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Entrectinib

Generic Name
Entrectinib
Brand Names
Rozlytrek
Drug Type
Small Molecule
Chemical Formula
C31H34F2N6O2
CAS Number
1108743-60-7
Unique Ingredient Identifier
L5ORF0AN1I
Background

Entrectinib is a tropomyosin receptor tyrosine kinase (TRK) TRKA, TRKB, TRKC, proto-oncogene tyrosine-protein kinase ROS1, and anaplastic lymphoma kinase (ALK) inhibitor. It was approved by the FDA in August 2019 for use in the treatment of ROS1-positive metastatic non-small cell lung cancer and NTRK gene fusion positive solid tumors. Entrectinib's approved use is meant as a last line of therapy due to its accelerated approval based on early trial data. This therapy offers benefit over similar ALK inhibitors such as alectinib, ceritinib, and lorlatinib due to a wider range of targets.

Indication

Entrectinib is indicated for the treatment of metastatic ROS1-positive non-small cell lung cancer in adults. Entrectinib is also indicated in adults and children over 12 years old for the treatment of NTRK gene fusion-positive solid tumors which have metastasized or for which surgical resection is likely to result in severe morbidity and for which has progressed on previous therapies or for which no comparable alternative therapies are available.

FoundationOne®Liquid CDx is the only FDA-approved test for the detection of ROS1 rearrangement(s) in NSCLC for selecting patients for treatment with entrectinib.

Associated Conditions
Metastatic Non-Small Cell Lung Cancer, Metastatic Solid Neoplasm, Solid Tumors

Entrectinib in Combination With ASTX727 for the Treatment of Relapsed/Refractory TP53 Mutated Acute Myeloid Leukemia

Phase 1
Recruiting
Conditions
Acute Myeloid Leukemia
Recurrent Acute Myeloid Leukemia
Refractory Acute Myeloid Leukemia
Interventions
Other: Laboratory Biomarker Analysis
First Posted Date
2022-05-31
Last Posted Date
2025-03-05
Lead Sponsor
OHSU Knight Cancer Institute
Target Recruit Count
12
Registration Number
NCT05396859
Locations
🇺🇸

OHSU Knight Cancer Institute, Portland, Oregon, United States

SMMART Adaptive Clinical Treatment (ACT) Trial

Early Phase 1
Withdrawn
Conditions
Advanced Breast Carcinoma
Anatomic Stage IV Breast Cancer AJCC v8
Stage II Pancreatic Cancer AJCC v8
Stage III Ovarian Cancer AJCC v8
Advanced Prostate Carcinoma
Recurrent Adult Soft Tissue Sarcoma
Recurrent Breast Carcinoma
Stage IV Ovarian Cancer AJCC v8
Advanced Malignant Solid Neoplasm
Advanced Ovarian Carcinoma
Interventions
Biological: Atezolizumab
Biological: Bevacizumab
Procedure: Biopsy
Procedure: Biospecimen Collection
Biological: Hyaluronidase-zzxf/Pertuzumab/Trastuzumab
Biological: Pertuzumab
Other: Quality-of-Life Assessment
Biological: Trastuzumab
Biological: Trastuzumab Emtansine
First Posted Date
2022-02-14
Last Posted Date
2024-01-23
Lead Sponsor
OHSU Knight Cancer Institute
Registration Number
NCT05238831

A Study Evaluating the Efficacy and Safety of Multiple Therapies in Cohorts of Participants With Locally Advanced, Unresectable, Stage III Non-Small Cell Lung Cancer (NSCLC)

Phase 3
Recruiting
Conditions
Non-Small Cell Lung Cancer
Interventions
First Posted Date
2021-12-27
Last Posted Date
2025-05-22
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
121
Registration Number
NCT05170204
Locations
🇨🇱

RedSalud Vitacura, Santiago, Chile

🇺🇸

Southern California Kaiser Permanente, Los Angeles, California, United States

🇺🇸

Rocky Mountain Cancer Centers - Lone Tree, Lone Tree, Colorado, United States

and more 176 locations

The Finnish National Study to Facilitate Patient Access to Targeted Anti-cancer Drugs

Phase 2
Recruiting
Conditions
Advanced Cancer
Solid Tumor
Haematological Malignancy
Interventions
First Posted Date
2021-12-16
Last Posted Date
2024-07-15
Lead Sponsor
Helsinki University Central Hospital
Target Recruit Count
250
Registration Number
NCT05159245
Locations
🇫🇮

