Product Information
Selcaxen (Selpercatinib) 40mg is a highly selective RET (rearranged during transfection) kinase inhibitor used to treat RET fusion-positive Non-Small Cell Lung Cancer (NSCLC), RET-mutant Medullary Thyroid Cancer (MTC), and RET fusion-positive thyroid cancer. It works by selectively binding the ATP-binding site of the RET receptor tyrosine kinase, blocking the abnormal signalling caused by RET gene fusions or activating mutations, without significant activity against unrelated kinases. Selcaxen is a precision, biomarker-guided therapy and should only be used after confirmed RET alteration testing. Manufactured by Everest Pharmaceuticals Ltd., Bangladesh and globally supplied by Mediaid Pharmacy with worldwide shipping.
Basic Product Information of Selcaxen (Selpercatinib) 40mg
| Brand Name | Selcaxen (Selpercatinib) |
| Generic Name | Selpercatinib INN |
| Drug Class | Selective RET Kinase Inhibitor |
| Available Strength | 40mg |
| Formulation | Capsule |
| Pack Size | 30 Capsules per Bottle |
| Primary Indication | RET Fusion-Positive NSCLC, RET-Mutant Medullary Thyroid Cancer, and RET Fusion-Positive Thyroid Cancer |
| Regulatory Approvals | USFDA Approved (NSCLC, MTC, Thyroid Cancer). EMA Approved. |
| Originator Brand | Retevmo by Eli Lilly |
| Manufacturer | Everest Pharmaceuticals Ltd., Dhaka, Bangladesh |
| Global Supplier | Mediaid Pharmacy, Worldwide Shipping Available |
| Registration | Registered in Bangladesh |
| Storage Conditions | Store below 30 degrees Celsius. Keep in a dry place away from light and moisture. Keep out of the reach of children. |
How Selcaxen (Selpercatinib) Works
Selcaxen contains Selpercatinib, a small molecule designed to block the ATP-binding site of the RET receptor tyrosine kinase, with no evidence of covalent or irreversible binding. In certain cancers, chromosomal rearrangements create an abnormal RET fusion protein, or point mutations create an abnormally active mutant RET protein, both of which drive uncontrolled tumour cell growth.
In large-scale kinase screening, Selpercatinib was selective for 98% of the more than 300 non-RET kinases tested, meaning it has minimal activity against unrelated targets at clinically relevant concentrations. By inhibiting RET signalling with this high degree of selectivity, Selcaxen suppresses tumour growth in cancers driven by RET fusions or activating mutations, including RET-driven NSCLC, medullary thyroid cancer, and RET fusion-positive thyroid cancer.
Selcaxen is taken as a twice-daily oral capsule, and treatment is only appropriate for patients whose tumours have been confirmed to carry an eligible RET gene fusion or mutation, using an approved diagnostic test.
Indications for Selcaxen (Selpercatinib)
Selcaxen (Selpercatinib) is indicated for the following conditions:
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RET Fusion-Positive NSCLC For adult patients with metastatic NSCLC whose tumours carry a RET gene fusion, as detected by an approved test. |
RET-Mutant Medullary Thyroid Cancer (MTC) For adult and paediatric patients aged 2 years and older with advanced or metastatic MTC carrying a RET mutation, as detected by an approved test, who require systemic therapy. |
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RET Fusion-Positive Thyroid Cancer For adult and paediatric patients aged 2 years and older with advanced or metastatic thyroid cancer carrying a RET gene fusion, as detected by an approved test, who require systemic therapy and are radioactive iodine-refractory (where radioactive iodine is otherwise appropriate). |
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Benefits of Selcaxen (Selpercatinib) 40mg
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High Selectivity for RET Selcaxen’s high selectivity for RET over unrelated kinases is associated with a more targeted side-effect profile compared with older, less selective multikinase inhibitors previously used off-label for RET-driven cancers. |
Strong Clinical Response Rates Pivotal trial data in previously treated RET fusion-positive NSCLC showed an objective response rate of around 64%, with a median duration of response exceeding a year. |
Multi-Cancer RET Coverage Approved for RET-altered NSCLC, medullary thyroid cancer, and RET fusion-positive thyroid cancer, Selcaxen supports patients across several RET-driven cancer types. |
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Affordable Alternative to Retevmo Selcaxen contains the same active ingredient as Retevmo by Eli Lilly, at a significantly lower cost, making this precision therapy more financially accessible. |
Suitable Across Age Groups Selcaxen is approved for paediatric patients from age 2 in its thyroid cancer indications, alongside adult use, with weight-based dosing to suit each patient. |
WHO-GMP Certified Manufacturing Produced by Everest Pharmaceuticals Ltd. under WHO-GMP-compliant manufacturing standards, helping ensure consistent quality, purity, and potency in every batch of Selcaxen capsules. |
How to Take Selcaxen (Selpercatinib)
Route: Oral, with or without food. Capsules should be swallowed whole.
