MedPath

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

A Study of Multiple Therapies in Biomarker-Selected Patients With Resectable Stages IB-III Non-Small Cell Lung Cancer

First Posted Date
2020-03-10
Last Posted Date
2025-05-18
Lead Sponsor
Genentech, Inc.
Target Recruit Count
125
Registration Number
NCT04302025
Locations
🇺🇸

University of California Los Angeles - Jonsson Comprehensive Cancer Center, Los Angeles, California, United States

🇺🇸

Ellis Fischel Cancer Center, Columbia, Missouri, United States

🇺🇸

UCSF Helen Diller Family CCC, San Francisco, California, United States

and more 35 locations

A Study to Investigate the Effect of Impaired Hepatic Function on the Pharmacokinetics of Entrectinib in Volunteers With Different Levels of Hepatic Function

Phase 1
Completed
Conditions
Hepatic Insufficiency
Interventions
First Posted Date
2020-01-13
Last Posted Date
2024-08-02
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
38
Registration Number
NCT04226833
Locations
🇨🇿

Pharmaceutical Research Associates CZ, s.r.o., Praha 7, Czechia

🇸🇰

Summit Clinical Research s.r.o.; Oddelenie internej mediciny a klinickej farmakologie, Bratislava, Slovakia

🇭🇺

CRU Hungary Kft, Miskolc, Hungary

Genetic Testing in Guiding Treatment for Patients With Brain Metastases

Phase 2
Recruiting
Conditions
Metastatic Malignant Neoplasm in the Brain
Metastatic Malignant Solid Neoplasm
PI3K Gene Mutation
KRAS G12C Mutation
NTRK Family Gene Mutation
CDK Gene Mutation
ROS1 Gene Mutation
Interventions
First Posted Date
2019-06-21
Last Posted Date
2025-04-02
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
186
Registration Number
NCT03994796
Locations
🇺🇸

Anchorage Radiation Therapy Center, Anchorage, Alaska, United States

🇺🇸

Anchorage Associates in Radiation Medicine, Anchorage, Alaska, United States

🇺🇸

Katmai Oncology Group, Anchorage, Alaska, United States

and more 433 locations

A Performance and Bioavailability Study of Entrectinib in Healthy Volunteers.

First Posted Date
2019-05-23
Last Posted Date
2020-09-07
Lead Sponsor
Genentech, Inc.
Target Recruit Count
31
Registration Number
NCT03961100
Locations
🇬🇧

Quotient Clinical Ltd, Clinical Research Unit, Nottingham, United Kingdom

Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial

Phase 1
Terminated
Conditions
Accelerated Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive
Anatomic Stage IV Breast Cancer AJCC v8
Anemia
Ann Arbor Stage III Hodgkin Lymphoma
Ann Arbor Stage III Non-Hodgkin Lymphoma
Ann Arbor Stage IV Hodgkin Lymphoma
Ann Arbor Stage IV Non-Hodgkin Lymphoma
Atypical Chronic Myeloid Leukemia, BCR-ABL1 Negative
Blast Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive
Castration-Resistant Prostate Carcinoma
Interventions
First Posted Date
2019-03-18
Last Posted Date
2024-03-04
Lead Sponsor
OHSU Knight Cancer Institute
Target Recruit Count
2
Registration Number
NCT03878524
Locations
🇺🇸

OHSU Knight Cancer Institute, Portland, Oregon, United States

A Study to Investigate the Bioequivalence of Two Different Forms of Entrectinib (Forms A and C) Under Fasted Conditions in Healthy Subjects

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
First Posted Date
2019-01-08
Last Posted Date
2020-03-09
Lead Sponsor
Genentech, Inc.
Target Recruit Count
28
Registration Number
NCT03796013
Locations
🇺🇸

Covance Research Unit - Dallas, Dallas, Texas, United States

A Study to Investigate the Relative Bioavailability of Entrectinib Capsule Formulations F1 and F06 Under Fed Conditions in Healthy Participants

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
First Posted Date
2019-01-08
Last Posted Date
2020-02-26
Lead Sponsor
Genentech, Inc.
Target Recruit Count
14
Registration Number
NCT03796260
Locations
🇺🇸

Covance Research Unit - Daytona, Daytona Beach, Florida, United States

Evaluate the Effect of Entrectinib on the Pharmacokinetics of Midazolam in Cancer Patients

Phase 1
Completed
Conditions
Advanced Solid Tumor
Interventions
First Posted Date
2017-11-06
Last Posted Date
2018-08-21
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
15
Registration Number
NCT03330990
Locations
🇺🇸

SCRI-Denver Drug Development Program, Denver, Colorado, United States

🇺🇸

Florida Cancer Specialists - Sarasota (North Catttlemen Rd), Sarasota, Florida, United States

🇺🇸

Tennessee Oncology, Nashville, Tennessee, United States

A Study to Evaluate the Efficacy and Safety of Multiple Targeted Therapies as Treatments for Participants With Non-Small Cell Lung Cancer (NSCLC)

First Posted Date
2017-06-07
Last Posted Date
2025-05-13
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
1000
Registration Number
NCT03178552
Locations
🇵🇪

Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru

🇵🇪

Instituto Peruano de Oncología y Radioterapia, Lima, Peru

🇵🇪

Clinica Ricardo Palma, San Isidro, Peru

and more 156 locations
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