We present here a case of TKI resistance in a patient with KIF5B-RET fusion advanced NSCLC. Following progression on cabozantinib, he was started on selpercatinib. At the time of initial diagnosis molecular profiling revealed a KIF5B-RET fusion...he initiated cabozantinib, remained on therapy for 4 months with subsequent progression at multiple sites. He was treated with selpercatinib for 23 months before oligometastatic progression. Molecular analysis via cell-free DNA again revealed KIF5B-RET fusion without any alterations known to cause TKI resistance.