MedPath

Erlotinib

Generic Name
Erlotinib
Brand Names
Tarceva
Drug Type
Small Molecule
Chemical Formula
C22H23N3O4
CAS Number
183321-74-6
Unique Ingredient Identifier
J4T82NDH7E
Background

Erlotinib is an inhibitor of the epidermal growth factor receptor (EGFR) tyrosine kinase that is used in the treatment of non-small cell lung cancer, pancreatic cancer and several other types of cancer. It is typically marketed under the trade name Tarceva. Erlotinib binds to the epidermal growth factor receptor (EGFR) tyrosine kinase in a reversible fashion at the adenosine triphosphate (ATP) binding site of the receptor. Recent studies demonstrate that erlotinib is also a potent inhibitor of JAK2V617F, which is a mutant form of tyrosine kinase JAK2 found in most patients with polycythemia vera (PV) and a substantial proportion of patients with idiopathic myelofibrosis or essential thrombocythemia. This finding introduces the potential use of erlotinib in the treatment of JAK2V617F-positive PV and other myeloproliferative disorders.

Indication

Erlotinib is indicated for:

The safety and efficacy of erlotinib have not been established for patients with NSCLC whose tumors show other EGFR mutations. Additionally it is not recommended for use in combination with platinum-based chemotherapy.

Associated Conditions
Locally Advanced Pancreatic Cancer (LAPC), Metastatic Non-Small Cell Lung Cancer, Pancreatic Metastatic Cancer, Unresectable Pancreatic Cancer

EGFR-TKIs Combine With Anlotinib as First-line Treatment for Patients With Advanced EGFR Mutation-positive NSCLC

Phase 2
Conditions
EGFR Gene Mutation
Interventions
First Posted Date
2018-10-25
Last Posted Date
2018-10-25
Lead Sponsor
Fujian Cancer Hospital
Target Recruit Count
90
Registration Number
NCT03720873
Locations
🇨🇳

Fujian cancer hospital, Fuzhou, Fujian, China

First Line Treatment in EGFR Mutation Positive Advanced NSCLC Patients with Central Nervous System (CNS) Metastases

Phase 2
Completed
Conditions
EGFR Gene Mutation
Non-small Cell Lung Cancer
Brain Metastases
Interventions
First Posted Date
2018-08-31
Last Posted Date
2024-10-15
Lead Sponsor
Alpha Biopharma (Jiangsu) Co., Ltd.
Target Recruit Count
492
Registration Number
NCT03653546
Locations
🇨🇳

China site, Tianjin, China

🇨🇳

China site 0123, Jinan, Shandong, China

🇰🇷

Korea Site, Seoul, Korea, Republic of

and more 3 locations

Phase III Study of Nazartinib (EGF816) Versus Erlotinib/Gefitinib in First-line Locally Advanced / Metastatic NSCLC With EGFR Activating Mutations

Phase 3
Withdrawn
Conditions
Carcinoma, Non-small Cell Lung
Interventions
First Posted Date
2018-05-18
Last Posted Date
2019-11-22
Lead Sponsor
Novartis Pharmaceuticals
Registration Number
NCT03529084

Randomized Comparative Study of Erlotinib and Pemetrexed in the Maintenance Treatment of Advanced Lung Cancer Patients.

Phase 4
Terminated
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
First Posted Date
2018-03-09
Last Posted Date
2020-03-05
Lead Sponsor
Hikma Pharmaceuticals LLC
Target Recruit Count
9
Registration Number
NCT03460678
Locations
🇯🇴

King Hussein Cancer Center (KHCC), Amman, Jordan

🇱🇧

American University of Beirut Medical Center, Beirut, Lebanon

Canadian Profiling and Targeted Agent Utilization Trial (CAPTUR)

First Posted Date
2017-09-29
Last Posted Date
2025-03-11
Lead Sponsor
Canadian Cancer Trials Group
Target Recruit Count
720
Registration Number
NCT03297606
Locations
🇨🇦

London Health Sciences Centre Research Inc., London, Ontario, Canada

🇨🇦

Cross Cancer Institute, Edmonton, Alberta, Canada

🇨🇦

BCCA - Kelowna, Kelowna, British Columbia, Canada

and more 7 locations

Efficacy and Safety of Precision Therapy in Refractory Tumor

Phase 2
Conditions
Rare Tumor
Refractory Tumor
Interventions
First Posted Date
2017-08-03
Last Posted Date
2022-03-04
Lead Sponsor
Baodong Qin
Target Recruit Count
300
Registration Number
NCT03239015
Locations
🇨🇳

Shanghai Changzheng Hospital, Shanghai, Shanghai, China

Cabozantinib and Erlotinib for Patients With EGFR and c-Met Co-expressing Metastatic Pancreatic Adenocarcinoma

Phase 2
Terminated
Conditions
Pancreatic Adenocarcinoma Metastatic
Interventions
First Posted Date
2017-07-11
Last Posted Date
2020-08-27
Lead Sponsor
Patrick Joseph Loehrer Sr.
Target Recruit Count
7
Registration Number
NCT03213626
Locations
🇺🇸

Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, Indiana, United States

🇺🇸

Indiana University Health Hospital, Indianapolis, Indiana, United States

Maintenance Chemotherapy With or Without Local Consolidative Therapy in Treating Patients With Stage IV Non-small Cell Lung Cancer

Phase 2
Active, not recruiting
Conditions
Recurrent Non-Small Cell Lung Carcinoma
Stage IV Non-Small Cell Lung Cancer
Interventions
Radiation: 3-Dimensional Conformal Radiation Therapy (3D-CRT)
Radiation: Intensity-Modulated Radiation Therapy (IMRT)
Radiation: Stereotactic Body Radiation Therapy (SBRT)
First Posted Date
2017-05-03
Last Posted Date
2025-03-11
Lead Sponsor
NRG Oncology
Target Recruit Count
218
Registration Number
NCT03137771
Locations
🇺🇸

Arizona Center for Cancer Care - Gilbert, Gilbert, Arizona, United States

🇺🇸

Arizona Center for Cancer Care - Scottsdale, Scottsdale, Arizona, United States

🇺🇸

Los Angeles General Medical Center, Los Angeles, California, United States

and more 298 locations

A Study of Tarceva vs. Avastin+Tarceva for Advanced NSCLC With EGFR m(+)

Phase 2
Conditions
EGFR Positive Non-small Cell Lung Cancer
Interventions
First Posted Date
2017-04-24
Last Posted Date
2022-04-06
Lead Sponsor
National Cancer Center, Korea
Target Recruit Count
128
Registration Number
NCT03126799
Locations
🇰🇷

National Cancer Center, Goyang-Si, Gyeonggi-do, Korea, Republic of

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