Clinical Trials

Selpercatinib (LOXO-292) is evaluated across numerous clinical trials spanning Early Phase 1 through Phase 4, focusing on non-small cell lung cancer, medullary thyroid carcinoma, papillary thyroid cancer, RET fusion-positive advanced solid tumors, and pharmacokinetics in healthy and organ-impaired subjects. Driven by industry sponsors such as Loxo Oncology and Eli Lilly alongside research networks like M.D. Anderson Cancer Center and the SWOG Cancer Research Network, these studies encompass recruiting, active not recruiting, and completed statuses to support regulatory approval.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06458036 RECRUITING
Differentiated Thyroid Cancer; Pediatric Cancer; Cancer; Cancer, Thyroid
Children's Hospital of Philadelphia
2024-07-29 PHASE2
NCT07010393 NOT_YET_RECRUITING
Thyroid Neoplasms
Fujian Medical University
2025-07-01 PHASE4
NCT04759911 ACTIVE_NOT_RECRUITING
Malignant Thyroid Gland Neoplasm; Poorly Differentiated Thyroid Gland Carcinoma; Recurrent Thyroid Gland Carcinoma; Thyroid Gland Anaplastic Carcinoma; Thyroid Gland Medullary Carcinoma; Thyroid Gland Papillary Carcinoma; Thyroid Gland Squamous Cell Carcinoma
M.D. Anderson Cancer Center
2021-02-26 PHASE2
NCT02925234 RECRUITING
Cancer; Tumors; Neoplasm; Neoplasia
The Netherlands Cancer Institute
2016-08 PHASE2
NCT07146893 NOT_YET_RECRUITING
Cachexia-Anorexia Syndrome
University of Oklahoma
2026-02-26 EARLY_PHASE1
NCT06195228 RECRUITING
Advanced Thyroid Cancer Patients Who Received Target Therapy
Fudan University
2020-01-01 PHASE4
NCT04268550 ACTIVE_NOT_RECRUITING
Recurrent Lung Non-Small Cell Carcinoma; Stage IV Lung Cancer AJCC v8; Stage IVA Lung Cancer AJCC v8; Stage IVB Lung Cancer AJCC v8
SWOG Cancer Research Network
2020-04-08 PHASE2
NCT04819100 ACTIVE_NOT_RECRUITING
Carcinoma, Non-Small-Cell Lung
Eli Lilly and Company
2021-12-20 PHASE3
NCT03944772 ACTIVE_NOT_RECRUITING
Non-Small Cell Lung Cancer
AstraZeneca
2019-06-25 PHASE2
NCT03155620 ACTIVE_NOT_RECRUITING
Advanced Malignant Solid Neoplasm; Ann Arbor Stage III Non-Hodgkin Lymphoma; Ann Arbor Stage IV Non-Hodgkin Lymphoma; Histiocytic Sarcoma; Juvenile Xanthogranuloma; Langerhans Cell Histiocytosis; Malignant Glioma; Recurrent Childhood Rhabdomyosarcoma; Recurrent Ependymoma; Recurrent Ewing Sarcoma; Recurrent Glioma; Recurrent Hepatoblastoma; Recurrent Langerhans Cell Histiocytosis; Recurrent Malignant Germ Cell Tumor; Recurrent Malignant Solid Neoplasm; Recurrent Medulloblastoma; Recurrent Neuroblastoma; Recurrent Non-Hodgkin Lymphoma; Recurrent Osteosarcoma; Recurrent Peripheral Primitive Neuroectodermal Tumor; Recurrent Primary Central Nervous System Neoplasm; Recurrent Rhabdoid Tumor; Recurrent Soft Tissue Sarcoma; Refractory Ewing Sarcoma; Refractory Glioma; Refractory Hepatoblastoma; Refractory Langerhans Cell Histiocytosis; Refractory Malignant Germ Cell Tumor; Refractory Malignant Solid Neoplasm; Refractory Medulloblastoma; Refractory Neuroblastoma; Refractory Non-Hodgkin Lymphoma; Refractory Osteosarcoma; Refractory Peripheral Primitive Neuroectodermal Tumor; Refractory Primary Central Nervous System Neoplasm; Refractory Rhabdoid Tumor; Refractory Rhabdomyosarcoma; Rhabdoid Tumor; Stage III Osteosarcoma AJCC v7; Stage III Soft Tissue Sarcoma AJCC v7; Stage IV Osteosarcoma AJCC v7; Stage IV Soft Tissue Sarcoma AJCC v7; Stage IVA Osteosarcoma AJCC v7; Stage IVB Osteosarcoma AJCC v7; Wilms Tumor
National Cancer Institute (NCI)
2017-07-31 PHASE2
NCT05668962 RECRUITING
Thyroid Cancer; Thyroid Carcinoma; Metastatic Thyroid Cancer; Follicular Thyroid Cancer; Unresectable Thyroid Gland Carcinoma; Papillary Thyroid Cancer
Massachusetts General Hospital
2023-03-01 PHASE2
NCT03157128 ACTIVE_NOT_RECRUITING
Non-Small Cell Lung Cancer; Medullary Thyroid Cancer; Colon Cancer; Any Solid Tumor
Eli Lilly and Company
2017-05-02 PHASE1; PHASE2
NCT04591431 UNKNOWN
Breast Cancer; Gastrointestinal Cancer; Non Small Cell Lung Cancer; Other Cancer
Fondazione per la Medicina Personalizzata
2020-10-07 PHASE2
NCT03899792 ACTIVE_NOT_RECRUITING
Medullary Thyroid Cancer; Infantile Myofibromatosis; Infantile Fibrosarcoma; Papillary Thyroid Cancer; Soft Tissue Sarcoma
