MedPath

Repotrectinib

Generic Name
Repotrectinib
Brand Names
Augtyro
Drug Type
Small Molecule
Chemical Formula
C18H18FN5O2
CAS Number
1802220-02-5
Unique Ingredient Identifier
08O3FQ4UNP

Overview

No overview information available.

Indication

用于ROS1阳性的局部晚期或转移性非小细胞肺癌(NSCLC)成人患者。

Associated Conditions

No associated conditions information available.

Research Report

Published: Sep 24, 2025

Comprehensive Clinical and Scientific Monograph: Repotrectinib (AUGTYRO®)

Introduction and Overview

Repotrectinib, marketed under the brand name AUGTYRO®, represents a significant advancement in the field of precision oncology. It is a potent, orally bioavailable, small-molecule therapeutic belonging to the class of tyrosine kinase inhibitors (TKIs).[1] As a next-generation agent, Repotrectinib was specifically engineered to target key oncogenic drivers of cancer cell growth and proliferation, including the proto-oncogene tyrosine-protein kinase ROS1, the family of Tropomyosin Receptor Kinases (TRKA, TRKB, and TRKC), and Anaplastic Lymphoma Kinase (ALK).[1] Its development and subsequent approval address critical unmet medical needs in patient populations whose tumors are driven by these specific genetic alterations.

The primary clinical value of Repotrectinib stems from its rational design, which was conceived to overcome the challenge of acquired resistance—a near-universal limitation of earlier-generation TKIs. Many patients treated with first-generation inhibitors, such as crizotinib for ROS1-rearranged non-small cell lung cancer (NSCLC), eventually experience disease progression due to the emergence of secondary mutations within the kinase domain of the target protein. A predominant mechanism of such resistance is the solvent-front mutation, exemplified by the ROS1 G2032R substitution, which accounts for up to 60% of crizotinib-resistant cases.[1] The development of Repotrectinib was not merely an incremental improvement over existing therapies but a direct and strategic response to this known mechanism of clinical failure. This "resistance-first" approach to drug design signifies a paradigm shift, where the molecular basis of treatment failure informs the foundational chemistry of the next therapeutic agent.

Continue reading the full research report

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2024/08/13
Phase 2
Recruiting
Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer
2024/07/10
Phase 1
Completed
2024/05/10
Phase 2
Recruiting
2024/04/08
Phase 1
Completed
2024/03/18
Phase 2
Recruiting
MedSIR
2023/11/20
Phase 3
Active, not recruiting
2023/07/03
N/A
AVAILABLE
2024/11/27
Phase 1
Completed
2023/04/25
Phase 1
Withdrawn
2021/10/08
Phase 1
Terminated

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
E.R. Squibb & Sons, L.L.C.
0003-4040
ORAL
40 mg in 1 1
11/15/2023

EMA Drug Approvals

Approved Product
Authorization Holder
Status
Issued Date
Authorised
1/13/2025

HSA Drug Approvals

Approved Product
Manufacturer
Approval Number
Dosage Form
Strength
Approval Date
No HSA approvals found for this drug.

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
No NMPA approvals found for this drug.

PPB Drug Approvals

Approved Product
Registration No.
Company
Licence No.
Strength
Registration Date
AUGTYRO CAPSULES 40MG
N/A
N/A
N/A
2/19/2025

TGA Drug Approvals

Approved Product
ARTG ID
Sponsor
Registration Type
Status
Registration Date
No TGA approvals found for this drug.

Health Canada Drug Approvals

Approved Product
Company
DIN
Dosage Form
Strength
Market Date
AUGTYRO
bristol-myers squibb canada
02557444
Capsule - Oral
40 MG
N/A
AUGTYRO
bristol-myers squibb canada
02557452
Capsule - Oral
160 MG
N/A

CIMA AEMPS Drug Approvals

Approved Product
Company
Registration Number
Pharmaceutical Form
Prescription Type
Status
No CIMA AEMPS (Spain) approvals found for this drug.

Philippines FDA Drug Approvals

Approved Product
Company
License Number
Dosage Form
Strength
Approval Date
No Philippines FDA approvals found for this drug.

Saudi SFDA Drug Approvals

Approved Product
Company
License Number
Dosage Form
Strength
Approval Date
No Saudi SFDA approvals found for this drug.

Malaysia NPRA Drug Approvals

Approved Product
Company
Registration Number
Dosage Form
Strength
Approval Date
No Malaysia NPRA approvals found for this drug.

UK EMC Drug Information

Medicine Name
MA Holder
MA Number
Pharmaceutical Form
Active Ingredient
Authorization Date
No UK EMC drug information found for this drug.

Help Us Improve

Your feedback helps us provide better drug information and insights.

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

© 2025 MedPath, Inc. All rights reserved.