Recent Updates
Recently added Catalysts

Repotrectinib

Phase 3FDA approved

Carcinoma, Non-Small-Cell Lung | Small molecule | Oncology |Bristol-Myers Squibb Company|Trials Updated: Sep 25, 2026

Repotrectinib development status

FDA approval on record Nov 15, 2023 as Augtyro
Approval holderBristol
ApplicationNDA218213
Highest phase Phase 3
Registered trials 12 across 2 sponsors since Mar 2017

Label indication AUGTYRO is a kinase inhibitor indicated for the treatment of • adult patients with locally advanced or metastatic ROS1- positive non-small cell lung cancer (NSCLC). ( 1.1 ) • adult and pediatric patients 12 years of age and older with solid tumors that: • have a neurotrophic tyrosine receptor kinase ( NTRK ) gene fusion and • are locally advanced or metastatic or where surgical resection is likely to result in… FDA label

Repotrectinib target and mechanism

Molecular targetNTRK3, NTRK2, CD74, ROS1, NTRK1, SDC4
Target classInhibitor
ModalitySmall molecule

Also known as Oral repotrectinib (TPX-0005), BMS-986472, Oral repotrectinib (TPX-0005) capsules, Oral repotrectinib (TPX-0005) oral suspension, TPX-0005, repotrectinib (TPX-0005), Oral TPX-0005 capsules

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment765

FDA Designations

No designations recorded

Repotrectinib clinical trials

Repotrectinib · 3 trials · 5 indications

Phase 3 1Phase 1 2
NCT06140836A Study of Repotrectinib Versus Crizotinib in Participants With Locally Advanced or Metastatic Tyrosine Kinase Inhibitor (TKI)-naïve ROS1-positive Non-Small Cell Lung Cancer (NSCLC) (TRIDENT-3)Carcinoma, Non-Small-Cell Lung
ACTIVE NOT_RECRUITING190 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of Repotrectinib Versus Crizotinib in Participants With Locally Advanced or Metastatic Tyrosine Kinase Inhibitor (TKI)-naïve ROS1-positive Non-Small Cell Lung Cancer (NSCLC) (TRIDENT-3)
Carcinoma, Non-Small-Cell LungUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free Survival (PFS) as per Blinded Independent Central Review (BICR) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Up to approximately 41 months
Dose limiting toxicities (DLTs) (Phase 1)
Within 28 days of the first repotrectinib dose

Define the dose limiting toxicities (DLTs) (Phase 1)

Pediatric Recommended Phase 2 Dose (RP2D) (Phase 1)
Within 28 days of the last patient dosed in escalation

To determine the pediatric RP2D (Phase 1)

Overall Response Rate (ORR) (Phase 2)
Two to three years after first dose of repotrectinib

To determine the confirmed ORR of repotrectinib (TPX-0005) as assessed by Blinded Independent Central Review (Phase 2)

Recommended Phase 2 Dose (RP2D) (Phase 1)
Within 28 days of the last patient dosed in escalation

To determine the RP2D (Phase 1)

Overall Response Rate (ORR) Phase 2
Two to three years after first dose of repotrectinib dose

To determine the confirmed ORR of repotrectinib (TPX-0005) as assessed by Blinded Independent Central Review (Phase 2)

Secondary Endpoints

Overall Survival (OS)
Up to approximately 41 months
Overall Response Rate (ORR) as per BICR according to RECIST v1.1
Up to approximately 41 months
ORR as per Investigator according to RECIST v1.1
Up to approximately 41 months
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm AEXPERIMENTAL -
Arm BACTIVE_COMPARATOR -
Repotrectinib (TPX-0005)EXPERIMENTALPhase 1 Oral repotrectinib (TPX-0005): Safety and tolerability at different dose levels Phase 2 Oral repotrectinib (TPX-0005): 3 cohorts Cohort 1: TKI-naive NTRK fusion Cohort 2: Prior TKI NTRK fusion Cohort 3: ROS1 gene fusions or other ROS1 aberrations

Interventions

NameTypeDescription
RepotrectinibDRUGSpecified dose on specified days
CrizotinibDRUGSpecified dose on specified days
Oral repotrectinib (TPX-0005)DRUGOral repotrectinib (TPX-0005)
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites122

Inclusion Criteria: * Participant has histologically or cytologically confirmed diagnosis of locally advanced or metastatic NSCLC * Participant has a ROS1 gene rearrangement/fusion as detected by a local test. * At least 1 measurable lesion according to RECIST v1.1, as assessed by the investigator....

Countries:United StatesArgentinaAustriaBrazilCanadaChileChinaFranceGermanyGreeceHungaryIndiaItalyJapanNetherlandsPolandRomaniaSouth KoreaSpainSwitzerlandTurkey (Türkiye)AustraliaDenmarkSingaporeTaiwanUnited KingdomBelgiumHong Kong
Unlock Eligibility Criteria

Recent Changes (Last 90 Days)

LOWSep 25, 2026NCT04094610lastUpdatePostDate: changed
LOWSep 25, 2026NCT04094610lastUpdatePostDate: changed
MEDIUMSep 22, 2026NCT06140836primaryCompletionDate: changed
MEDIUMSep 22, 2026NCT06140836primaryCompletionDate: changed
LOWSep 4, 2026NCT04094610lastUpdatePostDate: changed
LOWSep 4, 2026NCT04094610lastUpdatePostDate: changed

Frequently asked questions about Repotrectinib

What is repotrectinib used for?

Repotrectinib is an investigational oral small molecule being studied for locally advanced or metastatic solid tumors, including ROS1-positive non-small cell lung cancer and cancers with ALK, ROS1, or NTRK1-3 alterations. It is also being evaluated in pediatric and young adult patients with these genetic alterations.

What does repotrectinib target?

Repotrectinib targets ROS1, NTRK1, NTRK2, and NTRK3 kinases, as well as CD74 and SDC4 fusion partners. It is a tyrosine kinase inhibitor designed to inhibit these targets in cancers driven by ROS1, NTRK, or ALK alterations.

Who is developing repotrectinib?

Repotrectinib is being developed by Bristol-Myers Squibb Company, which trades on the New York Stock Exchange under the ticker BMY.

What phase is repotrectinib in?

Repotrectinib is in Phase 3 clinical development. It has not been approved by the FDA and remains investigational. The Phase 3 TRIDENT-3 trial is evaluating repotrectinib versus crizotinib in TKI-naive ROS1-positive non-small cell lung cancer.

What clinical trials is repotrectinib in?

Repotrectinib is being studied in three registered trials: NCT06140836 (Phase 3 TRIDENT-3 in ROS1-positive NSCLC), NCT04094610 (Phase 1 in pediatric and young adult patients with ALK, ROS1, or NTRK1-3 alterations), and NCT03093116 (Phase 1 in advanced solid tumors with ALK, ROS1, or NTRK1-3 rearrangements).

Is repotrectinib the same as TPX-0005?

Yes, repotrectinib is also known as TPX-0005. Oral repotrectinib (TPX-0005) refers to the same investigational drug candidate.