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Selitrectinib

Phase 1

Solid Tumors Harboring NTRK Fusion | Small molecule | Oncology |Bayer AG|Last Updated: Oct 30, 2024

Success Probability

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Trial Design

CONTROLLED
Total Trials2
Total Enrollment105

FDA Designations

No designations recorded

Clinical trial landscape

Selitrectinib · 2 trials · 1 indication

Phase 1 2
NCT04275960Study in Healthy Adult Male Participants to Gather Information How the Human Body Absorbs, Distributes and Excretes the Study Drug Selitrectinib Including the Effect of the Interaction of Food With the Study Drug on the Human BodySolid Tumors Harboring NTRK Fusion
COMPLETED24 Analytics
NCT03215511A Study to Test the Safety of the Investigational Drug Selitrectinib in Children and Adults That May Treat CancerSolid Tumors Harboring NTRK Fusion
COMPLETED81 Analytics
PHASE1COMPLETED
Study in Healthy Adult Male Participants to Gather Information How the Human Body Absorbs, Distributes and Excretes the Study Drug Selitrectinib Including the Effect of the Interaction of Food With the Study Drug on the Human Body
Solid Tumors Harboring NTRK FusionUnlock trial analytics
PHASE1COMPLETED
A Study to Test the Safety of the Investigational Drug Selitrectinib in Children and Adults That May Treat Cancer
Solid Tumors Harboring NTRK FusionUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum concentration of selitrectinib in plasma in fasted state (Cmax_fasted)
Up to 3 days
Area under the concentration-time curve of selitrectinib in plasma from time 0 to 24 hours in fasted state (AUC(0-24)_fasted)
Up to 1 day
Area under the concentration-time curve of selitrectinib in plasma from time 0 to infinity in fasted state (AUC_fasted)
Up to 3 days
Maximum concentration of selitrectinib in plasma in fed state (Cmax_fed)
Up to 3 days
Area under the concentration-time curve of selitrectinib in plasma from time 0 to 24 hours in fed state (AUC(0-24)_fed)
Up to 1 days
Area under the concentration-time curve of selitrectinib in plasma from time 0 to infinity in fed state (AUC_fed)
Up to 3 days
Maximum tolerated dose (MTD)
Up to 42 days
Recommended dose
Up to 12 months

Secondary Endpoints

Number of participants with treatment-emergent adverse events (TEAEs)
Up to 23 weeks
Incidence of adverse events
Up to 56 months
Severity of adverse events
Up to 56 months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeBASIC_SCIENCE

Treatment Arms

ArmTypeDescription
Arm_25 + 75 mg (Fasted)EXPERIMENTALHealthy male participants receive a single dose of 25 mg selitrectinib (Period 1) and 75 mg selitrectinib (Period 2) in fasted state.
Arm_50 + 50 mg (Fasted/Fed)EXPERIMENTALHealthy male participants receive a single dose of 50 mg selitrectinib in fasted state (Period 1) and 50 mg selitrectinib in fed state (Period 2).
Arm_100 + 150 mg (Fasted)EXPERIMENTALHealthy male participants receive a single dose of 100 mg selitrectinib (Period 1) and 150 mg selitrectinib (Period 2) in fasted state.
Cancer participants <12 yearsEXPERIMENTALA Rolling-6 dose escalation design will be used. The starting dose for participants age \< 12 years will be 25% below the highest dose level cohort divided by 1.73 m\^2 cleared by the Safety Review Committee (SRC) for subjects age 12 years and older.
Cancer participants ≥12 yearsEXPERIMENTALA 3+3 dose escalation design will be used to determine the maximum tolerated dose (MTD)/recommended dose for further study, enrolling 3 to 6 participants per cohort with a starting dose level of 100 mg twice daily (BID).

Interventions

NameTypeDescription
Selitrectinib (BAY2731954)DRUGSelitrectinib is administered orally as liquid suspension (20 mg/mL) on Day 1 of each period. Each period lasts 4 days, both periods of each arm are separated by at least 3 days.
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Eligibility Criteria

Age Range18 Years to 45 Years
SexMALE
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Participants who are overtly healthy as determined by the investigator or medically qualified designee based on medical evaluation including medical history, laboratory tests, physical, cardiac and neurologic examination * Body mass index (BMI): ≥18.5 and ≤ 29.9 kg/m2, with bo...

Countries:GermanyUnited StatesAustraliaBelgiumDenmarkFranceIrelandItalySingaporeSpain
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Frequently asked questions about Selitrectinib

What is Selitrectinib used for?

Selitrectinib is an investigational small molecule being developed for solid tumors harboring NTRK fusion. It is designed to treat cancers that have a specific genetic alteration known as an NTRK fusion. The drug is currently in clinical development and has not been approved by regulatory authorities.

Who makes Selitrectinib?

Selitrectinib is being developed by Bayer AG, a multinational pharmaceutical company. Bayer's stock is traded under the ticker symbol BAYRY. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational drug in patients with NTRK fusion-positive solid tumors.

What phase is Selitrectinib in?

Selitrectinib is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory agencies. The Phase 1 trials have been completed, and the drug is no longer in active clinical testing according to the available trial data.

What clinical trials is Selitrectinib in?

Selitrectinib has been studied in two completed Phase 1 clinical trials. The first trial, NCT03215511, enrolled 81 children and adults with solid tumors harboring NTRK fusion across multiple countries. The second trial, NCT04275960, enrolled 24 healthy adult male participants in Germany to study how the body absorbs, distributes, and excretes the drug.

How does Selitrectinib work?

Selitrectinib targets cancers that harbor NTRK fusion, a genetic alteration that can drive tumor growth. By acting on this specific molecular target, the drug aims to interfere with the signaling pathways that promote cancer cell proliferation. This targeted approach is designed for tumors that express this particular genetic abnormality.

Is Selitrectinib the same as any other drug?

Selitrectinib is a distinct investigational drug and is not known to be the same as any other approved medication. It is being developed specifically for the treatment of solid tumors with NTRK fusion. No alternative names for this drug have been reported in the clinical trial data.