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LOXO-292

Phase 4FDA approved 2020

Non-Small Cell Lung Cancer | Small molecule | Oncology |Eli Lilly and Company|Trials Updated: Aug 7, 2026

LOXO-292 development status

FDA approval May 8, 2020 as Retevmo
Approval holderEli Lilly And Co
ApplicationNDA213246
Highest phase Phase 4 (NCT07822880)
Phase scored for LLYPhase 1
Registered trials 27 across 6 sponsors since Oct 2016

Label indication RETEVMO ® is a kinase inhibitor indicated for the treatment of: Adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with a rearranged during transfection (RET) gene fusion, as detected by an FDA-approved test ( 1.1 ) Adult and pediatric patients 2 years of age and older with advanced or metastatic medullary thyroid cancer (MTC) with a RET mutation, as detected by an FDA-approved… FDA label

LOXO-292 target and mechanism

Molecular targetRET
Target classKinase
ModalitySmall molecule

Also known as Selpercatinib, LY3527723, Retevmo®, [14C]-Selpercatinib

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDBiomarker
Total Trials6
Total Enrollment1,674

FDA Designations

No designations recorded

LOXO-292 clinical trials

LOXO-292 · 6 trials · 10 indications

Phase 3 3Phase 2 1Phase 1 2
NCT04819100A Study of Selpercatinib After Surgery or Radiation in Participants With Non-Small Cell Lung Cancer (NSCLC)Carcinoma, Non-Small-Cell Lung
ACTIVE NOT_RECRUITING152 Analytics
NCT04194944A Study of Selpercatinib (LY3527723) in Participants With Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung CancerNon-Small Cell Lung Cancer
ACTIVE NOT_RECRUITING261 Analytics
NCT04211337A Study of Selpercatinib (LY3527723) in Participants With RET-Mutant Medullary Thyroid CancerMedullary Thyroid Cancer
ACTIVE NOT_RECRUITING291 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of Selpercatinib After Surgery or Radiation in Participants With Non-Small Cell Lung Cancer (NSCLC)
Carcinoma, Non-Small-Cell LungUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of Selpercatinib (LY3527723) in Participants With Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung Cancer
Non-Small Cell Lung CancerUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of Selpercatinib (LY3527723) in Participants With RET-Mutant Medullary Thyroid Cancer
Medullary Thyroid CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Event-Free Survival (EFS)
Randomization to disease recurrence/progression or death from any cause (estimated as up to 7 years)

EFS by Investigator Assessment in the Primary Analysis Population

Progression Free Survival (PFS) by Blinded Independent Central Review (BICR) (With Pembrolizumab)
Baseline to Progressive Disease or Death from Any Cause Up to 31 Months

PFS is defined as the time from randomization until the occurrence of documented disease progression by the BICR, per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria, or death from any cause in the absence of BICR-documented progressive disease.

PFS by BICR (With or Without Pembrolizumab)
Baseline to Progressive Disease or Death from Any Cause Up to 31 Months

PFS is defined as the time from randomization until the occurrence of documented disease progression by the BICR, per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria, or death from any cause in the absence of BICR-documented progressive disease.

Progression Free Survival (PFS) by Blinded Independent Central Review (BICR)
Baseline to Progressive Disease or Death from Any Cause, Whichever Occurs First, Up to 39 Months

PFS is defined as the time from randomization until the occurrence of documented disease progression by the BICR, per Response Evaluation Criteria in Solid Tumors (RECIST 1.1) criteria, or death from any cause in the absence of BICR-documented progressive disease. Progressive Disease (PD) was at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions.

Primary Analysis Set: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by Independent Review Committee (IRC)
Date of First Dose to Disease Progression or Death (up to 12 Months)

ORR is the summary measure of best overall response (BOR) as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. BOR is defined as the best response designation for each participant that is recorded between the date of the first dose of selpercatinib and the date of documented disease progression per RECIST 1.1 or the date of subsequent therapy, whichever occurs first, and subsequently confirmed. BOR will be categorized as complete response (CR), partial response (PR). CR is defined as Disappearance of all target lesions. Any pathologic nodes (whether target or non-target lesions) must have a reduction in short axis diameter (SAD) to less than 10 mm. PR At least 30% decrease in the sum of the diameters (SOD) (LD for non-nodal lesions and SAD for nodal lesions) of target lesions, taking as reference the baseline sum LD.

