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Selpercatinib Monotherapy

Phase 2

Differentiated Thyroid Cancer | Small molecule | Oncology |Eli Lilly and Company|Last Updated: Apr 15, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment13
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06458036Selpercatinib Pre-RAI in Patients With RET Fusion Thyroid Cancer (RAISE)PHASE2 RECRUITING 13Jul 29, 2024Nov 1, 2031Apr 15, 20264 United States
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Study Endpoints
Primary Endpoints
Number of patients with complete overall, pulmonary, structural, and biochemical response.
18 months

Determine the overall, pulmonary, structural, and biochemical response rate to selpercatinib in patients with RET fusion differentiated thyroid cancer treated with 6 months of selpercatinib prior to 131I therapy

Number of patients who survive without progression of disease after 5 years following protocol treatment.
5 years

Determine the progression free survival to the combination of selpercatinib followed 6 months later 131I therapy from the initiation of selpercatinib therapy

Proportion of all patients enrolled who show increased radioactive iodine avidity at 6 months following selpercatinib monotherapy.
6 months

Determine the proportion of patients for whom oncogene-specific, targeted therapy increases tumor RAI-avidity.

The incidence of adverse events and dose limiting toxicity with the combination of selpercatinib and 131I therapy, graded according to CTCAE v5.
12 months

Determine the safety of the combination of selpercatinib given for 6-months followed by 131I therapy in patients with RET fusion differentiated thyroid cancer

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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Experimental: Selpercatinib Monotherapy with 131I TherapyEXPERIMENTALPatients will receive selpercatinib monotherapy for 6 months at the FDA-approved dose. Patients will receive 131I therapy after 6 months of selpercatinib. Selpercatinib will be continued for 5 days after RAI therapy and then patients will enter a wait and see period off treatment. Patients who experience disease progression at any point while on selpercatinib will proceed to 131I therapy and discontinue selpercatinib.
Interventions
NameTypeDescription
Selpercatinib MonotherapyDRUGPatients will receive selpercatinib monotherapy for 6 months at the FDA-approved dose.
131I TherapyRADIATIONPatients will receive 131I therapy after 6 months of selpercatinib.
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Eligibility Criteria
Age Range2 Years — 25 Years
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: 1. Age 2-25 years, inclusive 2. Histologic diagnosis of a differentiated thyroid cancer, status post thyroidectomy and adequate local therapy (e.g., lymph node dissection as per standard of care) for metastatic disease in the neck in the opinion of the treating investigator 3. A...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06458036primaryCompletionDate: changed
LOWMay 24, 2026NCT06458036studyFirstPostDate: changed