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

Erlotinib Combined With Gemcitabine in Treating Patients With Newly Diagnosed Locally Advanced or Metastatic Pancreatic Cancer or Other Solid Tumors

Phase 1
Completed
Conditions
Unspecified Adult Solid Tumor, Protocol Specific
Pancreatic Cancer
First Posted Date
2003-01-27
Last Posted Date
2018-01-10
Lead Sponsor
OSI Pharmaceuticals
Registration Number
NCT00033241
Locations
🇺🇸

Arizona Cancer Center at University of Arizona Health Sciences Center, Tucson, Arizona, United States

🇺🇸

Cancer Therapy and Research Center, San Antonio, Texas, United States

Erlotinib in Treating Patients With Locally Advanced and/or Metastatic Endometrial Cancer

Phase 2
Completed
Conditions
Endometrial Cancer
First Posted Date
2003-01-27
Last Posted Date
2014-01-27
Lead Sponsor
National Cancer Institute (NCI)
Registration Number
NCT00030485
Locations
🇨🇦

Princess Margaret Hospital, Toronto, Ontario, Canada

🇨🇦

Cancer Care Ontario-London Regional Cancer Centre, London, Ontario, Canada

🇨🇦

British Columbia Cancer Agency, Vancouver, British Columbia, Canada

and more 5 locations

Erlotinib in Treating Patients With Recurrent or Metastatic Colorectal Cancer

Phase 2
Completed
Conditions
Adenocarcinoma of the Rectum
Recurrent Rectal Cancer
Stage IV Rectal Cancer
Adenocarcinoma of the Colon
Stage IV Colon Cancer
Recurrent Colon Cancer
Interventions
Other: pharmacological study
Other: laboratory biomarker analysis
First Posted Date
2003-01-27
Last Posted Date
2015-04-15
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
30
Registration Number
NCT00032110
Locations
🇨🇦

Princess Margaret Hospital Phase 2 Consortium, Toronto, Ontario, Canada

Safety, Efficacy, and Pharmacokinetics Study of Tarceva to Treat Advanced Colorectal Cancer

Phase 1
Completed
Conditions
Colorectal Cancer
First Posted Date
2002-10-18
Last Posted Date
2005-06-24
Lead Sponsor
Genentech, Inc.
Registration Number
NCT00047762
Locations
🇺🇸

Johns Hopkins Oncology Center, Baltimore, Maryland, United States

🇺🇸

Indiana University Cancer Pavilion, Indianapolis, Indiana, United States

🇺🇸

Mary Crowley Medical Research Center, Dallas, Texas, United States

A Study With Tarceva and Chemotherapy vs. Chemotherapy Alone in Patients With Advanced Lung Cancer

Phase 3
Completed
Conditions
Lung Cancer
First Posted Date
2002-10-17
Last Posted Date
2013-06-21
Lead Sponsor
Genentech, Inc.
Registration Number
NCT00047736
Locations
🇺🇸

Multinational Sites, Denver, Colorado, United States

🇺🇸

Trial Information Center, Denver, Colorado, United States

Avastin and Tarceva for Locally Advanced or Metastatic Non-Squamous Non-Small-Cell Lung Cancer

Phase 1
Completed
Conditions
Lung Cancer
Interventions
First Posted Date
2002-08-15
Last Posted Date
2018-11-07
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
41
Registration Number
NCT00043823
Locations
🇺🇸

Vanderbilt-Ingram Cancer Center, Nashville, Tennessee, United States

🇺🇸

University of Texas M.D. Anderson Cancer Center, Houston, Texas, United States

OSI-774 (Tarceva) Plus Gemcitabine in Patients With Locally Advanced, Unresectable or Metastatic Pancreatic Cancer.

Phase 3
Completed
Conditions
Pancreatic Cancer
First Posted Date
2002-06-25
Last Posted Date
2018-01-10
Lead Sponsor
OSI Pharmaceuticals
Target Recruit Count
569
Registration Number
NCT00040183
Locations
🇺🇸

Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States

🇨🇦

Kingston Regional Cancer Centre, Kingston, Ontario, Canada

🇺🇸

Florida Cancer Specialists, Fort Myers, Florida, United States

and more 137 locations

OSI-774 (Tarceva) in Treating Patients With Stage III or Stage IV Non-Small Cell Lung Cancer

Phase 3
Completed
Conditions
Carcinoma, Non-small-cell Lung
First Posted Date
2002-05-14
Last Posted Date
2018-01-10
Lead Sponsor
OSI Pharmaceuticals
Target Recruit Count
731
Registration Number
NCT00036647
Locations
🇧🇷

Instituto do Cancer do Ceara, Fortaleza, CEP, Brazil

🇧🇷

Instituto do Cancer Arnaldo Vieira de Carvalho, Sao Paulo, SP, Brazil

🇲🇽

Instituto Nacional de Cancerologia, Mexico City, CP, Mexico

and more 93 locations
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