Enrolled Population: Overall Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) as Assessed by IRC
Date of First Dose to Disease Progression or Death (Up to 12 months)

ORR is the summary measure of best overall response (BOR) as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. BOR is defined as the best response designation for each participant that is recorded between the date of the first dose of selpercatinib and the date of documented disease progression per RECIST 1.1 or the date of subsequent therapy, whichever occurs first, and subsequently confirmed. BOR will be categorized as complete response (CR), partial response (PR). CR is defined as Disappearance of all target lesions. Any pathologic nodes (whether target or non-target lesions) must have a reduction in short axis diameter (SAD) to less than 10 mm. PR At least 30% decrease in the sum of the diameters (SOD) (LD for non-nodal lesions and SAD for nodal lesions) of target lesions, taking as reference the baseline sum LD.

Phase 1: Number of Participants With Dose Limiting Toxicities (DLTs)
Cycle 1 (28 Day Cycle)

A DLT was any of the adverse events that starts on or after the first administration of study drug listed below, as defined by the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0. * Any Grade(G) ≥3 nonhematologic toxicity except G3 fatigue, nausea, tendon reflex decrease, weight gain attributable to normal growth and development. * G3 vomiting/diarrhea was DLT only if it persists \>48 h despite standard of care treatment. * G4 vomiting/diarrhea was DLT regardless of duration. * Any toxicity, regardless of the NCI CTCAE v5.0 grade, resulting in discontinuation or dose reduction of treatment (except symptoms related to progressive disease (PD)). * G4/G3 thrombocytopenia with G1 or higher bleeding. * G4 anemia lasting \>8 days, despite supportive therapy. * G4 neutropenia, lasting \>8 days, despite supportive therapy

Phase 2: Percentage of Participants With Overall Response Rate (ORR) in Study
Date of first dose to disease progression or death (Up to 62.4 Months)

ORR: Percentage of participants who achieve best overall response Complete Response (CR) or Partial Response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST). * CR is defined as disappearance of all target lesions. * PR is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.

Phase 1: Maximum Tolerated Dose (MTD)
Cycle 1 (cycle length = 28 days)

The MTD is defined as the highest dose level at which none of the first 3 treated patients, or not more than 1 of the first 6 treated patients, experiences a DLT. A DLT is any adverse events that starts on or after first administration of study drug, as defined by National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0. * Any Grade(G) ≥3 nonhematologic toxicity, excluding * G3 AST, ALT, and/or total bilirubin elevation for \<7 days. * G3 neutropenia \<7 days * G3 thrombocytopenia without clinically significant bleeding * G3 or G4 lymphopenia. * First occurrence of G3 or G4 electrolyte abnormalities * G3 fatigue, weakness, nausea; other manageable constitutional symptom * G3 or G4 vomiting or diarrhea that lasts for \<48hours with antiemetic/antidiarrheal medication in case of G3 and \<24 hours in case of G4 * G4 manageable constitutional symptom.

Phase 1: Recommended Phase 2 Dose (RP2D)
Cycle 1 (cycle length = 28 days)

Phase 1: RP2D

Phase 2: Objective Response Rate (ORR) Based on Independent Review Committee (IRC) Assessment
Approximately for up to 7 years 8 months

Objective Response Rate was defined as the percentage of participants with best overall response of confirmed response (CR), or Partial response (PR). Response was confirmed by a repeat assessment no less than 28 days. * CR is defined as disappearance of all target lesions. * PR is defined as at least a 30% decrease in the sum of diameter (LD for non-nodal lesions and short axis diameter \[SAD\] for nodal lesions) of target lesions, taking as reference the baseline sum LD. ORR was assessed by independent review committee (IRC) using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. 95% confidence interval was calculated using Clopper-Pearson method.

