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Lorlatinib

Phase 3

Carcinoma, Non-Small-Cell Lung | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Jun 10, 2026

Success Probability
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Trial Design
RandomizedACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment405
FDA Designations
No designations recorded
Clinical trial landscape

Lorlatinib · 7 trials · 9 indications

Phase 3 1Phase 2 2Phase 1 4
NCT03052608A Study Of Lorlatinib Versus Crizotinib In First Line Treatment Of Patients With ALK-Positive NSCLCCarcinoma, Non-Small-Cell Lung
ACTIVE NOT_RECRUITING296 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study Of Lorlatinib Versus Crizotinib In First Line Treatment Of Patients With ALK-Positive NSCLC
Carcinoma, Non-Small-Cell LungUnlock trial analytics
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.

Objective Response Rate
1 year

ORR

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.

Single dose Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (inf)] of lorlatinib
0, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, and 168 hours post-dose

PK parameter of lorlatinib to be calculated from the plasma concentration time data.

Single dose Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (last)] of lorlatinib
0, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, and 168 hours post-dose

PK parameter of lorlatinib to be calculated from the plasma concentration time data.

Single dose Maximum Observed Plasma Concentration (Cmax) of lorlatinib
0, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, and 168 hours post-dose

Maximum lorlatinib plasma concentration observed during study.

Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs)
Baseline up to 28 days after last dose of modafinil or lorlatinib.

Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to Y days after last dose that were absent before treatment or that worsened relative to pretreatment state. Relatedness to Drug X was assessed by the investigator (Yes/No). Participants with multiple occurrences of an AE within a category were counted once within the category.

Number of Participants With Clinically Significant Change From Baseline in Laboratory Abnormalities
Baseline up to 28 days after last dose of modafinil or lorlatinib.

Laboratory parameters included: hematology (hemoglobin, hematocrit, red blood cell, platelet and white blood cell count, neutrophils, eosinophils, monocytes, basophils and lymphocytes), chemistry (blood urea nitrogen, creatinine, sodium, potassium, aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, albumin, total protein and serum pregnancy test \[for all female participants\]) and urine (urine pregnancy test \[for all female participants\]). Clinical significance of laboratory parameters was determined at the investigator's discretion.

Number of Participants With Clinically Significant Change From Baseline in Vital Signs
Baseline up to 28 days after last dose of modafinil or lorlatinib.

Vital signs (temperature, respiratory rate, pulse, systolic and diastolic blood pressure) were obtained with participant in the seated position, after having sat calmly for at least 5 minutes. Clinical significance of vital signs was determined at the investigator's discretion.

Area Under the Plasma Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) of Lorlatinib
0 (pre-dose), 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96 and 120 hours postdose

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.

Maximum Observed Plasma Concentration (Cmax) of Lorlatinib
0 (pre-dose), 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96 and 120 hours postdose

Cmax was observed directly from data.

Metabolic profiling for lorlatinib will be determined in plasma, urine and fecal samples.
Assessments will be made up to 14 days post dose

Percent (%) of each radiolabeled drug-related material (parent and each metabolite) will be determined in plasma, urine and feces.

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
Cohort 1EXPERIMENTALModerate hepatic impairment group
Cohort 2EXPERIMENTALSevere hepatic impairment group
Cohort 3EXPERIMENTALNormal hepatic function
Lorlatinib 50 mgOTHERParticipants will receive a single dose of lorlatinib 50 mg in Period 1. Participants will receive modafinil 400 mg daily for 19 days, and a single dose of lorlatinib 50 mg on Day 15 of Period 2.
Lorlatinib 75 mgOTHERParticipants will receive a single dose of lorlatinib 75mg in Period 1. Participants will receive modafinil 400 mg daily for 19 days, and a single dose of lorlatinib 75 mg on Day 15 of Period 2.
Lorlatinib 100 mgOTHERParticipants will receive a single dose of lorlatinib 100 mg in Period 1. Participants will receive modafinil 400 mg daily for 19 days, and a single dose of lorlatinib 100 mg on Day 15 of Period 2.
MildEXPERIMENTALMild renal impairment
ModerateEXPERIMENTALModerate renal impairment
SevereEXPERIMENTALSevere renal impairment
NormalOTHERNormal renal function
treatmentEXPERIMENTAL\[14C\]lorlatinib
Interventions
NameTypeDescription
LorlatinibDRUGALK-positive NSCL treatment
CrizotinibDRUGALK-positive NSCL treatment
Lorlatinib 50 mgDRUGParticipants will receive a single dose of lorlatinib 50 mg in Period 1. Participants will receive modafinil 400 mg daily for 19 days, and a single dose of lorlatinib 50 mg on Day 15 of Period 2.
Lorlatinib 75 mgDRUGParticipants will receive a single dose of lorlatinib 75 mg in Period 1. Participants will receive modafinil 400 mg daily for 19 days, and a single dose of lorlatinib 75 mg on Day 15 of Period 2.
Lorlatinib 100 mgDRUGParticipants will receive a single dose of lorlatinib 100 mg in Period 1. Participants will receive modafinil 400 mg daily for 19 days, and a single dose of lorlatinib 100 mg on Day 15 of Period 2.
[14C]lorlatinibDRUGExtemporaneously compounded oral solution of \[14C\]lorlatinib (approximately 100 mg/100 µCi)
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Eligibility Criteria
Age Range18 Years to 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)
MEDIUMJul 11, 2026NCT03505554TRIAL_REMOVED: changed
MEDIUMJul 11, 2026NCT03505554TRIAL_REMOVED: changed
MEDIUMJul 11, 2026NCT03505554TRIAL_REMOVED: changed
LOWMay 26, 2026NCT03052608primaryCompletionDate: changed
LOWMay 24, 2026NCT03052608studyFirstPostDate: changed