Lorlatinib

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Information
Drug Name
Lorlatinib
Description
Entry(CIViC)
9
CIViC
Disease Mutation EL ET ED CS VO TR Pubmed Links
lung non-small cell carcinoma ROS1 CD74-ROS1 G2032R D Predictive Supports Sensitivity/Response Somatic 3 25733882 Detail
lung non-small cell carcinoma ROS1 CD74-ROS1 L2026M D Predictive Supports Sensitivity/Response Somatic 3 25733882 Detail
neuroblastoma ALK p.Phe1174Leu (p.F1174L)
( ENST00000389048.8, ENST00000618119.4, ENST00000642122.1 ) ALK p.Phe1174Leu (p.F1174L)
( ENST00000618119.4, ENST00000642122.1, ENST00000389048.8 )
D Predictive Supports Sensitivity/Response Somatic 4 26554404 Detail
neuroblastoma ALK p.Phe1245Cys (p.F1245C)
( ENST00000389048.8, ENST00000618119.4, ENST00000642122.1 ) ALK p.Phe1245Cys (p.F1245C)
( ENST00000389048.8, ENST00000618119.4, ENST00000642122.1 )
D Predictive Supports Sensitivity/Response Somatic 3 26554404 Detail
neuroblastoma ALK p.Arg1275Gln (p.R1275Q)
( ENST00000389048.8, ENST00000618119.4, ENST00000642122.1 ) ALK p.Arg1275Gln (p.R1275Q)
( ENST00000389048.8, ENST00000618119.4, ENST00000642122.1 )
D Predictive Supports Sensitivity/Response Somatic 4 26554404 Detail
lung non-small cell carcinoma ALK EML4-ALK D Predictive Supports Sensitivity/Response Somatic 2 26554404 Detail
lung non-small cell carcinoma ALK ALK FUSIONS ALK ALK FUSIONS B Predictive Supports Sensitivity/Response Somatic 4 30413378 Detail
lung non-small cell carcinoma ALK EML4-ALK C1156Y C Predictive Supports Sensitivity/Response Somatic 3 26698910 Detail
lung non-small cell carcinoma ALK EML4-ALK C1156Y–L1198F C Predictive Supports Resistance Somatic 4 26698910 Detail
Annotation
Description Associated Genes Associated Variants Sensitivity Supported Source Links
Preclinical study of PF-06463922 in NSCLC in-vitro... ROS1 ROS1 CD74-ROS1 G2032R Sensitivity true CIViC Evidence detail
Preclinical study of PF-06463922 in NSCLC in-vitro... ROS1 ROS1 CD74-ROS1 L2026M Sensitivity true CIViC Evidence detail
Efficacy of the second generation ALK inhibitor PF... ALK ALK p.Phe1174Leu (p.F1174L)
( ENST00000389048.8, ENST00000618119.4, ENST00000642122.1 ) ALK p.Phe1174Leu (p.F1174L)
( ENST00000618119.4, ENST00000642122.1, ENST00000389048.8 )
Sensitivity true CIViC Evidence detail
Patient derived xenografts of neuroblastoma Felix ... ALK ALK p.Phe1245Cys (p.F1245C)
( ENST00000389048.8, ENST00000618119.4, ENST00000642122.1 ) ALK p.Phe1245Cys (p.F1245C)
( ENST00000389048.8, ENST00000618119.4, ENST00000642122.1 )
Sensitivity true CIViC Evidence detail
In NB-1643 and LAN-5 neuroblastoma cell lines cont... ALK ALK p.Arg1275Gln (p.R1275Q)
( ENST00000389048.8, ENST00000618119.4, ENST00000642122.1 ) ALK p.Arg1275Gln (p.R1275Q)
( ENST00000389048.8, ENST00000618119.4, ENST00000642122.1 )
Sensitivity true CIViC Evidence detail
EML4-ALK variant 1 containing H-3122 NSCLC cells w... ALK ALK EML4-ALK Sensitivity true CIViC Evidence detail
In a phase 2 trial, patients with NSCLC with ALK f... ALK ALK ALK FUSIONS ALK ALK FUSIONS Sensitivity true CIViC Evidence detail
Case report of a patient with metastatic ALK-rearr... ALK ALK EML4-ALK C1156Y Sensitivity true CIViC Evidence detail