Standard dose for patients under 50kg: 120mg (three 40mg capsules) taken twice daily, continued until disease progression or unacceptable toxicity, exactly as directed by the prescribing oncologist.
Standard dose for patients 50kg and above: 160mg (four 40mg capsules) taken twice daily, continued until disease progression or unacceptable toxicity.
Missed dose: If a dose is missed, take it as soon as possible unless the next scheduled dose is due within 6 hours, in which case skip the missed dose and resume the normal schedule.
Dose reduction for toxicity: Treatment may be interrupted and the dose reduced in defined steps to manage adverse reactions such as hepatotoxicity or hypertension, as directed by the prescribing physician.
Renal impairment: No dose adjustment is required for mild to severe renal impairment (creatinine clearance 15 mL/min or above).
CYP3A4 interactions: If a strong CYP3A4 inhibitor must be used, the dose should be reduced (for example, from 160mg twice daily to 80mg twice daily, or from 120mg twice daily to 40mg twice daily), resuming the prior dose 3 to 5 elimination half-lives after the inhibitor is discontinued. Avoid strong and moderate CYP3A4 inducers where possible.
Paediatric use: For the thyroid cancer indications, Selcaxen is approved from age 2, with dosing individualised by body weight and, in smaller children, body surface area, as directed by a paediatric oncology specialist.
Monitoring and Dosage Adjustments
Regular monitoring is essential throughout Selcaxen treatment. Your oncologist will check liver function tests, blood pressure, and thyroid function before starting treatment and periodically thereafter, and will monitor for signs of bleeding and, where indicated, perform ECG monitoring for QT prolongation. Monitoring also includes assessment for hypersensitivity reactions, including fever combined with rash or organ dysfunction. Report any yellowing of the skin or eyes, severe headache, unusual bleeding or bruising, dizziness, palpitations, fever with rash, or signs of an underactive thyroid (fatigue, weight gain, feeling cold) to your doctor immediately.
Drug Interactions and Important Information
Avoid concomitant use of Selcaxen with strong CYP3A4 inducers, such as rifampicin, carbamazepine, and phenytoin, as these significantly reduce Selpercatinib exposure and may reduce effectiveness. If a strong CYP3A4 inhibitor must be used, a dose reduction is required, as detailed in the dosing section above. Avoid grapefruit and grapefruit juice during treatment.
Use with caution alongside other medicines that prolong the QTc interval. Women of childbearing potential should verify pregnancy status before starting treatment and use effective contraception during treatment and for a period after the final dose, as advised by their physician. Always inform your physician of all medications, supplements, and herbal products you are currently taking before starting Selcaxen.
Side Effects and Precautions
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Common Side Effects Dry mouth Diarrhoea and constipation Fatigue Oedema (swelling) Rash Elevated liver enzymes Hypertension |
Serious Warnings and Precautions Hepatotoxicity, requiring regular liver function monitoring. Hypertension, including cases requiring dose interruption or reduction. QT interval prolongation. Serious haemorrhagic events. Hypersensitivity reactions, and hypothyroidism requiring monitoring and, where needed, thyroid hormone replacement. Embryo-foetal toxicity. Not recommended during pregnancy or breastfeeding. |
Who Should Use Selcaxen (Selpercatinib)?
Selcaxen is suitable for adult patients with metastatic NSCLC carrying a RET gene fusion, and adult and paediatric patients aged 2 years and older with RET-mutant medullary thyroid cancer or RET fusion-positive thyroid cancer requiring systemic therapy, confirmed by an approved RET testing method. It is prescribed by medical oncologists, thoracic oncology specialists, and endocrine oncology specialists experienced in biomarker-guided cancer therapy. A thorough medical assessment including RET testing, baseline liver function, blood pressure, and thyroid function is required before initiating treatment.
Manufacturer: Everest Pharmaceuticals Ltd.
Everest Pharmaceuticals Ltd. is a vertically integrated pharmaceutical company based in Dhaka, Bangladesh, focused on complex, technology-driven specialty medicines across oncology, nephrology, and virology. Operating under Bangladesh’s TRIPS/Doha Declaration exemption for least-developed countries, Everest manufactures advanced generics such as Selcaxen under WHO-GMP-compliant standards, with the stated mission of making high-cost, life-saving medicines accessible and affordable to patients around the world. Selcaxen is one of Everest’s specialty precision-oncology products, offering a bioequivalent alternative to Retevmo by Eli Lilly at a fraction of the cost.
