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NCT03037385 · OUTCOME

Phase 2: DCR

Phase 1/2 Study of the Highly-selective RET Inhibitor, Pralsetinib (BLU-667), in Participants With Thyroid Cancer, Non-Small Cell Lung Cancer, and Other Advanced Solid Tumors · Source last updated 2025-05-31

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
Up to approximately 79.8 months

What was measured

DCR was defined as the percentage of participants with a confirmed CR/PR, or SD, per RECIST v1.1. CR was defined as the disappearance of all target lesions or any pathological lymph nodes (whether target or non-target) having a reduction in the short axis to \<10 mm. PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR. SD was defined as neither sufficient shrinkage to qualify for CR or PR nor sufficient increase to qualify for PD. PD was defined as at least a 20% increase in SOD of target lesions, taking as reference the smallest SOD on study (including baseline). DCR and its two-sided 95% CI, which is based on the exact binomial distribution (Clopper-Pearson), were presented.

Analysis population: RET-altered measurable disease population included participants in the efficacy population who have measurable (target) disease per RECIST v1.1, at baseline according to BICR and sufficient evidence of a RET alteration. As prespecified in the SAP, Phase 1 participants treated at 400 mg QD are pooled with Phase 2 participants for efficacy analysis.

Groups in this outcome

RET- Fusion Positive NSCLC With Prior Platinum Treatment

Participants who had RET-fusion positive NSCLC previously treated with platinum-based chemotherapies received pralsetinib, 400 mg orally, QD until discontinuation due to toxicity, disease progression, or other reasons.

RET-fusion Positive NSCLC With Non-platinum Systemic Treatment

Participants who had RET-fusion positive NSCLC previously treated with non-platinum or systemic therapies received pralsetinib, 400 mg orally, QD until discontinuation due to toxicity, disease progression, or other reasons.

RET-fusion Positive NSCLC With No Prior Systemic or Platinum Treatment

Participants who had RET-fusion positive NSCLC not previously treated with systemic or platinum-based chemotherapies received pralsetinib, 400 mg orally, QD until discontinuation due to toxicity, disease progression, or other reasons.

RET-mutation MTC With Prior Cabozantinib and/or Vandetanib Treatment

Participants who had RET- mutation positive MTC previously treated with either cabozantinib and/or vandetanib therapies received pralsetinib, 400 mg orally, QD until discontinuation due to toxicity, disease progression, or other reasons.

RET-mutation MTC With No Prior Cabozantinib or Vandetanib Treatment

Participants who had RET- mutation positive MTC not previously treated with cabozantinib or vandetanib therapies received pralsetinib, 400 mg orally, QD until discontinuation due to toxicity, disease progression, or other reasons.

RET-fusion Positive TC

Participants who had RET-fusion positive TC received pralsetinib, 400 mg, orally, QD until discontinuation due to toxicity, disease progression, or other reasons.

RET-fusion Positive Solid Tumors Other Than NSCLC and TC

Participants who had other RET-positive solid tumors other than NSCLC and TC received pralsetinib, 400 mg, orally, QD until discontinuation due to toxicity, disease progression, or other reasons.

RET-altered Solid Tumors Previously Treated With RET Inhibitor

Participants who had RET-altered (fusion or mutation) solid tumors previously treated with a selective RET TKI received pralsetinib, 400 mg, orally, QD until discontinuation due to toxicity, disease progression, or other reasons.

RET-mutation Positive Tumors Other Than MTC

Participants who had RET-mutation positive solid tumors received pralsetinib, 400 mg, orally, QD until discontinuation due to toxicity, disease progression, or other reasons.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
RET- Fusion Positive NSCLC With Prior Platinum Treatment130
RET-fusion Positive NSCLC With Non-platinum Systemic Treatment23
RET-fusion Positive NSCLC With No Prior Systemic or Platinum Treatment106
RET-mutation MTC With Prior Cabozantinib and/or Vandetanib Treatment60
RET-mutation MTC With No Prior Cabozantinib or Vandetanib Treatment72
RET-fusion Positive TC27
RET-fusion Positive Solid Tumors Other Than NSCLC and TC28
RET-altered Solid Tumors Previously Treated With RET Inhibitor21
RET-mutation Positive Tumors Other Than MTC13