Case report of a patient with metastatic ALK-rearr... ALK ALK EML4-ALK C1156Y–L1198F Resitance or Non-Reponse true CIViC Evidence detail
NCT ID Status Phase Summary Start date Completion date
NCT04127110 Active, not recruiting Phase 2 Activity of Lorlatinib Based on ALK Resistance Mutations Detected on Blood in ALK Positive NSCLC Patients November 17, 2020 November 2024
NCT04111705 Active, not recruiting Phase 2 Lorlatinib After Failure of First-line Second-generation ALK Kinase Inhibitor in Patients With Advanced ALK-positive Non-small Cell Lung Cancer August 5, 2020 January 2025
NCT03909971 Active, not recruiting Phase 2 A Study of Lorlatinib in ALK Inhibitor-Treated ALK-Positive NSCLC in China April 28, 2019 December 31, 2024
NCT03107988 Active, not recruiting Phase 1 NANT 2015-02: A Phase 1 Study of Lorlatinib (PF-06463922) September 5, 2017 December 2025
NCT03126916 Active, not recruiting Phase 3 Testing the Addition of 131I-MIBG or Lorlatinib to Intensive Therapy in People With High-Risk Neuroblastoma (NBL) May 14, 2018 September 30, 2026
NCT03737994 Active, not recruiting Phase 2 Targeted Treatment for ALK Positive Patients Who Have Previously Been Treated for Non-squamous Non-small Cell Lung Cancer July 25, 2019 September 21, 2024
NCT05297890 Active, not recruiting Phase 2 A Study of Lorlatinib in Subjects With ROS1-Positive Non-Small Cell Lung Cancer May 27, 2022 November 2025
NCT05097599 Active, not recruiting Phase 2 Strata PATH™ (Precision Indications for Approved Therapies) November 19, 2021 November 19, 2029
NCT04800822 Active, not recruiting Phase 1 PF-07284892 in Participants With Advanced Solid Tumors March 17, 2021 November 29, 2025
NCT06410040 Active, not recruiting A Retrospective Study of the Efficacy and Safety of Lolatinib in ALK+ NSCLC Patients With Brain or Meningeal Metastasis August 20, 2023 June 30, 2024
NCT03052608 Active, not recruiting Phase 3 A Study Of Lorlatinib Versus Crizotinib In First Line Treatment Of Patients With ALK-Positive NSCLC April 27, 2017 December 31, 2028
NCT04362072 Active, not recruiting Phase 4 Study of Lorlatinib In People With ALK-positive Non-small Cell Lung Cancer September 29, 2020 June 25, 2024
NCT03127618 Approved for marketing Lorlatinib - PF-06463922
NCT04541706 Completed Phase 4 Lorlatinib in ALK Inhibitor Treated Unresectable Advanced/Recurrent ALK-Positive Non Small Cell Lung Cancer Patients in India August 27, 2020 July 20, 2022
NCT03542305 Completed Phase 1 Lorlatinib Renal Impairment Study August 23, 2018 February 20, 2020
NCT03546894 Completed A Study to Determine Progression-free Survival (PFS) and Evaluate Participant Experience for Participants With Metastatic Anaplastic Lymphoma Kinase-positive (ALK+) Non-Small Cell Lung Cancer (NSCLC) Treated With Anaplastic Lymphoma Kinase (ALK) Inhibitors July 23, 2018 February 13, 2023
NCT04647110 Completed Real-world Therapy of ALK-positive NSCLC in Sweden: the Sequencing of ALK Tyrosine Kinase Inhibitor Drugs and Their Therapeutic Outcomes Based on Data From National Registers. December 14, 2020 March 15, 2021
NCT05167500 Completed Efficacy & Safety Study of Lorlatinib in ALK/ROS1 Metastatic NSCLC Patients With Compassionate Use Treatment December 9, 2021 December 30, 2022