Eli Lilly and Company
2019-06-13 PHASE1; PHASE2
NCT04320888 ACTIVE_NOT_RECRUITING
Hematopoietic and Lymphatic System Neoplasm; Recurrent Ependymoma; Recurrent Ewing Sarcoma; Recurrent Hepatoblastoma; Recurrent Histiocytic and Dendritic Cell Neoplasm; Recurrent Langerhans Cell Histiocytosis; Recurrent Lymphoma; Recurrent Malignant Germ Cell Tumor; Recurrent Malignant Glioma; Recurrent Malignant Solid Neoplasm; Recurrent Medulloblastoma; Recurrent Neuroblastoma; Recurrent Non-Hodgkin Lymphoma; Recurrent Osteosarcoma; Recurrent Peripheral Primitive Neuroectodermal Tumor; Recurrent Rhabdoid Tumor; Recurrent Rhabdomyosarcoma; Recurrent Soft Tissue Sarcoma; Recurrent WHO Grade 2 Glioma; Refractory Ependymoma; Refractory Ewing Sarcoma; Refractory Hepatoblastoma; Refractory Histiocytic and Dendritic Cell Neoplasm; Refractory Langerhans Cell Histiocytosis; Refractory Lymphoma; Refractory Malignant Germ Cell Tumor; Refractory Malignant Glioma; Refractory Malignant Solid Neoplasm; Refractory Medulloblastoma; Refractory Neuroblastoma; Refractory Non-Hodgkin Lymphoma; Refractory Osteosarcoma; Refractory Peripheral Primitive Neuroectodermal Tumor; Refractory Rhabdoid Tumor; Refractory Rhabdomyosarcoma; Refractory Soft Tissue Sarcoma; Refractory WHO Grade 2 Glioma; Wilms Tumor
National Cancer Institute (NCI)
2021-05-03 PHASE2
NCT05906836 COMPLETED
Healthy
Eli Lilly and Company
2023-07-27 PHASE1
NCT05364645 WITHDRAWN
Lung Non-Small Cell Carcinoma; Recurrent Lung Non-Small Cell Carcinoma; Stage IV Lung Cancer AJCC v8; Stage IVA Lung Cancer AJCC v8; Stage IVB Lung Cancer AJCC v8
SWOG Cancer Research Network
2022-07-25 PHASE2
NCT04211337 ACTIVE_NOT_RECRUITING
Medullary Thyroid Cancer
Loxo Oncology, Inc.
2020-02-11 PHASE3
NCT04194944 ACTIVE_NOT_RECRUITING
Non-Small Cell Lung Cancer
Eli Lilly and Company
2020-02-17 PHASE3
NCT05089019 COMPLETED
Healthy
Loxo Oncology, Inc.
2021-10-29 PHASE1
NCT05324124 COMPLETED
Healthy
Loxo Oncology, Inc.
2022-04-19 PHASE1
NCT05324124 Completed
Healthy
Loxo Oncology Inc.|Eli Lilly and Company
2022-04-19 Phase 1
NCT05136404 COMPLETED
Healthy
Loxo Oncology, Inc.
2021-12-03 PHASE1
NCT05136404 Completed
Healthy
Loxo Oncology Inc.|Eli Lilly and Company
2021-12-03 Phase 1
NCT05089019 Completed
Healthy
Loxo Oncology Inc.|Eli Lilly and Company
2021-10-29 Phase 1
NCT04782076 COMPLETED
Healthy
Loxo Oncology, Inc.
2021-03-05 PHASE1
NCT04280081 ACTIVE_NOT_RECRUITING
Solid Tumor; Medullary Thyroid Cancer
Eli Lilly and Company
2020-03-16 PHASE2
NCT04782076 Completed
Healthy
Loxo Oncology Inc.|Eli Lilly and Company
2021-03-05 Phase 1
NCT04280081 Active not recruiting
Solid Tumor|Medullary Thyroid Cancer
Loxo Oncology Inc.|Eli Lilly and Company
2020-03-16 Phase 2
NCT05436912 COMPLETED
Healthy; Hepatic Impairment
Eli Lilly and Company
2018-12-10 PHASE1
NCT05338502 COMPLETED
Healthy
Eli Lilly and Company
2019-07-08 PHASE1
NCT05469100 COMPLETED
Healthy; Renal Insufficiency
Eli Lilly and Company
2018-12-19 PHASE1
NCT05630274 COMPLETED
Healthy
Eli Lilly and Company
2019-04-16 PHASE1
NCT05338515 COMPLETED
Healthy
Eli Lilly and Company
2019-02-12 PHASE1
NCT05469113 COMPLETED
Healthy
Eli Lilly and Company
2019-01-29 PHASE1
NCT05630287 COMPLETED
Healthy
Eli Lilly and Company
2018-08-01 PHASE1
NCT05468164 COMPLETED
Healthy
Eli Lilly and Company
2018-05-31 PHASE1
NCT05338476 COMPLETED
Healthy
Eli Lilly and Company
2018-07-12 PHASE1
NCT05338489 COMPLETED
Healthy
Eli Lilly and Company
2018-05-11 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-07-24)

Check the LOXO-292 (Selpercatinib) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Selpercatinib is a highly selective ATP-competitive kinase inhibitor that specifically binds to wild-type and mutant RET receptor tyrosine kinases, effectively blocking receptor auto-phosphorylation and downstream oncogenic signal transduction pathways. This potent molecular inhibition halts RET-driven cellular proliferation and induces targeted apoptosis, resulting in tumor regression across RET-altered malignancies including non-small cell lung cancer and medullary thyroid carcinoma.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.