Reported measurements

Source class 1
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
RET- Fusion Positive NSCLC With Prior Platinum Treatment91.5Not reported85.495.7Not reported
RET-fusion Positive NSCLC With Non-platinum Systemic Treatment91.3Not reported72.098.9Not reported
RET-fusion Positive NSCLC With No Prior Systemic or Platinum Treatment89.6Not reported82.294.7Not reported
RET-mutation MTC With Prior Cabozantinib and/or Vandetanib Treatment95.0Not reported86.199.0Not reported
RET-mutation MTC With No Prior Cabozantinib or Vandetanib Treatment93.1Not reported84.597.7Not reported
RET-fusion Positive TC96.3Not reported81.099.9Not reported
RET-fusion Positive Solid Tumors Other Than NSCLC and TC75.0Not reported55.189.3Not reported
RET-altered Solid Tumors Previously Treated With RET Inhibitor42.9Not reported21.866.0Not reported
RET-mutation Positive Tumors Other Than MTC69.2Not reported38.690.9Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        85.4
        upper Limit
        95.7
        value
        91.5
      2. group Id
        OG001
        lower Limit
        72.0
        upper Limit
        98.9
        value
        91.3
      3. group Id
        OG002
        lower Limit
        82.2
        upper Limit
        94.7
        value
        89.6
      4. group Id
        OG003
        lower Limit
        86.1
        upper Limit
        99.0
        value
        95.0
      5. group Id
        OG004
        lower Limit
        84.5
        upper Limit
        97.7
        value
        93.1
      6. group Id
        OG005
        lower Limit
        81.0
        upper Limit
        99.9
        value
        96.3
      7. group Id
        OG006
        lower Limit
        55.1
        upper Limit
        89.3
        value
        75.0
      8. group Id
        OG007
        lower Limit
        21.8
        upper Limit
        66.0
        value
        42.9
      9. group Id
        OG008
        lower Limit
        38.6
        upper Limit
        90.9
        value
        69.2
denoms
  1. counts
    1. group Id
      OG000
      value
      130
    2. group Id
      OG001
      value
      23
    3. group Id
      OG002
      value
      106
    4. group Id
      OG003
      value
      60
    5. group Id
      OG004
      value
      72
    6. group Id
      OG005
      value
      27
    7. group Id
      OG006
      value
      28
    8. group Id
      OG007
      value
      21
    9. group Id
      OG008
      value
      13
    units
    Participants
description
DCR was defined as the percentage of participants with a confirmed CR/PR, or SD, per RECIST v1.1. CR was defined as the disappearance of all target lesions or any pathological lymph nodes (whether target or non-target) having a reduction in the short axis to \<10 mm. PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR. SD was defined as neither sufficient shrinkage to qualify for CR or PR nor sufficient increase to qualify for PD. PD was defined as at least a 20% increase in SOD of target lesions, taking as reference the smallest SOD on study (including baseline). DCR and its two-sided 95% CI, which is based on the exact binomial distribution (Clopper-Pearson), were presented.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants who had RET-fusion positive NSCLC previously treated with platinum-based chemotherapies received pralsetinib, 400 mg orally, QD until discontinuation due to toxicity, disease progression, or other reasons.
    id
    OG000
    title
    RET- Fusion Positive NSCLC With Prior Platinum Treatment
  2. description
    Participants who had RET-fusion positive NSCLC previously treated with non-platinum or systemic therapies received pralsetinib, 400 mg orally, QD until discontinuation due to toxicity, disease progression, or other reasons.
    id
    OG001
    title
    RET-fusion Positive NSCLC With Non-platinum Systemic Treatment
  3. description
    Participants who had RET-fusion positive NSCLC not previously treated with systemic or platinum-based chemotherapies received pralsetinib, 400 mg orally, QD until discontinuation due to toxicity, disease progression, or other reasons.
    id
    OG002
    title
    RET-fusion Positive NSCLC With No Prior Systemic or Platinum Treatment
  4. description
    Participants who had RET- mutation positive MTC previously treated with either cabozantinib and/or vandetanib therapies received pralsetinib, 400 mg orally, QD until discontinuation due to toxicity, disease progression, or other reasons.
    id
    OG003
    title
    RET-mutation MTC With Prior Cabozantinib and/or Vandetanib Treatment
  5. description
    Participants who had RET- mutation positive MTC not previously treated with cabozantinib or vandetanib therapies received pralsetinib, 400 mg orally, QD until discontinuation due to toxicity, disease progression, or other reasons.
    id
    OG004
    title
    RET-mutation MTC With No Prior Cabozantinib or Vandetanib Treatment
  6. description
    Participants who had RET-fusion positive TC received pralsetinib, 400 mg, orally, QD until discontinuation due to toxicity, disease progression, or other reasons.
    id
    OG005
    title
    RET-fusion Positive TC
  7. description
    Participants who had other RET-positive solid tumors other than NSCLC and TC received pralsetinib, 400 mg, orally, QD until discontinuation due to toxicity, disease progression, or other reasons.
    id
    OG006
    title
    RET-fusion Positive Solid Tumors Other Than NSCLC and TC
  8. description
    Participants who had RET-altered (fusion or mutation) solid tumors previously treated with a selective RET TKI received pralsetinib, 400 mg, orally, QD until discontinuation due to toxicity, disease progression, or other reasons.
    id
    OG007
    title
    RET-altered Solid Tumors Previously Treated With RET Inhibitor
  9. description
    Participants who had RET-mutation positive solid tumors received pralsetinib, 400 mg, orally, QD until discontinuation due to toxicity, disease progression, or other reasons.
    id
    OG008
    title
    RET-mutation Positive Tumors Other Than MTC
param Type
NUMBER
population Description
RET-altered measurable disease population included participants in the efficacy population who have measurable (target) disease per RECIST v1.1, at baseline according to BICR and sufficient evidence of a RET alteration. As prespecified in the SAP, Phase 1 participants treated at 400 mg QD are pooled with Phase 2 participants for efficacy analysis.
reporting Status
POSTED
time Frame
Up to approximately 79.8 months
title
Phase 2: DCR
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice