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NCT05436912

A Study of Effects of Selpercatinib in Hepatically Impaired Participants and Healthy Participants

Completed Phase 1 Results posted Last updated 13 April 2025
What this trial tests

Phase 1 trial testing Selpercatinib in Healthy in 36 participants. Completed in 30 October 2019.

Timeline
10 December 2018
Primary endpoint
4 October 2019
30 October 2019

Quick facts

Lead sponsorEli Lilly and Company
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposebasic science
Enrollment36
Start date10 December 2018
Primary completion4 October 2019
Estimated completion30 October 2019
Sites7 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Eli Lilly and Company — full company profile →

Who can join

Adults 18 to 65, any sex, with Healthy or Hepatic Impairment. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Pharmacokinetics (PK): Maximum Concentration (Cmax) of Selpercatinib Primary · Predose (within 30 minutes), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, and 240 hours postdose

PK: Cmax of selpercatinib was reported.

GroupValue95% CI
160 mg Selpercatinib: Normal Hepatic Function898± 129.8
160 mg Selpercatinib: Mild Hepatic Impairment1170± 78.0
160 mg Selpercatinib: Moderate Hepatic Impairment732± 185.6
160 mg Selpercatinib: Severe Hepatic Impairment952± 72.3
PK: Time to Reach Cmax (Tmax) of Selpercatinib Primary · Predose (within 30 minutes), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, and 240 hours postdose

PK: Tmax of Selpercatinib was reported.

GroupValue95% CI
160 mg Selpercatinib: Normal Hepatic Function2.001.00 – 24.00
160 mg Selpercatinib: Mild Hepatic Impairment1.531.00 – 2.03
160 mg Selpercatinib: Moderate Hepatic Impairment2.001.00 – 24.42
160 mg Selpercatinib: Severe Hepatic Impairment1.501.00 – 3.00
PK: Area Under the Concentration-time Curve (AUC), From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Selpercatinib Primary · Predose (within 30 minutes), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, and 240 hours postdose

PK: AUC0-t was calculated using the linear trapezoidal rule for increasing and decreasing concentrations.

GroupValue95% CI
160 mg Selpercatinib: Normal Hepatic Function17700± 65.0
160 mg Selpercatinib: Mild Hepatic Impairment20200± 43.1
160 mg Selpercatinib: Moderate Hepatic Impairment14600± 74.0
160 mg Selpercatinib: Severe Hepatic Impairment27100± 33.7
PK: AUC Extrapolated to Infinity (AUC0-∞) of Selpercatinib Primary · Predose (within 30 minutes), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, and 240 hours postdose

PK: Area under the plasma concentration time curve extrapolated to infinity, calculated as AUC(0-t) + Ct/λZ, where Ct is the last measurable concentration and λZ is the apparent terminal elimination rate constant.

GroupValue95% CI
160 mg Selpercatinib: Normal Hepatic Function17700± 64.9
160 mg Selpercatinib: Mild Hepatic Impairment20200± 43.0
160 mg Selpercatinib: Moderate Hepatic Impairment14700± 73.6
Participants With Severe Hepatic Impairment27300± 33.5
PK: Percentage Extrapolation for AUC (%AUCextrap) of Selpercatinib Primary · Predose (within 30 minutes), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, and 240 hours postdose

PK: %AUCextrap of Selpercatinib was reported.

GroupValue95% CI
160 mg Selpercatinib: Normal Hepatic Function0.422± 0.190
160 mg Selpercatinib: Mild Hepatic Impairment0.310± 0.197
160 mg Selpercatinib: Moderate Hepatic Impairment0.373± 0.328
160 mg Selpercatinib: Severe Hepatic Impairment0.685± 0.379
PK: Apparent Terminal Elimination Rate Constant (λz) of Selpercatinib Primary · Predose (within 30 minutes), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, and 240 hours postdose

PK: Apparent terminal elimination rate constant, where λZ is the magnitude of the slope of the linear regression of the log concentration versus-time profile during the terminal phase.

GroupValue95% CI
160 mg Selpercatinib: Normal Hepatic Function0.0220± 61.4
160 mg Selpercatinib: Mild Hepatic Impairment0.0266± 39.8
160 mg Selpercatinib: Moderate Hepatic Impairment0.0320± 29.0
160 mg Selpercatinib: Severe Hepatic Impairment0.0175± 28.8
PK: Apparent Terminal Elimination Half-life (t1/2) of Selpercatinib Primary · Predose (within 30 minutes), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, and 240 hours postdose

PK: Apparent terminal elimination half-life (whenever possible), where t1/2 = natural log (ln)(2)/λZ.

