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Lorlatinib

Phase 3

Carcinoma, Non-Small-Cell Lung | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Nov 25, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment405
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03052608A Study Of Lorlatinib Versus Crizotinib In First Line Treatment Of Patients With ALK-Positive NSCLCPHASE3 ACTIVE NOT_RECRUITING 296Apr 27, 2017Dec 31, 2028Nov 25, 2025166 United States, Argentina +21
NCT03909971A Study of Lorlatinib in ALK Inhibitor-Treated ALK-Positive NSCLC in ChinaPHASE2 COMPLETED 109Apr 28, 2019Oct 21, 2024Nov 5, 202521 China
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Study Endpoints
Primary Endpoints
Progression-Free Survival (PFS) Based on Blinded Independent Central Review (BICR) Assessment
From time of Study Start up to 33 months

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.

Percentage of Participants With Objective Response (Cohort 1)
From Cycle 1 Day 1 to documented progression of disease by ICR (up to 67 weeks)

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.

Secondary Endpoints
Overall Survival (OS)
From time of Study Start up to 33 months
Progression-Free Survival (PFS) Based on Investigator's Assessment
From time of Study Start up to 33 months
Objective Response Rate (ORR) - Percentage of Participants With Objective Response (OR) Based on BICR Assessment
From time of Study Start up to 33 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
LorlatinibEXPERIMENTALLorlatinib single agent, 100 mg (4 x 25 mg) oral tables, QD, continuously
CrizotinibACTIVE_COMPARATORCrizotinib single agent, 250 mg (1 x 250) oral capsules, BID, continuously
Interventions
NameTypeDescription
LorlatinibDRUGALK-positive NSCL treatment
CrizotinibDRUGALK-positive NSCL treatment
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites166

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. * ...

Countries:United StatesArgentinaAustraliaBelgiumCanadaChinaCzechiaFranceGermanyHong KongIndiaItalyJapanMexicoNetherlandsPolandRussiaSingaporeSouth KoreaSpainTaiwanTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT03052608primaryCompletionDate: changed
LOWMay 24, 2026NCT03052608studyFirstPostDate: changed