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

Pemetrexed in Combination With Erlotinib as a Salvage Treatment in Patients With Metastatic Biliary Tract Cancer (BTC) Who Failed Gemcitabine Containing Chemotherapy: A Phase II Single Arm Prospective Study

Phase 2
Conditions
Biliary Tract Cancer
Interventions
First Posted Date
2017-04-12
Last Posted Date
2022-06-15
Lead Sponsor
Samsung Medical Center
Target Recruit Count
44
Registration Number
NCT03110484
Locations
🇰🇷

Samsung Medical Center, Seoul, Korea, Republic of

Pemetrexed Plus Tarceva as Salvage Treatment in EGFR Overexpressed Metastatic Colorectal Cancer Patients Who Were Failed After Standard Chemotherapy

Phase 2
Completed
Conditions
Colo-rectal Cancer
Interventions
First Posted Date
2017-03-22
Last Posted Date
2022-06-15
Lead Sponsor
Samsung Medical Center
Target Recruit Count
29
Registration Number
NCT03086538
Locations
🇰🇷

Samsung Medical Center, Seoul, Korea, Republic of

A Phase 1/2 Trial of Trametinib and Erlotinib in Patients With EGFR-Mutant Lung Adenocarcinomas and Acquired Resistance to Erlotinib

Phase 1
Completed
Conditions
Lung Cancer
Recurrent Lung Adenocarcinoma
Lung Adenocarcinoma
Lung Cancer Metastatic
Lung Cancer Stage IV
Recurrent Lung Cancer
Interventions
First Posted Date
2017-03-10
Last Posted Date
2024-04-02
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
24
Registration Number
NCT03076164
Locations
🇺🇸

Memorial Sloan Kettering Commack, Commack, New York, United States

🇺🇸

Memoral Sloan Kettering Cancer Center, Basking Ridge, New Jersey, United States

🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

and more 4 locations

Targeted Treatment With Intercalated Radiotherapy in EGFR-mutant IIIA/IIIB NSCLC

Phase 2
Conditions
Epidermal Growth Factor Receptor
Non-small Cell Lung Cancer
Interventions
First Posted Date
2017-03-09
Last Posted Date
2017-03-09
Lead Sponsor
Guangdong Provincial People's Hospital
Target Recruit Count
90
Registration Number
NCT03074864
Locations
🇨🇳

Guangdong General Hospital, Guangzhou, Guangdong, China

Study of IRX4204 With Erlotinib in Previously Treated Advanced NSCLC

Phase 1
Terminated
Conditions
Lung Cancer, Nonsmall Cell
Interventions
First Posted Date
2016-12-13
Last Posted Date
2025-05-14
Lead Sponsor
Io Therapeutics
Target Recruit Count
12
Registration Number
NCT02991651
Locations
🇺🇸

Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, United States

Erlotinib Hydrochloride in Reducing Duodenal Polyp Burden in Patients With Familial Adenomatous Polyposis at Risk of Developing Colon Cancer

Phase 2
Completed
Conditions
Familial Adenomatous Polyposis
Attenuated Familial Adenomatous Polyposis
Interventions
First Posted Date
2016-11-11
Last Posted Date
2022-07-26
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
46
Registration Number
NCT02961374
Locations
🇺🇸

Cleveland Clinic Foundation, Cleveland, Ohio, United States

🇵🇷

University of Puerto Rico, San Juan, Puerto Rico

🇺🇸

Mayo Clinic in Arizona, Scottsdale, Arizona, United States

and more 5 locations

Study of Ixazomib and Erlotinib in Solid Tumors

Phase 1
Completed
Conditions
Solid Tumors
Interventions
First Posted Date
2016-10-21
Last Posted Date
2023-04-18
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
9
Registration Number
NCT02942095
Locations
🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

Lung-MAP: Rilotumumab and Erlotinib Hydrochloride or Erlotinib Hydrochloride Alone as Second-Line Therapy in Treating Patients With Recurrent Stage IV Squamous Cell Lung Cancer and Positive Biomarker Matches

Phase 2
Terminated
Conditions
Stage IV Squamous Cell Lung Carcinoma AJCC v7
Recurrent Squamous Cell Lung Carcinoma
MET Positive
Interventions
Other: Laboratory Biomarker Analysis
Biological: Rilotumumab
First Posted Date
2016-10-06
Last Posted Date
2020-03-19
Lead Sponsor
SWOG Cancer Research Network
Target Recruit Count
9
Registration Number
NCT02926638
Locations
🇺🇸

Grant Medical Center, Columbus, Ohio, United States

🇺🇸

MedStar Union Memorial Hospital, Baltimore, Maryland, United States

🇺🇸

Sky Ridge Medical Center, Lone Tree, Colorado, United States

and more 617 locations

Clinical Study of Chinese Medicine Plus Targeted Therapy Maintenance in Advanced Pulmonary Adenocarcinoma

Phase 3
Completed
Conditions
Cancer
Interventions
First Posted Date
2016-09-05
Last Posted Date
2019-04-11
Lead Sponsor
Shanghai University of Traditional Chinese Medicine
Target Recruit Count
23
Registration Number
NCT02889692
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