GroupValue95% CI
160 mg Selpercatinib: Normal Hepatic Function36.4± 19.9
160 mg Selpercatinib: Mild Hepatic Impairment27.9± 12.2
160 mg Selpercatinib: Moderate Hepatic Impairment22.4± 6.30
160 mg Selpercatinib: Severe Hepatic Impairment41.3± 13.5
PK: Apparent Systemic Clearance (CL/F) of Selpercatinib Primary · Predose (within 30 minutes), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, and 240 hours postdose

CL/F is apparent clearance of the drug from the plasma, calculated as the drug dose divided AUC (0-inf), expressed in liter/hour (L/hr).

GroupValue95% CI
160 mg Selpercatinib: Normal Hepatic Function9.03± 64.9
160 mg Selpercatinib: Mild Hepatic Impairment7.90± 43.0
160 mg Selpercatinib: Moderate Hepatic Impairment10.9± 73.6
160 mg Selpercatinib: Severe Hepatic Impairment5.87± 33.5
PK: Apparent Volume of Distribution During the Terminal Phase (Vd/F) of Selpercatinib Primary · Predose (within 30 minutes), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, and 240 hours postdose

PK: Vd/F was calculated as CL/F/λZ.

GroupValue95% CI
160 mg Selpercatinib: Normal Hepatic Function411± 51.5
160 mg Selpercatinib: Mild Hepatic Impairment297± 58.0
160 mg Selpercatinib: Moderate Hepatic Impairment340± 68.6
160 mg Selpercatinib: Severe Hepatic Impairment336± 51.8
PK: Mean Residence Time (MRT) of Selpercatinib Primary · Predose (within 30 minutes), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216, and 240 hours postdose

PK: MRT represents the average time the drug (selpercatinib) stays in the body.

GroupValue95% CI
160 mg Selpercatinib: Normal Hepatic Function25.5± 21.9
160 mg Selpercatinib: Mild Hepatic Impairment23.3± 28.9
160 mg Selpercatinib: Moderate Hepatic Impairment24.2± 39.2
160 mg Selpercatinib: Severe Hepatic Impairment34.3± 20.2
Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration Primary · Baseline up to Week 7

Data presented are the number of participants who experienced SAEs considered by the investigator to be related to study drug administration. A summary of SAEs and all other non-serious Adverse Event(s) (AEs), regardless of causality, is located in the Reported Adverse Event module.

GroupValue95% CI
160 mg Selpercatinib: Normal Hepatic Function0
160 mg Selpercatinib: Mild Hepatic Impairment0
160 mg Selpercatinib: Moderate Hepatic Impairment0
160 mg Selpercatinib: Severe Hepatic Impairment0

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to Week 7. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

160 mg Selpercatinib: Normal Hepatic Function
Serious: 0/12 (0%)
Deaths: 0/12
160 mg Selpercatinib: Mild Hepatic Impairment
Serious: 0/8 (0%)
Deaths: 0/8
160 mg Selpercatinib: Moderate Hepatic Impairment
Serious: 0/8 (0%)
Deaths: 0/8
160 mg Selpercatinib: Severe Hepatic Impairment
Serious: 0/8 (0%)
Deaths: 0/8
Other adverse events (8 terms — click to expand)

ReactionSystem160 mg Selpercatinib: Norm…160 mg Selpercatinib: Mild…160 mg Selpercatinib: Mode…160 mg Selpercatinib: Seve…
DiarrhoeaGastrointestinal disorders
Dry mouthGastrointestinal disorders
Gastroenteritis viralInfections and infestations
HyperglycaemiaMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
SomnolenceNervous system disorders

Data from ClinicalTrials.gov NCT05436912 adverse events section.

Sponsor's own description

The main purpose of this study is to assess how selpercatinib gets into the blood stream and how long it takes the body to remove it when administered to participants with impaired hepatic function compared to healthy participants. Information about safety and tolerability will be collected. The study will last up to about 7 weeks, inclusive of screening period.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of Selpercatinib

Trials testing the same drug.

Other recruiting trials for Healthy

Currently open trials in the same condition.

Other Eli Lilly and Company trials

Trials by the same sponsor.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing