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Lorlatinib

Phase 4FDA approved

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

Lorlatinib development status

FDA approval on record Nov 2, 2018 as Lorbrena
Approval holderPfizer
ApplicationNDA210868
Highest phase Phase 4 (NCT04362072)
Phase scored for PFEPhase 3
Registered trials 31 across 8 sponsors since Oct 2013

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

Lorlatinib target and mechanism

Molecular targetALK, EML4
Target classInhibitor
ModalitySmall molecule

Also known as Lorlatanib, [14C]lorlatinib, [14C] PF-06463922, PF-06463922

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment807

FDA Designations

No designations recorded

Lorlatinib clinical trials

Lorlatinib · 5 trials · 4 indications

Phase 3 1Phase 2 2Phase 1 2
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.

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.

Number of Participants With Cycle 1 Dose-Limiting Toxicities (DLTs) in Phase 1
Cycle 1 (21 days)

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.

Percentage of Participants With Overall and Intracranial Objective Response (Phase 2)
3 years

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.

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
MildEXPERIMENTALMild renal impairment
ModerateEXPERIMENTALModerate renal impairment
SevereEXPERIMENTALSevere renal impairment
NormalOTHERNormal renal function
PF-06463922EXPERIMENTAL -

Interventions

NameTypeDescription
LorlatinibDRUGALK-positive NSCL treatment
CrizotinibDRUGALK-positive NSCL treatment
PF-06463922DRUGOral, starting dose 10mg once a day, dose escalation in Phase 1 until recommended Phase 2 dose determined, continuous daily dosing, cycles lasting 21 days
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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 KingdomSwitzerland
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Frequently asked questions about Lorlatinib

What is Lorlatinib used for?

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.

What does Lorlatinib target?

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.

Who makes Lorlatinib?

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.

What phase is Lorlatinib in?

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.

What clinical trials is Lorlatinib in?

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.

Is Lorlatinib the same as Lorlatanib or PF-06463922?

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.