A Multicenter, Randomized, Open-Label, Phase 3 Trial Comparing Selpercatinib to Platinum-Based and Pemetrexed Therapy With or Without Pembrolizumab as Initial Treatment of Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung Cancera
Stage IIIB-IIIC or stage IV nonsquamous non-small cell lung cancer (NSCLC) not suitable for radical surgery or radiation therapy
A RET gene fusion in tumor and/or blood from a qualified laboratory
Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
Adequate organ function
Patients with reproductive potential must use a highly effective contraceptive method for the duration of treatment and for 6 months after
Able to swallow capsules
Key Exclusion Criteria
Additional validated oncogenic drivers in NSCLC, if known
Previously received systemic therapy for metastatic disease
Treatment (chemotherapy, immunotherapy, or biological therapy) in the adjuvant/neoadjuvant setting is permitted if completed at least 6 months prior to randomization
Major surgery within 3 weeks prior to planned start of treatment
Radiotherapy for palliation within 1 week of the first dose of study treatment or within 6 months prior to the first dose of study treatment if more than 30 Gy to the lung
Symptomatic central nervous system metastases, leptomeningeal carcinomatosis, or untreated spinal cord compression
Clinically significant active cardiovascular disease or history of myocardial infarction within 6 months prior to planned start of treatment
Prolongation of the QTcF interval of >470 ms
Other malignancy unless nonmelanoma skin cancer, carcinoma in situ of the cervix, or malignancy diagnosed ≥2 years previously and not currently active
Uncontrolled, disease-related pericardial effusion or pleural effusion
Receiving pembrolizumab and have a history of interstitial lung disease or interstitial pneumonitis, or have an active autoimmune disease or any illness or treatment that could compromise the immune system
Active, uncontrolled systemic bacterial, viral, or fungal infections, or serious ongoing intercurrent illness such as hypertension or diabetes, despite optimal treatment
a
This clinical trial is being conducted globally.
b
Administered at 160 mg orally BID.
c
Carboplatin AUC 5 mg∙min/mL (maximum dose at 750 mg) is administered intravenously Q3W.
d
Administered at 75 mg/m2 intravenously Q3W.
e
Administered at 500 mg/m2 intravenously Q3W.
f
Administered at 200 mg intravenously Q3W.
g
The primary endpoints are PFS in patients receiving pembrolizumab and PFS in all patients.
For information on trial enrollment, locations, and more, call
1-800-545-5979.