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)
Mechanism and Biochemical Profile
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>).
- LOXO-292 (Selpercatinib) Solubility in DMSO
- LOXO-292 (Selpercatinib) Stock Solution
- LOXO-292 (Selpercatinib) Storage
- LOXO-292 (Selpercatinib) Stability
- LOXO-292 (Selpercatinib) Molecular Weight
- LOXO-292 (Selpercatinib) SMILES
- LOXO-292 (Selpercatinib) CAS Number
- LOXO-292 (Selpercatinib) Chemical Structure (2D and 3D)
- LOXO-292 (Selpercatinib) SDS|MSDS