Global Supplier: Mediaid Pharmacy with Worldwide Shipping
Mediaid Pharmacy is a trusted global supplier of specialty and oncology medications. We ensure Selcaxen (Selpercatinib) is accessible to patients and healthcare providers worldwide through reliable worldwide shipping. Whether you are located in South Asia, the Middle East, Africa, Europe, or beyond, Mediaid Pharmacy provides fast and reliable delivery with full order support. Contact us directly via WhatsApp, phone, or WeChat for pricing, availability, and delivery enquiries.
Why Choose Selcaxen (Selpercatinib) from Mediaid Pharmacy?
Selcaxen represents one of the most precise treatment options available for RET-driven cancers, targeting the exact genetic alteration behind the disease. As the generic equivalent of Retevmo by Eli Lilly, it delivers the same active ingredient, Selpercatinib, with the same proven, highly selective RET-inhibition mechanism at a dramatically more affordable price. Manufactured by Everest Pharmaceuticals Ltd. under WHO-GMP-compliant standards and distributed globally by Mediaid Pharmacy, Selcaxen gives patients and families worldwide access to precision RET-targeted therapy without the financial burden of brand-name alternatives. For patients and physicians seeking a proven, affordable, and accessible Selpercatinib option with worldwide delivery, Selcaxen from Mediaid Pharmacy is the trusted choice.
Frequently Asked Questions About Selcaxen (Selpercatinib)
What is Selcaxen (Selpercatinib) used for?
Selcaxen (Selpercatinib) is used to treat adult patients with RET fusion-positive metastatic NSCLC, and adult and paediatric patients (aged 2 and older) with RET-mutant medullary thyroid cancer or RET fusion-positive thyroid cancer. It works by selectively blocking the abnormal RET protein signalling that drives these specific, genetically-defined cancers.
How should I take Selcaxen (Selpercatinib)?
Selcaxen capsules are taken orally, twice daily, with or without food. The dose is based on body weight: 120mg (three 40mg capsules) twice daily for patients under 50kg, or 160mg (four 40mg capsules) twice daily for patients 50kg and above. Always follow your oncologist’s exact instructions.
What strength is Selcaxen available in?
Selcaxen is available in a 40mg capsule, supplied in a bottle of 30 capsules. Because Selcaxen is available in the 40mg strength, the weight-based total dose is achieved by taking the appropriate number of capsules per dose, exactly as prescribed by your physician.
Is Selcaxen the same as Retevmo (Selpercatinib by Eli Lilly)?
Yes. Selcaxen is the generic equivalent of Retevmo. Both contain the same active ingredient, Selpercatinib, and work through the same selective RET-inhibition mechanism. Selcaxen is manufactured by Everest Pharmaceuticals Ltd. in Bangladesh and offers the same clinical mechanism as Retevmo at a significantly lower cost.
What are the side effects of Selcaxen (Selpercatinib)?
Common side effects include dry mouth, diarrhoea, fatigue, swelling, and high blood pressure. Serious but less common risks include liver injury, QT interval changes, serious bleeding, hypersensitivity reactions, and thyroid dysfunction. Always consult your oncologist for a complete assessment of your individual risks and benefits before starting treatment.
Can Selcaxen be used with other medications?
Selcaxen should not be combined with strong CYP3A4 inducers, and requires a dose reduction if a strong CYP3A4 inhibitor cannot be avoided. Avoid grapefruit products during treatment, and use caution with medicines that affect the QT interval. Always inform your physician of all medications, supplements, and herbal products you are taking before starting Selcaxen.
Is Selcaxen (Selpercatinib) safe during pregnancy or breastfeeding?
No. Selcaxen is not recommended during pregnancy or breastfeeding, as it can cause foetal harm. Pregnancy status should be verified before starting treatment, and effective contraception should be used during therapy. Please consult your physician before starting treatment if you are pregnant, planning to become pregnant, or breastfeeding.
Can I order Selcaxen (Selpercatinib) online with worldwide shipping?
Yes. Mediaid Pharmacy supplies Selcaxen (Selpercatinib) 40mg globally with worldwide shipping. Contact us via WhatsApp, phone, or WeChat at +8801773428128 or email us at info@mediaidpharmacy.com to enquire about pricing, availability, and delivery to your country.
Order Selcaxen (Selpercatinib) 40mg with Worldwide Shipping
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