Selpercatinib in the treatment of medullary and radioiodine-refractory differentiated thyroid cancer with RET mutation (literature review)

Selpercatinib is a novel, highly selective, small-molecule inhibitor of RET kinase that competes with adenosine triphosphate. In experimental models, this drug has demonstrated nanomolar activity against various RET gene alterations, including an acquired resistance mutation in the gatekeeper gene a...

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Main Authors: E. V. Borodavina, S. I. Kutukova, Т. V. Kekeeva, Р. A. Isaev
Format: Article
Language:Russian
Published: ABV-press 2025-03-01
Series:Опухоли головы и шеи
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Online Access:https://ogsh.abvpress.ru/jour/article/view/1045
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author E. V. Borodavina
S. I. Kutukova
Т. V. Kekeeva
Р. A. Isaev
author_facet E. V. Borodavina
S. I. Kutukova
Т. V. Kekeeva
Р. A. Isaev
author_sort E. V. Borodavina
collection DOAJ
description Selpercatinib is a novel, highly selective, small-molecule inhibitor of RET kinase that competes with adenosine triphosphate. In experimental models, this drug has demonstrated nanomolar activity against various RET gene alterations, including an acquired resistance mutation in the gatekeeper gene at residue V804, as well as antitumor activity in the brain. Selpercatinib inhibits wild-type and various mutated forms of RET, as well as vascular endothelial growth factor receptors (VEGFR1 and VEGFR3) with half-maximal inhibitory concentrations from 0.92 to 67.8 nM, and fibroblast growth factor receptors (FGFR1, FGFR2, and FGFR3).The article presents results of clinical studies on the efficacy and safety of selpercatinib in patients with radioiodine refractory differentiated thyroid cancer with alterations in RET gene and in patients with medullary thyroid cancer with a germinal or somatic mutation in this gene.
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issn 2222-1468
2411-4634
language Russian
publishDate 2025-03-01
publisher ABV-press
record_format Article
series Опухоли головы и шеи
spelling doaj-art-3a1706bed7dc47d7baa6b20ce679082f2025-08-20T03:01:13ZrusABV-pressОпухоли головы и шеи2222-14682411-46342025-03-01151748810.17650/2222-1468-2025-15-1-74-88628Selpercatinib in the treatment of medullary and radioiodine-refractory differentiated thyroid cancer with RET mutation (literature review)E. V. Borodavina0S. I. Kutukova1Т. V. Kekeeva2Р. A. Isaev3A.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Centre, Ministry of Health of RussiaCity Clinical Oncological Dispensary; Pavlov University, Ministry of Health of RussiaResearch Centre for Medical GeneticsA.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Centre, Ministry of Health of RussiaSelpercatinib is a novel, highly selective, small-molecule inhibitor of RET kinase that competes with adenosine triphosphate. In experimental models, this drug has demonstrated nanomolar activity against various RET gene alterations, including an acquired resistance mutation in the gatekeeper gene at residue V804, as well as antitumor activity in the brain. Selpercatinib inhibits wild-type and various mutated forms of RET, as well as vascular endothelial growth factor receptors (VEGFR1 and VEGFR3) with half-maximal inhibitory concentrations from 0.92 to 67.8 nM, and fibroblast growth factor receptors (FGFR1, FGFR2, and FGFR3).The article presents results of clinical studies on the efficacy and safety of selpercatinib in patients with radioiodine refractory differentiated thyroid cancer with alterations in RET gene and in patients with medullary thyroid cancer with a germinal or somatic mutation in this gene.https://ogsh.abvpress.ru/jour/article/view/1045medullary thyroid cancerradioiodine refractory thyroid cancerprogressioncalcitoninret mutationtargeted therapyselpercatinib
spellingShingle E. V. Borodavina
S. I. Kutukova
Т. V. Kekeeva
Р. A. Isaev
Selpercatinib in the treatment of medullary and radioiodine-refractory differentiated thyroid cancer with RET mutation (literature review)
Опухоли головы и шеи
medullary thyroid cancer
radioiodine refractory thyroid cancer
progression
calcitonin
ret mutation
targeted therapy
selpercatinib
title Selpercatinib in the treatment of medullary and radioiodine-refractory differentiated thyroid cancer with RET mutation (literature review)
title_full Selpercatinib in the treatment of medullary and radioiodine-refractory differentiated thyroid cancer with RET mutation (literature review)
title_fullStr Selpercatinib in the treatment of medullary and radioiodine-refractory differentiated thyroid cancer with RET mutation (literature review)
title_full_unstemmed Selpercatinib in the treatment of medullary and radioiodine-refractory differentiated thyroid cancer with RET mutation (literature review)
title_short Selpercatinib in the treatment of medullary and radioiodine-refractory differentiated thyroid cancer with RET mutation (literature review)
title_sort selpercatinib in the treatment of medullary and radioiodine refractory differentiated thyroid cancer with ret mutation literature review
topic medullary thyroid cancer
radioiodine refractory thyroid cancer
progression
calcitonin
ret mutation
targeted therapy
selpercatinib
url https://ogsh.abvpress.ru/jour/article/view/1045
work_keys_str_mv AT evborodavina selpercatinibinthetreatmentofmedullaryandradioiodinerefractorydifferentiatedthyroidcancerwithretmutationliteraturereview
AT sikutukova selpercatinibinthetreatmentofmedullaryandradioiodinerefractorydifferentiatedthyroidcancerwithretmutationliteraturereview
AT tvkekeeva selpercatinibinthetreatmentofmedullaryandradioiodinerefractorydifferentiatedthyroidcancerwithretmutationliteraturereview
AT raisaev selpercatinibinthetreatmentofmedullaryandradioiodinerefractorydifferentiatedthyroidcancerwithretmutationliteraturereview