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NCT03157128 · OUTCOME

Phase 2: Objective Response Rate (ORR) Based on Independent Review Committee (IRC) Assessment

A Study of Selpercatinib (LOXO-292) in Participants With Advanced Solid Tumors, RET Fusion-Positive Solid Tumors, and Medullary Thyroid Cancer (LIBRETTO-001) · Source last updated 2026-04-16

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
Approximately for up to 7 years 8 months

What was measured

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.

Analysis population: All phase 2 participants who received at least 1 or more doses of selpercatinib and had evaluable data for this outcome.

Groups in this outcome

Phase 2, Cohort 1: RET Fusion Solid Tumor

Participants 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 Therapy

Participants 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 MTC

Participants 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 Therapy

Participants 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 Tumor

Participants 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 Participants

Participants 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.

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

Analysis denominator · Participants

GroupSource count
Phase 2, Cohort 1: RET Fusion Solid Tumor307
Phase 2, Cohort 2: RET Fusion Solid Tumor Without Standard Therapy74
Phase 2, Cohort 3: RET Mutant MTC143
Phase 2, Cohort 4: RET Mutant MTC Without Standard Therapy116
Phase 2, Cohort 5: Advanced RET Altered Solid Tumor201
Phase 2, Cohort 6: RET Inhibitor-Discontinued Participants16

Reported measurements

Source class 1
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2, Cohort 1: RET Fusion Solid Tumor62.9Not reported57.268.3Not reported
Phase 2, Cohort 2: RET Fusion Solid Tumor Without Standard Therapy79.7Not reported68.888.2Not reported
Phase 2, Cohort 3: RET Mutant MTC77.6Not reported69.984.2Not reported
Phase 2, Cohort 4: RET Mutant MTC Without Standard Therapy82.8Not reported74.689.1Not reported
Phase 2, Cohort 5: Advanced RET Altered Solid Tumor57.2Not reported50.164.2Not reported
Phase 2, Cohort 6: RET Inhibitor-Discontinued Participants31.3Not reported11.058.7Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        57.2
        upper Limit
        68.3
        value
        62.9
      2. group Id
        OG001
        lower Limit
        68.8
        upper Limit
        88.2
        value
        79.7
      3. group Id
        OG002
        lower Limit
        69.9
        upper Limit
        84.2
        value
        77.6
      4. group Id
        OG003
        lower Limit
        74.6
        upper Limit
        89.1
        value
        82.8
      5. group Id
        OG004
        lower Limit
        50.1
        upper Limit
        64.2
        value
        57.2
      6. group Id
        OG005
        lower Limit
        11.0
        upper Limit
        58.7
        value
        31.3
denoms
  1. counts
    1. group Id
      OG000
      value
      307
    2. group Id
      OG001
      value
      74
    3. group Id
      OG002
      value
      143
    4. group Id
      OG003
      value
      116
    5. group Id
      OG004
      value
      201
    6. group Id
      OG005
      value
      16
    units
    Participants
description
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.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants 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.
    id
    OG000
    title
    Phase 2, Cohort 1: RET Fusion Solid Tumor
  2. description
    Participants 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.
    id
    OG001
    title
    Phase 2, Cohort 2: RET Fusion Solid Tumor Without Standard Therapy
  3. description
    Participants 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.
    id
    OG002
    title
    Phase 2, Cohort 3: RET Mutant MTC
  4. description
    Participants 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.
    id
    OG003
    title
    Phase 2, Cohort 4: RET Mutant MTC Without Standard Therapy
  5. description
    Participants 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.
    id
    OG004
    title
    Phase 2, Cohort 5: Advanced RET Altered Solid Tumor
  6. description
    Participants 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.
    id
    OG005
    title
    Phase 2, Cohort 6: RET Inhibitor-Discontinued Participants
param Type
NUMBER
population Description
All phase 2 participants who received at least 1 or more doses of selpercatinib and had evaluable data for this outcome.
reporting Status
POSTED
time Frame
Approximately for up to 7 years 8 months
title
Phase 2: Objective Response Rate (ORR) Based on Independent Review Committee (IRC) Assessment
type
PRIMARY
unit Of Measure
percentage of participants

Download exact source JSON → · Snapshot ctgov-results-191f4516d4760045304b24a0

Preserved source evidence · Independent clinical review pending · Not medical advice