Secondary Endpoints

EFS
Randomization to disease recurrence/progression or death from any cause (estimated as up to 7 years)
Overall Survival (OS)
Randomization to death from any cause (estimated as up to 9 years)]
Time to Distant Disease Recurrence in the Central Nervous System (CNS)
Randomization to disease recurrence/progression or death from any cause (estimated as up to 7 years)
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SelpercatinibEXPERIMENTALSelpercatinib administered orally.
PlaceboPLACEBO_COMPARATORPlacebo administered orally.
Selpercatinib - Treatment A (TRT A)EXPERIMENTAL160 milligram (mg) Selpercatinib administered orally twice daily (BID) continuously in 21-day cycles.
Pemetrexed and Platinum with or without Pembrolizumab - (TRT B)ACTIVE_COMPARATORPemetrexed 500 milligrams per meter squared (mg/m2) administered intravenously (IV) on Day 1, every 3 weeks (Q3W), plus investigator's choice of carboplatin area under the concentration versus time curve 5 (AUC 5 \[maximum dose of 750 mg\] IV), or cisplatin (75 mg/m2 cisplatin IV) on Day 1 Q3W for 4 cycles, plus investigator's choice with or without 200 mg pembrolizumab IV on Day 1 Q3W up to 35 cycles.
Cabozantinib or Vandetanib - Treatment B (TRT B)ACTIVE_COMPARATOR140 mg Cabozantinib administered orally daily (QD) or 300 mg Vandetanib administered orally QD per physician choice. Cabozantinib Adolescent Dose: 40 mg/m2. Vandetanib Adolescent Dose: * 0.7 - \<0.9 - 100 mg every other day (QOD) * 0.9 - \<1.2 - 100 mg QD * 1.2 - \<1.6 - 7-day schedule 100 mg - 200 mg - 100 mg - 200 mg - 100 mg - 200 mg - 100 mg * ≥1.6 - 200 QD
Cohort 1: Medullary Thyroid Cancer (MTC) GroupEXPERIMENTALParticipants in this cohort had MTC and received 160 mg of selpercatinib BID orally on Days 1 through 28 of a 28-day cycle. The treatment was continued until participants experienced a progressive disease, unacceptable toxicity, or other protocol-defined reason for discontinuation.
Cohort 2: Papillary Thyroid Cancer (PTC) GroupEXPERIMENTALParticipants in this cohort had PTC and received 160 mg of selpercatinib BID orally on Days 1 through 28 of a 28-day cycle. The treatment was continued until participants experienced a progressive disease, unacceptable toxicity, or other protocol-defined reason for discontinuation.
Cohort 3: Other Cancer GroupEXPERIMENTALParticipants in this cohort had other (REarranged during Transfection (RET)-altered non-thyroid) cancer and received 160 mg of selpercatinib BID orally on Days 1 through 28 of a 28-day cycle. The treatment was continued until participants experienced a progressive disease, unacceptable toxicity, or other protocol-defined reason for discontinuation.
Phase 1: 20 mg Selpercatinib QDEXPERIMENTALParticipants received Selpercatinib 20 milligrams (mg) administered orally once daily (QD), in a 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 1: 20 mg Selpercatinib BIDEXPERIMENTALParticipants received Selpercatinib 20 milligrams (mg) administered orally twice daily (BID), in a 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 1: 40 mg Selpercatinib BIDEXPERIMENTALParticipants received Selpercatinib 40 milligrams (mg) administered orally twice daily (BID), in a 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 1: 60 mg Selpercatinib BIDEXPERIMENTALParticipants received Selpercatinib 60 milligrams (mg) administered