Entrectinib: First Global Approval

Zaina T Al-Salama1, Susan J Keam2

  • 1Springer Nature, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand. dru@adis.com.

Drugs
|August 3, 2019
PubMed

Insights

Entrectinib, a targeted cancer therapy, has gained its first global approval in Japan for NTRK fusion-positive solid tumors. This milestone marks a significant advancement in treating specific advanced or recurrent cancers.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Entrectinib is an oral tyrosine kinase inhibitor targeting tropomyosin receptor kinases (Trk)A/B/C, ROS1, and ALK.
  • These targets are implicated in various solid tumors through gene fusions (NTRK1/2/3 or ROS1).
  • Entrectinib possesses central nervous system (CNS) activity, crucial for treating brain metastases.

Purpose of the Study:

  • To summarize the developmental milestones of entrectinib.
  • To highlight the drug's first global approval for solid tumors in Japan.

Main Methods:

  • Review of preclinical and clinical development data.
  • Analysis of regulatory submission and approval processes.

Main Results:

  • Entrectinib received its first global approval in Japan in June 2019.
  • The approval is for adult and pediatric patients with NTRK fusion-positive, advanced or recurrent solid tumors.
  • Regulatory reviews are ongoing in the USA and EU for NTRK-positive solid tumors and ROS1-positive non-small cell lung cancer (NSCLC).

Conclusions:

  • Entrectinib's development journey has culminated in its first global approval, offering a new therapeutic option.
  • The drug's targeted nature and CNS activity represent significant progress in precision oncology.
  • Further regulatory approvals are anticipated, potentially expanding treatment access globally.

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