NCT06282991 Completed A Study to Learn About Lorlatinib in Patients With Non-Small Cell Lung Cancer Which Could Not Be Controlled July 22, 2020 January 18, 2021
NCT03178071 No longer available Expanded Access For Lorlatinib For Patients With Non Small Cell Lung Cancer ALK Positive or ROS1 Positive
NCT06282874 Not yet recruiting Phase 4 Lorlatinib in Patients With ALK-Positive NSCLC With Brain or Leptomeningeal Metastases March 1, 2024 March 1, 2027
NCT06333899 Not yet recruiting Early Phase 1 Lorlatinib for Newly-Diagnosed High-Grade Glioma With ROS or ALK Fusion September 1, 2024 September 1, 2034
NCT02925234 Recruiting Phase 2 The Drug Rediscovery Protocol (DRUP Trial) August 2016 December 2027
NCT05144997 Recruiting Phase 4 Lorlatinib Continuation Study December 28, 2021 December 28, 2026
NCT04621188 Recruiting Phase 2 Lorlatinib After Failure of First-line TKI in Patients With Advanced ROS1-positive NSCLC (ALBATROS) March 19, 2021 January 2026
NCT05224609 Recruiting Phase 1 A Study to Learn About the Study Medicine (Called Lorlatinib) in People With Liver Dysfunction April 28, 2022 August 31, 2024
NCT06378892 Recruiting Phase 2 A Study to Evaluate the Combination of Platinum-pemetrexed Based Chemotherapy Plus Lorlatinib in ALK Positive Non-Small Cell Lung Cancer (NSCLC) With Exclusively Extracranial Disease Progression on Lorlatinib March 15, 2024 May 2028
NCT06361589 Recruiting Real World Study of Lolatinib for Advanced ALK+ NSCLC Patients May 1, 2024 November 1, 2028
NCT03505554 Recruiting Phase 2 A Study of Oral Lorlatinib in Patients With Relapsed ALK Positive Lymphoma October 10, 2017 December 2024
NCT05740943 Recruiting Phase 2 Induction Lorlatinib in Stage III Non-small Cell Lung Cancer March 15, 2023 December 31, 2026
NCT05834348 Recruiting A Study to Learn About the Effectiveness of Cancer Medicines in Patients With Metastatic Non-small Cell Lung Cancer in Norway. June 26, 2023 February 3, 2025
NCT06007937 Recruiting Phase 1/Phase 2 A Study of Lorlatinib in Combination With Ramucirumab in People With Lung Cancer August 17, 2023 August 17, 2028
NCT04753658 Terminated Real World Data Collection Pediatric Neuroblastoma Treated With Lorlatinib March 19, 2021 September 30, 2022
NCT03726333 Terminated Phase 1 Hepatic Impairment Study for Lorlatinib in Cancer Patients January 14, 2020 July 14, 2021
NCT03878524 Terminated Phase 1 Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial April 1, 2020 December 10, 2020
NCT04292119 Unknown status Phase 1/Phase 2 Lorlatinib Combinations in Lung Cancer May 1, 2020 March 1, 2023
NCT03439215 Unknown status Phase 2 PF-06463922 for Crizotinib Pretreated ROS1 Positive Non-small-cell Lung Cancer June 13, 2017 June 2022
NCT02927340 Unknown status Phase 2 A Study of Lorlatinib in Advanced ALK and ROS1 Rearranged Lung Cancer With CNS Metastasis in the Absence of Measurable Extracranial Lesions October 2016 May 2023
NCT03612154 Unknown status Phase 2 Study of Lorlatinib in ROS1 Rearranged NSCLC May 2, 2019 December 31, 2023
NCT05948462 Withdrawn Phase 2 Lorlatinib in Combination With Chemotherapy in Participants With Metastatic Anaplastic Lymphoma Kinase Positive (ALK+) Non-small Cell Lung Cancer (NSCLC) Who Progressed on Single-agent Lorlatinib November 2023 September 2025