orally twice daily (BID), in a 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 1: 160 mg Selpercatinib QDEXPERIMENTALParticipants received Selpercatinib 160 milligrams (mg) administered orally once daily (QD), in a 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 1: 80 mg Selpercatinib BIDEXPERIMENTALParticipants received Selpercatinib 80 milligrams (mg) administered orally twice daily (BID), in a 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 1: 120 mg Selpercatinib BIDEXPERIMENTALParticipants received Selpercatinib 120 milligrams (mg) administered orally twice daily (BID), in a 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 1: 160 mg Selpercatinib BIDEXPERIMENTALParticipants received Selpercatinib 160 milligrams (mg) administered orally twice daily (BID), in a 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 1: 200 mg Selpercatinib BIDEXPERIMENTALParticipants received Selpercatinib 200 milligrams (mg) administered orally twice daily (BID), in a 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 1: 240 mg Selpercatinib BIDEXPERIMENTALParticipants received Selpercatinib 240 milligrams (mg) administered orally twice daily (BID), in a 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 2, Cohort 1: RET Fusion Solid TumorEXPERIMENTALParticipants with Rearranged during transfection (RET) Fusion solid tumor progressed on/intolerant to standard first line therapy received Selpercatinib 160 milligrams (mg) administered orally twice daily (BID), in a continuous 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 2, Cohort 2: RET Fusion Solid Tumor Without Standard TherapyEXPERIMENTALParticipants with RET Fusion solid tumor without standard first line therapy received Selpercatinib 160 milligrams (mg) administered orally twice daily (BID), in a continuous 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 2, Cohort 3: RET Mutant MTCEXPERIMENTALParticipants with RET mutant medullary thyroid cancer (MTC) progressed on/intolerant to standard first line therapy received Selpercatinib 160 milligrams (mg) administered orally twice daily (BID), in a continuous 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 2, Cohort 4: RET Mutant MTC Without Standard TherapyEXPERIMENTALParticipants with RET mutant MTC without prior standard first line therapy or other kinase inhibitor(s) with anti-RET activity received Selpercatinib 160 milligrams (mg) administered orally twice daily (BID), in a continuous 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 2, Cohort 5: Advanced RET Altered Solid TumorEXPERIMENTALParticipants with RET altered solid tumor (cohorts 1-4, disease not measurable; MTC not eligible for Cohort 3 or 4; MTC syndrome spectrum cancer; circulating free tumor DNA \[cfDNA+\] for RET alteration not known to be present in tumor) received Selpercatinib 160 milligrams (mg) administered orally twice daily (BID), in a continuous 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.
Phase 2, Cohort 6: RET Inhibitor-Discontinued ParticipantsEXPERIMENTALParticipants otherwise eligible for Cohorts 1-5 who discontinued other RET inhibitors received Selpercatinib 160 milligrams (mg) administered orally twice daily (BID), in a continuous 28-day treatment cycle. Treatment was continued until disease progression, unacceptable toxicity, or treatment discontinuation for other reasons.

