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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.
Abstract:
Entrectinib (Rozlytrek®) is an oral selective inhibitor of the tyrosine kinases tropomyosin receptor kinases (Trk)A/B/C [encoded by the genes neurotrophic tyrosine receptor kinase (NTRK) 1, 2 and 3, respectively], c-ros oncogene 1 (ROS1) and anaplastic lymphoma kinase (ALK) with central nervous system (CNS) activity developed by Roche for the treatment of various solid tumours harbouring NTRK1/2/3 or ROS1 gene fusions. In June 2019, entrectinib received its first global approval in Japan, for the treatment of adult and paediatric patients with NTRK fusion-positive, advanced or recurrent solid tumours and is under regulatory review for the treatment of adult patients with ROS1-positive non-small cell lung cancer (NSCLC). Entrectinib is also under regulatory review in the USA (PDUFA date 18 August 2019) and EU [Priority Medicines (PRIME) designation] for NTRK-positive solid tumours and ROS1-positive NSCLC. This article summarizes the milestones in the development of entrectinib leading to this first global approval for solid tumours in Japan.
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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