Turku University Hospital Cancer Centre, Turku, Varsinais-Suomi, Finland

🇫🇮

Kuopio University Hospital, Kuopio, Finland

🇫🇮

Oulu University Hospital OYS Cancer Center, Oulu, Finland

and more 2 locations

A Study Evaluating Targeted Therapies in Participants Who Have Advanced Solid Tumors With Genomic Alterations or Protein Expression Patterns Predictive of Response

Phase 2
Completed
Conditions
Advanced Unresectable or Metastatic Solid Malignancy
Interventions
First Posted Date
2020-11-17
Last Posted Date
2025-01-08
Lead Sponsor
Genentech, Inc.
Target Recruit Count
252
Registration Number
NCT04632992
Locations
🇺🇸

Sarah Cannon Research Institute / Tennessee Oncology, Chattanooga, Tennessee, United States

🇺🇸

SCRI Oncology Partners, Nashville, Tennessee, United States

🇺🇸

Alaska Oncology and Hematology, Anchorage, Alaska, United States

and more 35 locations

A Study to Compare the Efficacy and Safety of Entrectinib and Crizotinib in Participants With Advanced or Metastatic ROS1 Non-small Cell Lung Cancer (NSCLC) With and Without Central Nervous System (CNS) Metastases

Phase 3
Recruiting
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
First Posted Date
2020-10-27
Last Posted Date
2025-05-13
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
220
Registration Number
NCT04603807
Locations
🇧🇷

Hospital Sao Rafael - HSR, Salvador, Bahia, Brazil

🇧🇷

Oncocentro Serviços Médicos e Hospitalares Ltda, Fortaleza, Ceará, Brazil

🇧🇷

Hospitais Integrados da Gavea S/A, Brasilia, Distrito Federal, Brazil

and more 88 locations

The Rome Trial From Histology to Target: the Road to Personalize Target Therapy and Immunotherapy

First Posted Date
2020-10-19
Last Posted Date
2023-10-03
Lead Sponsor
Fondazione per la Medicina Personalizzata
Target Recruit Count
400
Registration Number
NCT04591431
Locations
🇮🇹

I.R.S.T. Srl Irccs, Meldola, Italy

🇮🇹

Ospedale Classificato Sacro Cuore - Don Calabria, Negrar, Italy

🇮🇹

I.R.C.C.S. Istituto Oncologico Veneto, Padova, Italy

and more 34 locations

Study of PAC-1 and Entrectinib for Patients With Metastatic Uveal Melanoma

Phase 1
Terminated
Conditions
Uveal Melanoma
Interventions
First Posted Date
2020-10-19
Last Posted Date
2023-11-22
Lead Sponsor
Arkadiusz Z. Dudek, MD
Target Recruit Count
6
Registration Number
NCT04589832
Locations
🇺🇸

HealthPartners Institute Regions Cancer Care Center, Minneapolis, Minnesota, United States

Tumor-agnostic Precision Immuno-oncology and Somatic Targeting Rational for You (TAPISTRY) Platform Study

First Posted Date
2020-10-19
Last Posted Date
2025-05-13
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
920
Registration Number
NCT04589845
Locations
🇧🇪

GHdC Site Les Viviers, Charleroi, Belgium

🇧🇪

UZ Antwerpen, Edegem, Belgium

🇨🇳

Jilin Cancer Hospital, Changchun, China

and more 159 locations

Neoadjuvant Study of Targeting ROS1 in Combination With Endocrine Therapy in Invasive Lobular Carcinoma of the Breast (ROSALINE)

Phase 2
Active, not recruiting
Conditions
Invasive Lobular Breast Carcinoma
ER+ Breast Cancer
HER2-negative Breast Cancer
Interventions
First Posted Date
2020-09-16
Last Posted Date
2024-12-04
Lead Sponsor
Jules Bordet Institute
Target Recruit Count
65
Registration Number
NCT04551495
Locations
🇧🇪

Institut Jules Bordet, Bruxelles, Belgium

🇫🇷

Institut Bergonié, Bordeaux, France

🇧🇪

Grand Hôpital de Charleroi, Charleroi, Belgium

and more 7 locations
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