Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Lorlatinib · 7 trials · 9 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.
PK parameter of lorlatinib to be calculated from the plasma concentration time data.
PK parameter of lorlatinib to be calculated from the plasma concentration time data.
Maximum lorlatinib plasma concentration observed during study.
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.
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.
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.
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.
Percent (%) of each radiolabeled drug-related material (parent and each metabolite) will be determined in plasma, urine and feces.
| 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 |
| Cohort 1 | EXPERIMENTAL | Moderate hepatic impairment group |
| Cohort 2 | EXPERIMENTAL | Severe hepatic impairment group |
| Cohort 3 | EXPERIMENTAL | Normal hepatic function |
| Lorlatinib 50 mg | OTHER | Participants 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 mg | OTHER | Participants 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 mg | OTHER | Participants 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. |
| Mild | EXPERIMENTAL | Mild renal impairment |
| Moderate | EXPERIMENTAL | Moderate renal impairment |
| Severe | EXPERIMENTAL | Severe renal impairment |
| Normal | OTHER | Normal renal function |
| treatment | EXPERIMENTAL | \[14C\]lorlatinib |
| Name | Type | Description |
|---|---|---|
| Lorlatinib | DRUG | ALK-positive NSCL treatment |
| Crizotinib | DRUG | ALK-positive NSCL treatment |
| Lorlatinib 50 mg | DRUG | Participants 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 mg | DRUG | Participants 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 mg | DRUG | Participants 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]lorlatinib | DRUG | Extemporaneously compounded oral solution of \[14C\]lorlatinib (approximately 100 mg/100 µCi) |
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. * ...