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

Expanded Access to Entrectinib for Cancers With NTRK1/2/3, ROS1, or ALK Gene Fusions

Conditions
Cancers With NTRK, ROS1, or ALK Gene Fusions
First Posted Date
2017-02-28
Last Posted Date
2019-04-26
Lead Sponsor
Hoffmann-La Roche
Registration Number
NCT03066661
Locations
🇺🇸

1-844-Startrk (782-7875), San Diego, California, United States

TAPUR: Testing the Use of Food and Drug Administration (FDA) Approved Drugs That Target a Specific Abnormality in a Tumor Gene in People With Advanced Stage Cancer

First Posted Date
2016-02-26
Last Posted Date
2025-05-06
Lead Sponsor
American Society of Clinical Oncology
Target Recruit Count
4200
Registration Number
NCT02693535
Locations
🇺🇸

University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama, United States

🇺🇸

Cancer Treatment Centers of America-Phoenix, Phoenix, Arizona, United States

🇺🇸

Sutter Auburn, Auburn, California, United States

and more 129 locations

Study Of Entrectinib (Rxdx-101) in Children and Adolescents With Locally Advanced Or Metastatic Solid Or Primary CNS Tumors And/Or Who Have No Satisfactory Treatment Options

Phase 1
Active, not recruiting
Conditions
Solid Tumors
CNS Tumors
Interventions
First Posted Date
2016-01-08
Last Posted Date
2025-03-26
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
69
Registration Number
NCT02650401
Locations
🇺🇸

Texas Children's Cancer and Hematology Center, Houston, Texas, United States

🇺🇸

UCSF Benioff Children's Hospital, San Francisco, California, United States

🇺🇸

Children's Hospital Colorado, Aurora, Colorado, United States

and more 23 locations

Capmatinib, Ceritinib, Regorafenib, or Entrectinib in Treating Patients With BRAF/NRAS Wild-Type Stage III-IV Melanoma

Phase 2
Terminated
Conditions
ALK Fusion Protein Expression
NRAS wt Allele
NTRK1 Fusion Positive
NTRK2 Fusion Positive
NTRK3 Fusion Positive
RET Fusion Positive
ROS1 Fusion Positive
Stage IV Cutaneous Melanoma
Stage IIIA Cutaneous Melanoma
Stage IIIB Cutaneous Melanoma
Interventions
First Posted Date
2015-10-27
Last Posted Date
2020-01-27
Lead Sponsor
University of California, San Francisco
Target Recruit Count
1
Registration Number
NCT02587650
Locations
🇺🇸

University of California, San Francisco, San Francisco, California, United States

Basket Study of Entrectinib (RXDX-101) for the Treatment of Patients With Solid Tumors Harboring NTRK 1/2/3 (Trk A/B/C), ROS1, or ALK Gene Rearrangements (Fusions)

Phase 2
Active, not recruiting
Conditions
Pancreatic Cancer
Adult Solid Tumor
Lymphoma, Large-Cell, Anaplastic
Primary Brain Tumors
Sarcomas
Breast Cancer
Non-Small Cell Lung Cancer
Ovarian Cancer
Papillary Thyroid Cancer
Salivary Gland Cancers
Interventions
First Posted Date
2015-10-05
Last Posted Date
2025-03-17
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
534
Registration Number
NCT02568267
Locations
🇺🇸

Dignity Health St Joseph's Hospital and Medical Center, Phoenix, Arizona, United States

🇺🇸

Mayo Clinic, Phoenix, Arizona, United States

🇺🇸

City of Hope Cancer Center, Duarte, California, United States

and more 104 locations

Study of Oral RXDX-101 in Adult Patients With Locally Advanced or Metastatic Cancer Targeting NTRK1, NTRK2, NTRK3, ROS1, or ALK Molecular Alterations.

Phase 1
Completed
Conditions
Locally Advanced Solid Tumors
Metastatic Solid Tumors
Interventions
First Posted Date
2014-03-27
Last Posted Date
2021-06-09
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
84
Registration Number
NCT02097810
Locations
🇺🇸

Florida Cancer Specialists - Sarasota, Sarasota, Florida, United States

🇺🇸

University of California, San Francisco, Helen Diller Family Comprehensive Cancer Center, San Francisco, California, United States

🇺🇸

Tennessee Oncology, Nashville, Tennessee, United States

and more 7 locations
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