TAS0953/HM06 was as effective as selpercatinib (10-30 mg/kg BID) and pralsetinib (15-30 mg/kg BID) at reducing growth of PDX models. TAS0953/HM06 (50 mg/kg BID) was superior to selpercatinib (10 mg/kg BID, p=0.0002; 25 mg/kg BID, p<0.0001) at inhibiting growth of ECLC5 brain xenograft tumors and increasing survival (selpercatinib 10 mg/kg BID, p=0.0012, selpercatinib 25 mg/kg BID, p=0.001, Log-rank test).Our data show that TAS0953/HM06 is effective at inhibiting growth in vitro and in vivo of preclinical models driven by RET fusions. TAS0953/HM06 was more effective than selpercatinib at decreasing CNS disease and extending survival, at a dose that produced comparable suppression of tumor growth in extracranial disease models. TAS0953/HM06 represents a promising new therapeutic option for patients with RET fusions including those with brain metastasis and those resistant to first-generation selective RET inhibitors.