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

A Multicenter Randomized Phase III Study Comparing Second-line Treatment With Chemotherapy Associated or Not to Erlotinib in NSCLC Patients With Secondary Resistance to TKI-EGFR

Phase 3
Terminated
Conditions
NSCLC Patients With EGFR Activating Mutation
Interventions
Drug: CHEMOTHERAPY ONLY
First Posted Date
2014-06-30
Last Posted Date
2017-07-17
Lead Sponsor
Centre Francois Baclesse
Target Recruit Count
6
Registration Number
NCT02178397
Locations
🇫🇷

CH, Villefranche, France

🇫🇷

CHRU, Angers, France

🇫🇷

CHU, Rouen, France

and more 12 locations

Erlotinib Hydrochloride in Treating Patients With Bladder Cancer Undergoing Surgery

Phase 2
Terminated
Conditions
Bladder Carcinoma
Recurrent Bladder Carcinoma
Interventions
Other: Laboratory Biomarker Analysis
Other: Pharmacological Study
Other: Placebo
Other: Quality-of-Life Assessment
Procedure: Therapeutic Conventional Surgery
First Posted Date
2014-06-23
Last Posted Date
2020-07-07
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
50
Registration Number
NCT02169284
Locations
🇺🇸

Lahey Hospital and Medical Center, Burlington, Massachusetts, United States

🇺🇸

Carolina Urologic Research Center, Myrtle Beach, South Carolina, United States

🇺🇸

Johns Hopkins University/Sidney Kimmel Cancer Center, Baltimore, Maryland, United States

and more 3 locations

Trial of Ruxolitinib and Erlotinib in Patients With EGFR-mutant Lung Adenocarcinoma With Acquired Resistance to Erlotinib

Phase 1
Completed
Conditions
Lung Cancer
Interventions
First Posted Date
2014-06-04
Last Posted Date
2019-01-16
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
22
Registration Number
NCT02155465
Locations
🇺🇸

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

🇺🇸

Memoral Sloan Kettering Cancer Center at Phelps, Sleepy Hollow, New York, United States

🇺🇸

Memorial Sloan Kettering Cancer Center @ Suffolk, Commack, New York, United States

and more 3 locations

Lung-MAP: Biomarker-Targeted Second-Line Therapy in Treating Patients With Recurrent Stage IV Squamous Cell Lung Cancer

Completed
Conditions
Recurrent Squamous Cell Lung Carcinoma
Stage IV Squamous Cell Lung Carcinoma AJCC v7
Interventions
Biological: Durvalumab
Drug: FGFR Inhibitor AZD4547
Biological: Ipilimumab
Other: Laboratory Biomarker Analysis
Biological: Nivolumab
Biological: Rilotumumab
Other: Pharmacological Study
Biological: Tremelimumab
First Posted Date
2014-06-03
Last Posted Date
2023-06-01
Lead Sponsor
SWOG Cancer Research Network
Target Recruit Count
1864
Registration Number
NCT02154490
Locations
🇺🇸

Riverside Methodist Hospital, Columbus, Ohio, United States

🇺🇸

Kaiser Permanente Los Angeles Medical Center, Los Angeles, California, United States

🇺🇸

Los Angeles County-USC Medical Center, Los Angeles, California, United States

and more 997 locations

Gemcitabine and Pulse Dose Erlotinib in Second Line Treatment of Advanced Pancreatic Cancer

Phase 1
Completed
Conditions
Pancreatic Cancer
Interventions
First Posted Date
2014-06-03
Last Posted Date
2021-03-02
Lead Sponsor
Tony Reid, M.D., Ph.D.
Target Recruit Count
24
Registration Number
NCT02154737
Locations
🇺🇸

UCSD Moores Cancer Center, La Jolla, California, United States

A Study of Abemaciclib (LY2835219) in Participants With Previously Treated KRAS Mutated Lung Cancer

Phase 3
Active, not recruiting
Conditions
Non Small Cell Lung Cancer
Interventions
First Posted Date
2014-06-02
Last Posted Date
2025-04-22
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
453
Registration Number
NCT02152631
Locations
🇺🇸

St Joseph Cancer Center, Englewood, Colorado, United States

🇧🇷

Hospital Bruno Born, Lajeados, Brazil

🇺🇸

Indiana University School of Medicine, Indianapolis, Indiana, United States

and more 69 locations

A Phase II Study to Assess Efficacy of Combined Treatment With Erlotinib (Tarceva) and Silybin-phytosome (Siliphos) in Patients With EGFR Mutant Lung Adenocarcinoma

Phase 2
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
Dietary Supplement: Silybin-phytosome
First Posted Date
2014-05-23
Last Posted Date
2014-05-23
Lead Sponsor
MedicalLogic
Target Recruit Count
42
Registration Number
NCT02146118
Locations
🇰🇷

Gosin University Gospel Hospital, Busan, Korea, Republic of

Erlotinib 100mg or 150mg in Treating EGFR Mutated NSCLC

Phase 3
Conditions
EGFR Mutation
NSCLC
Interventions
First Posted Date
2014-05-16
Last Posted Date
2015-02-12
Lead Sponsor
The First Affiliated Hospital of Guangzhou Medical University
Target Recruit Count
220
Registration Number
NCT02140333
Locations
🇨🇳

Guangzhou medical university, Guanzhou, Guangdong, China

Erlotinib Hydrochloride in Treating Non-Small Cell Lung Cancer That is Metastatic or Cannot be Removed by Surgery in Patients With HIV Infection

Phase 1
Terminated
Conditions
HIV Infection
Recurrent Non-Small Cell Lung Carcinoma
Stage IIIA Non-Small Cell Lung Cancer
Stage IIIB Non-Small Cell Lung Cancer
Stage IV Non-Small Cell Lung Cancer
Interventions
Other: Laboratory Biomarker Analysis
Other: Pharmacological Study
Other: Quality-of-Life Assessment
First Posted Date
2014-05-09
Last Posted Date
2015-10-06
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
48
Registration Number
NCT02134886
Locations
🇺🇸

University of California San Diego, San Diego, California, United States

🇺🇸

UCLA Center for Clinical AIDS Research and Education, Los Angeles, California, United States

🇺🇸

Albert Einstein College of Medicine, Bronx, New York, United States

and more 2 locations

Study of Patritumab in Combination With Erlotinib in Subjects With Locally Advanced or Metastatic Non-Small-Cell Lung Cancer (NSCLC). (HER3-Lung)

Phase 3
Terminated
Conditions
Lung Cancer
Non-small Cell Lung Cancer
Interventions
First Posted Date
2014-05-08
Last Posted Date
2018-01-23
Lead Sponsor
Daiichi Sankyo
Target Recruit Count
145
Registration Number
NCT02134015
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