Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Label indication LORBRENA ® is indicated for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumors are anaplastic lymphoma kinase (ALK)-positive as detected by an FDA-approved test. LORBRENA is a kinase inhibitor indicated for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumors are anaplastic lymphoma kinase (ALK)-positive as detected by an… FDA label
Also known as Lorlatanib, [14C]lorlatinib, [14C] PF-06463922, PF-06463922
Lorlatinib · 5 trials · 4 indications
PFS was defined as the time from randomization to the date of the first documentation of progressive disease as assessed by the independent radiologist or death due to any cause, whichever occurred first. PFS (in months) was calculated as (date of event or censoring-randomization+1)/30.4375. Progressive disease is defined per RECIST version 1.1, as at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of the longest dimensions of the target lesions taking as a reference the smallest sum of the longest dimensions recorded since the treatment started, or the appearance of 1 or more new lesions.
ORR
Objective response rate (ORR) was defined as the percentage of participants with a best overall confirmed response of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumor (RECIST) version 1.1 relative to the total participants in the analysis population. CR was defined as the disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<) 10 millimeter (mm). PR was defined as a greater than equal to (\>=) 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions. Independent Central Radiology (ICR) was used for disease progression assessment.
AUCinf was calculated by AUClast + (Clast\*/kel), where AUClast was the area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration; Clast\* was the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis, and kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.
Cmax was observed directly from data.
DLT: any of following adverse events (AEs) attributable to PF-06463922: (1) hematologic: grade 4 neutropenia for \>7 days; febrile neutropenia; grade\>=3 neutropenic infection; grade\>=3 thrombocytopenia with bleeding; grade 4 thrombocytopenia; (2) non-hematologic: grade\>=3 pancreatitis; grade\>=3 toxicities (excluding grade \>=3 laboratory abnormalities not requiring dose modifications) persisting after optimal treatment with standard medical therapy; symptomatic grade \>=3 QT interval corrected for heart rate (QTc) prolongation, or asymptomatic grade \>=3 prolongation that had been confirmed by repeat testing, re-evaluation by qualified person, persisted after correction of reversible causes; \>=20% decrease from baseline in left ventricular ejection fraction (LVEF); (3) other: failure to deliver at least 16 out of 21 prescribed daily total dose due to toxicities attributable to study drug; failure to restart dosing after 21 days (1 cycle) delay due to toxicity attributable to study drug.
Objective response (OR) refers to confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumor (RECIST) version 1.1. Intracranial OR refers to confirmed CR or PR considering only lesions within brain. CR was defined as the disappearance of all non-lymph node target lesions (where all target lesions are recorded with a length of 0 milliliter (mm) on Target Lesions electronic case report form (eCRF). Any pathological lymph nodes (recorded as target lesion) must have reduction in short axis to \<10 mm. PR was defined as a 30 percent (%) or more decrease in sum of lesion dimensions (SLD) of target lesions, taking as reference the baseline SLD. Results presented here were based on independent central review.
| Arm | Type | Description |
|---|---|---|
| Lorlatinib | EXPERIMENTAL | Lorlatinib single agent, 100 mg (4 x 25 mg) oral tables, QD, continuously |
| Crizotinib | ACTIVE_COMPARATOR | Crizotinib single agent, 250 mg (1 x 250) oral capsules, BID, continuously |
| Mild | EXPERIMENTAL | Mild renal impairment |
| Moderate | EXPERIMENTAL | Moderate renal impairment |
| Severe | EXPERIMENTAL | Severe renal impairment |
| Normal | OTHER | Normal renal function |
| PF-06463922 | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| Lorlatinib | DRUG | ALK-positive NSCL treatment |
| Crizotinib | DRUG | ALK-positive NSCL treatment |
| PF-06463922 | DRUG | Oral, starting dose 10mg once a day, dose escalation in Phase 1 until recommended Phase 2 dose determined, continuous daily dosing, cycles lasting 21 days |
Inclusion Criteria: * Histologically or cytologically confirmed diagnosis of locally advanced or metastatic ALK-positive NSCLC; at least 1 extracranial measurable target lesion not previously irradiated. CNS metastases allowed if asymptomatic and not currently requiring corticosteroid treatment. * ...
Lorlatinib is an investigational oral therapy being studied for ALK-positive non-small cell lung cancer (NSCLC), ROS1-positive NSCLC, and ALK-positive anaplastic large cell lymphoma. It is also being evaluated in patients with renal impairment. It is a small molecule ALK inhibitor developed by Pfizer.
Lorlatinib targets ALK and EML4. It is a small molecule inhibitor that blocks the activity of the ALK kinase, including EML4-ALK fusion proteins that drive tumor growth in ALK-positive cancers. This targeted approach is being tested in biomarker-selected patient populations.
Lorlatinib is developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer is the sponsor of the clinical trials evaluating lorlatinib in ALK-positive and ROS1-positive cancers.
Lorlatinib is in clinical development, with trials ranging from Phase 1 to Phase 3. It is not approved by the FDA for any indication. The most advanced trial is a Phase 3 study comparing lorlatinib to crizotinib in first-line ALK-positive NSCLC.
Lorlatinib has been studied in several clinical trials, including NCT03052608, a Phase 3 trial versus crizotinib in first-line ALK-positive NSCLC; NCT03909971, a Phase 2 trial in ALK inhibitor-treated ALK-positive NSCLC in China; NCT03505554, a Phase 2 trial in relapsed ALK-positive lymphoma; and NCT03542305, a Phase 1 renal impairment study.
Yes, Lorlatinib is also known by the alternative names Lorlatanib, PF-06463922, [14C]lorlatinib, [14C] PF-06463922, and Lorlatinib 50 mg. These names refer to the same investigational drug developed by Pfizer.