Interventions

NameTypeDescription
SelpercatinibDRUGAdministered orally.
PlaceboDRUGAdministered orally.
CarboplatinDRUGAdministered IV
CisplatinDRUGAdministered IV
PemetrexedDRUGAdministered IV
PembrolizumabDRUGAdministered IV
CabozantinibDRUGAdministered orally
VandetanibDRUGAdministered orally
LOXO-292DRUGOral LOXO-292
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites211

Inclusion Criteria: * Must have histologically confirmed Stage IB, II, or IIIA NSCLC. * Must have an activating RET gene fusion in tumor based on polymerase chain reaction (PCR), next generation sequencing (NGS), or another molecular test per sponsor's approval. * Must have received definitive loco...

Countries:United StatesAustraliaAustriaBelgiumBrazilCanadaChinaCzechiaDenmarkFranceGermanyGreeceHong KongIndiaIsraelItalyJapanMexicoNetherlandsNorwayPolandPuerto RicoRomaniaRussiaSingaporeSouth KoreaSpainSwedenTaiwanTurkey (Türkiye)UkraineUnited KingdomArgentinaSwitzerland
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Competitive Landscape -Non-Small Cell Lung Cancer 541 trials

Top 20 of 90 competitors

CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK37PHASE3Pembrolizumab, Olaparib, Sacituzumab tirumotecan, Intismeran autogene, Pembrolizumab Berahyaluronidase alfa
Revolution Medicines, Inc.RVMD9PHASE3Daraxonrasib, Zoldonrasib, Elironrasib, RMC-5127
Eli Lilly and CompanyLLY18PHASE3Selpercatinib, Pemetrexed, Abemaciclib, Olomorasib, LY3537982
AbbVie, Inc.ABBV12PHASE3ABBV-1480, Telisotuzumab vedotin, Telisotuzumab Adizutecan, Livmoniplimab, Budigalimab
AstraZeneca PLCAZN68PHASE3Datopotamab deruxtecan, Durvalumab, Oleclumab, Monalizumab, Tremelimumab
Gilead Sciences, Inc.GILD7PHASE3Sacituzumab govitecan, Zimberelimab, Domvanalimab, Etrumadenant, TUB-040- Dose escalation
Bristol-Myers Squibb CompanyBMY24PHASE3Repotrectinib, Nivolumab, Pumitamig, Relatlimab, Adagrasib
Johnson & JohnsonJNJ19PHASE3Lazertinib, Amivantamab, JNJ-90301900, JNJ-86974680, Cetrelimab
BioNTech SE Sponsored ADRBNTX7PHASE3Gotistobart, Pumitamig, BNT326, BNT116, BNT324
Pfizer Inc.PFE20PHASE3Lorlatinib, Crizotinib, Avelumab, Talazoparib, Axitinib
Amgen Inc.AMGN4PHASE3ABP 234, Sotorasib, Anvumetostat
Novartis AG Sponsored ADRNVS12PHASE3Opnurasib, TNO155, DKY709, Spartalizumab, trametinib
GSK plc Sponsored ADRGSK3PHASE3Dostarlimab, Belrestotug, Nelistotug, Cobolimab
ArriVent BioPharma, Inc.AVBP9PHASE3Firmonertinib
Summit Therapeutics IncSMMT2PHASE3Ivonescimab
Nuvation Bio, Inc. Class ANUVB4PHASE3Taletrectinib
Genmab A/S Sponsored ADRGMAB4PHASE3Acasunlimab, Rina-S, GEN1042
Regeneron Pharmaceuticals, Inc.REGN7PHASE2Cemiplimab, Marlotamig, Fianlimab, REGN5093
Nuvalent, Inc. Class ANUVL1PHASE3Neladalkib
BeOne Medicines Ltd. Sponsored ADRONC7PHASE3Tislelizumab, BGB-A445, LBL-007, BGB-15025, BGB-43395
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Recent Changes (Last 90 Days)

MEDIUMAug 7, 2026NCT04280081Completion: 2027-11 → 2028-11
MEDIUMAug 7, 2026NCT04280081Completion: 2027-11 → 2028-11

Frequently asked questions about LOXO-292

What is LOXO-292?

LOXO-292 is an investigational small molecule being developed by Eli Lilly and Company for the treatment of advanced solid tumors, including non-small cell lung cancer. It is designed to target RET, a kinase involved in certain cancers. LOXO-292 is currently in Phase 1 clinical development and has not been approved by the FDA.

What is LOXO-292 used for in non-small cell lung cancer?

LOXO-292 is being studied for use in patients with RET fusion-positive non-small cell lung cancer, meaning tumors that carry a RET gene alteration. It is also being evaluated in medullary thyroid cancer, colon cancer, and other advanced solid tumors. LOXO-292 remains investigational and is not yet approved for any indication.

What does LOXO-292 target?

LOXO-292 targets RET, a receptor kinase. By inhibiting RET activity, the drug aims to interfere with signaling that drives tumor growth in cancers harboring RET alterations. The Phase 1 trial enrolls patients with RET fusion-positive solid tumors and medullary thyroid cancer, reflecting this biomarker-selected approach.

Who is developing LOXO-292?

LOXO-292 is being developed by Eli Lilly and Company, which trades on the New York Stock Exchange under the ticker LLY. The company is running the clinical development program for the drug, including the ongoing Phase 1 LIBRETTO-001 study.

What phase is LOXO-292 in?

LOXO-292 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA. The Phase 1 program is evaluating the drug in patients with advanced solid tumors, RET fusion-positive solid tumors, and medullary thyroid cancer.

What clinical trials is LOXO-292 in?

LOXO-292 is being studied in the Phase 1 trial NCT03157128, also known as LIBRETTO-001. This study is evaluating the drug in participants with advanced solid tumors, RET fusion-positive solid tumors, and medullary thyroid cancer. It is active but not currently recruiting, with an enrollment of 857 participants across multiple countries.