E. Y., Huang, X., Yang, L., Kherani, J., Rothenberg, S. M., Drilon, A., Subbiah, V., Shah, M. H., & Cabanillas, M. E.
Venue
New England Journal of Medicine
Published
2020-08-27
Volume
383
Issue
9
Pages
825-835
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W3080978633
Cited by
790
References
1
FWCI
73.08
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Efficacy of Selpercatinib in RET -Altered Thyroid Cancers. https://app.cochat.ai/papers/10.1056/nejmoa2005651
The paper
Wirth, L. J., Sherman, E., Robinson, B., Solomon, B., Kang, H., Lorch, J., Worden, F., Brose, M., Patel, J., Leboulleux, S., Godbert, Y., Barlesi, F., Morris, J. C., Owonikoko, T. K., Tan, D. S. W., Gautschi, O., Weiss, J., de la Fouchardière, C., Burkard, M. E., . . . Cabanillas, M. E. (2020). Efficacy of Selpercatinib in RET -Altered Thyroid Cancers. New England Journal of Medicine. https://doi.org/10.1056/nejmoa2005651

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.