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3

Indication details

Control Arm
Single arm
FDA Therapeutic Indication
As monotherapy for the treatment of adult and adolescents ≥12 years of age with advanced RET-mutant medullary thyroid cancer (MTC)
Tumour Type
Endocrine Tumours
Tumour Sub-type
Thyroid Cancer - medullary
Tumour Stage
Advanced or metastatic
Tumour Sub-Group
RET-mutant
Trial Name
LIBRETTO-001 (Cohort 4)
NCT Number
NCT03157128
Trial Phase
Phase I/II

Approval details

FDA Approval
FDA approval May 2020
EMA Approval
EMA (CHMP) December 2020 EC decision February 2021 EMA (CHMP) extension of indication July 2022 EC decision September 2022

Primary Outcome(s)

Primary Outcome(s)
ORR
Evaluated Outcome
ORR, DOR
Form(s)
Form 3

Outcome Data

PFS Control
23.6 months
ORR
73%
DoR
22.0 months

Adjustments

QoL Comment
QoL was an exploratory endpoint

Score (after adjustments)

Preliminary non-curative score

3

Non-curative score

3

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
227
Scorecard version
1
Issue date
4.11.2020
Last update
21.07.2023
Selpercatinib LIBRETTO-001 (Cohort 4)

PRELIMINARY SCORE

ORR

ADJUSTMENTS

Selpercatinib LIBRETTO-001 (Cohort 4)

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
3
Overall Response Rate / Duration of Response
Endocrine Tumours
As monotherapy for the treatment of adult and adolescents ≥12 years of age with advanced RET-mutant medullary thyroid cancer (MTC)
Selpercatinib
Single arm

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    Legend

    Information about symbols, abbrevations and color codes

    Red = negative
    Green = positive
    Grey = neutral
    ? Grey + ? = neutral with pending data
    DFS
    Disease-Free Survival
    DoR
    Duration of Response
    EFS
    Event-Free Survival
    HR
    Hazard Ratio
    NEB
    No evaluable benefit
    NI
    Non-inferiority Study
    ORR
    Overall Response Rate
    OS
    Overall Surival
    pCR
    Pathological Complete Response/Remission
    PFS
    Progression-Free Survival
    QoL
    Quality of Life
    RFS
    Relapse-Free Survival
    RR
    Response Rate

    QoL adjustments

    Other adjustments*

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    QoL adjustments

    Red = negative / deterioration

    Green = positive / improvement

    Other adjustments*

    Red = negative / deterioration

    Green = positive / improvement

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    * Other adjustments include:

    - Long-term plateau in the survival curve
    - Long-term plateau in the PFS curve
    - Early stopping or crossover
    - Only improved PFS mature data shows no OS advantage and no improved Qol.

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