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clinical / clinicalRET Fusions, Selpercatinib & Pralsetinib

Helena A. Yu

海伦娜·于

MD

🏢Memorial Sloan Kettering Cancer Center(纪念斯隆-凯特林癌症中心)🌐USA

Medical Oncologist, Thoracic Oncology Service; Associate Attending, Memorial Sloan Kettering Cancer Center纪念斯隆-凯特林癌症中心胸部肿瘤学部肿瘤内科医师;副主治医师

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Helena A. Yu, MD is an Associate Attending in the Thoracic Oncology Service at Memorial Sloan Kettering Cancer Center (MSK). She is the foremost clinical expert on RET fusion-positive non-small cell lung cancer and has been central to the clinical development of both approved selective RET inhibitors: selpercatinib and pralsetinib. Dr. Yu was a lead investigator on LIBRETTO-001, the phase I/II study of selpercatinib that demonstrated unprecedented response rates (64% in platinum-pretreated, 84% in treatment-naïve patients) in RET fusion-positive NSCLC with intracranial activity, leading to accelerated FDA approval. She also contributed to the ARROW trial that established pralsetinib for the same indication. Beyond defining efficacy, Dr. Yu has led pioneering studies of acquired resistance to selective RET inhibitors, identifying on-target resistance mutations (including RETG810 solvent-front mutations and kinase domain mutations) and off-target bypass mechanisms, and evaluating next-generation RET inhibitors in preclinical and early clinical settings. At MSK, she has co-developed one of the largest institutional cohorts of RET-altered lung cancer patients, enabling comprehensive characterization of clinical outcomes, CNS activity, and biomarkers of response and resistance. Dr. Yu is also a leader in the broader field of rare driver-alteration NSCLC, regularly contributing to genomic landscape analyses and guideline development.

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🧪Research Fields 研究领域

RET Fusion-Positive NSCLCRET融合阳性非小细胞肺癌
Selpercatinib (LOXO-292) Clinical Development塞普替尼(LOXO-292)临床开发
Pralsetinib and ARROW Trial普雷西替尼与ARROW试验
Acquired Resistance to RET InhibitorsRET抑制剂获得性耐药
Rare Oncogenic Drivers in NSCLC非小细胞肺癌少见致癌驱动基因

🎓Key Contributions 主要贡献

LIBRETTO-001 — Selpercatinib in RET Fusion-Positive NSCLC

Served as lead/principal investigator at MSK for LIBRETTO-001, demonstrating that selpercatinib achieved an objective response rate of 64% in previously platinum-treated and 84% in treatment-naïve RET fusion-positive NSCLC with intracranial activity and a favorable toxicity profile, providing the pivotal evidence for FDA accelerated approval.

Acquired Resistance Mechanisms to Selective RET Inhibitors

Conducted comprehensive molecular profiling of tumors progressing on selpercatinib and pralsetinib, identifying solvent-front (G810R/S/C), hinge-clamp (Y806C/N), and DFG loop (D898N) resistance mutations, as well as bypass mechanisms through EGFR, MET, KRAS, and cell cycle pathway alterations — directly informing the development of next-generation RET inhibitors.

RET Fusion Landscape and Clinical Characterization

Performed large-scale molecular epidemiology studies characterizing the frequency (~1–2%), fusion partner distribution (KIF5B, CCDC6, NCOA4), and clinical-pathological features of RET fusion-positive NSCLC, establishing this as a distinct molecular subgroup with unique clinical characteristics including younger age, never-smoker enrichment, and high CNS metastasis risk.

Rare Driver Alteration NSCLC — Comprehensive Molecular Profiling

Co-led MSK IMPACT-based studies comprehensively defining the prevalence and co-mutation landscape of rare NSCLC drivers (RET, NTRK, MET, BRAF, ROS1, NRG1), demonstrating that systematic broad-panel NGS enables detection of therapeutically actionable alterations across the full spectrum of driver-positive NSCLC.

Representative Works 代表性著作

[1]

Pralsetinib for RET fusion-positive non-small-cell lung cancer (ARROW): a multi-cohort, open-label, phase 1/2 study

The Lancet Oncology (2021)

ARROW trial establishing pralsetinib with a 72% ORR in treatment-naïve and 61% in previously treated RET fusion-positive NSCLC, supporting FDA approval as the second selective RET inhibitor.

[2]

Selpercatinib in RET fusion-positive non-small-cell lung cancer (LIBRETTO-001)

New England Journal of Medicine (2020)

LIBRETTO-001 pivotal cohort demonstrating 64% ORR in previously platinum-treated RET fusion-positive NSCLC with intracranial activity and durable responses, leading to FDA approval of selpercatinib.

[3]

On-target mechanisms of resistance to selpercatinib and pralsetinib mediated by RET kinase domain mutations

Annals of Oncology (2021)

First systematic characterization of on-target RET kinase domain resistance mutations arising after selective RET inhibitor therapy, identifying G810 solvent-front mutations as the dominant on-target resistance mechanism.

[4]

The molecular landscape of RET alterations in cancer from integrated genomic analysis

JCO Precision Oncology (2019)

Pan-cancer analysis of RET fusions and point mutations across >40,000 tumors profiled by MSK-IMPACT, defining prevalence, co-alterations, and prognostic implications of RET alterations across cancer types.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Young Investigator Award
🏆MSK Junior Faculty Scholar Award
🏆GO2 Foundation for Lung Cancer Research Award
🏆Conquer Cancer Foundation Career Development Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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