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Alectnib

Phase 3

Carcinoma, Non-Small-Cell Lung | Small molecule | Oncology |Roche Holding AG|Last Updated: Jul 15, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment257

FDA Designations

No designations recorded

Clinical trial landscape

Alectnib · 1 trial · 1 indication

Phase 3 1
NCT03456076A Study Comparing Adjuvant Alectinib Versus Adjuvant Platinum-Based Chemotherapy in Patients With ALK Positive Non-Small Cell Lung CancerCarcinoma, Non-Small-Cell Lung
ACTIVE NOT_RECRUITING257 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study Comparing Adjuvant Alectinib Versus Adjuvant Platinum-Based Chemotherapy in Patients With ALK Positive Non-Small Cell Lung Cancer
Carcinoma, Non-Small-Cell LungUnlock trial analytics

Study Endpoints

Primary Endpoints

Disease-free Survival (DFS), as Assessed by the Investigator
Approximately 58 months

DFS, defined as the time from randomization to the first documented recurrence of disease or new primary NSCLC as determined by the investigator through use of an integrated assessment of radiographic data, biopsy sample results (if clinically feasible), and clinical status or death from any cause, whichever occurs first

Secondary Endpoints

Overall Survival (OS)
From the date of randomization until death due to any cause up to approximately 8 years
Percentage of Participants With Adverse Events (AEs)
Until 28 days after the last dose of alectinib (up to 2 years) or 28 days after end of last cycle of chemotherapy (up to 4 cycles)
AEs Grade 3-5 With a Difference in Incidence Rate of at Least 2% Between Treatment Arms
Until 28 days after the last dose of alectinib (up to 2 years) or 28 days after end of last cycle of chemotherapy (up to 4 cycles)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AlectinibEXPERIMENTAL -
Platinum-Based ChemotherapyACTIVE_COMPARATOR -

Interventions

NameTypeDescription
AlectnibDRUGParticipants will receive alectinib 600 mg orally BID until completion of treatment period (24 months) or recurrence of disease , unacceptable toxicity, withdrawal of consent or death, whichever occurs first.
CisplatinDRUGParticipants will receive Cisplatin 75 milligrams per square meter (mg/m\^2) on Day 1 every 21 days IV intravenously (IV) until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first."
VinorelbineDRUGParticipants will receive Vinorelbine 25 mg/m\^2 IV on Days 1 and 8 Q21D until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first.
GemcitabineDRUGParticipants will receive Gemcitabine 1250 mg/m\^2 on Days 1 and 8 Q21D IV until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first.
PemetrexedDRUGParticipants will receive 500 mg/m\^2 Day 1 Q21D until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first."
CarboplatinDRUGFor participants who experience unacceptable toxicity with cisplatin, carboplatin can be used.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites114

Key Inclusion Criteria * Age ≥18 years * Complete resection of histologically confirmed Stage IB (tumor ≥ 4 cm) to Stage IIIA (T2-3 N0, T1-3 N1, T1-3 N2, T4 N0-1) NSCLC as per Union Internationale Contre le Cancer / American Joint Committee on Cancer, 7th edition, with negative margins, at 4-12 wee...

Countries:United StatesAustraliaAustriaBelarusBosnia and HerzegovinaChinaDenmarkEgyptFranceGermanyGreeceHungaryIsraelItalyJapanKazakhstanNorth MacedoniaPolandRomaniaRussiaSouth KoreaSpainTaiwanThailandTurkey (Türkiye)UkraineUnited Kingdom
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Recent Changes (Last 90 Days)

LOWAug 1, 2026NCT03456076lastUpdatePostDate: changed
LOWAug 1, 2026NCT03456076lastUpdatePostDate: changed
LOWAug 1, 2026NCT03456076lastUpdatePostDate: changed

Frequently asked questions about Alectnib

What is Alectinib used for in Carcinoma, Non-Small-Cell Lung?

Alectinib is an investigational small molecule being studied for the treatment of non-small-cell lung cancer (NSCLC). It is currently in Phase 3 clinical development as an adjuvant therapy, meaning it is given after surgery to help prevent the cancer from returning. The drug is being evaluated in patients with ALK-positive NSCLC.

What does Alectinib target?

Alectinib targets anaplastic lymphoma kinase (ALK), a protein that can drive cancer growth when mutated or rearranged. By inhibiting ALK, the drug aims to block signals that promote tumor cell proliferation. This makes it a targeted therapy for patients whose tumors harbor ALK alterations, which are common in certain subtypes of non-small-cell lung cancer.

Who makes Alectinib?

Alectinib is developed by Roche Holding AG, a multinational healthcare company. Roche is conducting clinical trials to evaluate the drug's safety and efficacy in patients with non-small-cell lung cancer. The company is responsible for the drug's development and regulatory strategy.

What phase is Alectinib in?

Alectinib is currently in Phase 3 clinical development. It is being studied in an active, not recruiting trial that compares adjuvant alectinib versus adjuvant platinum-based chemotherapy in patients with ALK-positive non-small-cell lung cancer. The drug is investigational and has not yet been approved by regulatory authorities.

What clinical trials is Alectinib in?

Alectinib is being evaluated in a Phase 3 clinical trial with the identifier NCT03456076. This study compares adjuvant alectinib versus adjuvant platinum-based chemotherapy in patients with ALK-positive non-small-cell lung cancer. The trial is active but not recruiting, with an enrollment of 257 participants across multiple countries.

Is Alectinib the same as Alecensa?

Alectinib is the same drug as Alecensa, which is a brand name used by Roche. The active ingredient is alectinib, and it is being studied for the treatment of non-small-cell lung cancer. The drug is currently in Phase 3 clinical trials and has not yet been approved.