RET in thyroid cancer

3 EU-approved indications in thyroid cancer need a RET result: vandetanib (advanced), selpercatinib (advanced) and selpercatinib (advanced).

Histology

Line of therapy

Approved indications, Thyroid cancer
DrugBiomarker requirementRegimenSettingConditions
RET3
Monotherapy
Any line
advanced
Radioactive iodine-refractory (if radioactive iodine is appropriate); aged 2 years and older
Monotherapy
Any line
advanced
Medullary thyroid cancer only; Aged 2 years and older
Caprelsa
Monotherapy
Any line
advanced
Medullary thyroid cancer only; Aggressive and symptomatic disease; aged 5 years and older

Tumour-agnostic approvals1

Approved for any solid tumour that carries the alteration, wherever the tumour started.

DrugBiomarker requirementRegimenSettingConditions
RET fusion1
Monotherapy
Any line
advanced
Treatment options not targeting RET provide limited clinical benefit, or have been exhausted; Aged 2 years and older

4 approvals for Thyroid need no biomarker and apply whatever the result. All approvals for Thyroid

See also

Label wording3

The sentence from section 4.1 of the SmPC that each indication above comes from.

  1. Vandetanib (Caprelsa)
    Caprelsa is indicated for the treatment of aggressive and symptomatic Rearranged during Transfection (RET) mutant medullary thyroid cancer (MTC) in patients with unresectable locally advanced or metastatic disease.
  2. Selpercatinib (Retsevmo)
    advanced RET fusion-positive thyroid cancer who are radioactive iodine-refractory (if radioactive iodine is appropriate).
  3. Selpercatinib (Retsevmo)
    advanced RET-mutant medullary thyroid cancer (MTC).