Drugs / Alectinib
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Alectinib

Small molecule targets ALK, RET via inhibition

Developed for
non-small cell lung carcinoma · cancer · anaplastic large cell lymphoma · cancer of unknown primary site · hematopoietic and lymphoid cell neoplasm · renal cell carcinoma · ALK-positive anaplastic large cell lymphoma · biliary tract cancer
+31 more · bone cancer · brain neoplasm · breast cancer · bronchogenic carcinoma · cholangiocarcinoma · colorectal cancer · colorectal neoplasm · digestive system cancer · female breast carcinoma · hepatocellular carcinoma · lymphoproliferative syndrome · malignant endocrine neoplasm · melanoma · metastatic malignant neoplasm · metastatic malignant neoplasm in the brain · neoplasm · neuroblastoma · neuroendocrine neoplasm · ovarian carcinoma · ovarian neoplasm · pancreatic ductal adenocarcinoma · pancreatic large cell neuroendocrine carcinoma · pancreatic neoplasm · prostate carcinoma · salivary gland cancer · sarcoma · soft tissue sarcoma · thyroid gland papillary carcinoma · tumor of salivary gland · urinary bladder cancer · lung neoplasm
Investigated by
Hoffmann-La Roche · Genentech, Inc. · Roche Pharma AG · AstraZeneca · Cancer Research UK · China Medical University Hospital
+74 more · GlaxoSmithKline · Hunan Province Tumor Hospital · Massachusetts General Hospital · National Cancer Institute of Mexico · Oslo University Hospital · Pfizer · Royal Marsden NHS Foundation Trust · The Netherlands Cancer Institute · University of Birmingham · University of Manchester · Amgen · Amsterdam University Medical Center · Bayer · Boehringer Ingelheim · Bristol-Myers Squibb · Cancer Institute and Hospital, Chinese Academy of Medical Sciences · Centre Leon Berard · Clovis Oncology - Pharma and · Dana-Farber Cancer Institute · Dutch Cancer Society · ETOP IBCSG Partners Foundation · Eisai Inc. · Eli Lilly and Company · Erasmus Medical Center · Fondazione per la Medicina Personalizzata · Foundation Medicine · German Cancer Research Center · Guangdong Association of Clinical Trials · Haukeland University Hospital · Helse Fonna · Helse Forde · Helse Møre og Romsdal HF · Helse Nord-Trøndelag HF · Helse Stavanger HF · Helsinki University Central Hospital · Herlev and Gentofte Hospital · Hospital of Southern Norway Trust · Incyte Corporation · Innlandet Hospital Trust · Ipsen · Italian Oncology Group for Clinical Research · Janssen, LP · Joshua Palmer · Leiden University Medical Center · Lovisenberg Diakonale Hospital · Maastricht University Medical Center · Medicine Invention Design, Inc · Memorial Sloan Kettering Cancer Center · Merck Sharp & Dohme LLC · NRG Oncology · Nanjing Geneseeq Technology Inc. · National Cancer Institute (NCI) · Nordland Hospital · Novartis · Novartis Pharmaceuticals · OHSU Knight Cancer Institute · Omnicure Clinical Research · Oregon Health and Science University · Ostfold Hospital Trust · Peking University Shenzhen Hospital · Radboud University Medical Center · Responsible Party: Individual Sponsor: Han Xu, M.D., Ph.D., FAPCR, Medical Director, IRB Chair · SecuraBio · St. Olavs Hospital · Stelvio for Life · Sykehuset Telemark · The Hospital of Vestfold · Ulrik Lassen · UnitedHealthcare · University College, London · University Hospital of North Norway · University Hospital, Akershus · University Medical Center Groningen · Vestre Viken Hospital Trust

Regulatory milestones approvals, filings & regulatory actions · 9 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed ALK+ histiocytosis 2 milestones
Filed Japan (PMDA) Alecensa ALK+ histiocytosis 2019-06-03

“announced today that it filed an application for ALK Inhibitor, Alecensa® capsule 150 mg (generic name: alectinib) to MHLW” chugai-pharm.co.jp ↗

Filed US (FDA) — ALK+ histiocytosis 2015-09-08

“FDA has accepted the company’s New Drug Application (NDA) and granted Priority Review for alectinib” gene.com ↗

Filed non-small cell lung carcinoma 2 milestones
Filed Japan (PMDA) Alecensa non-small cell lung carcinoma 2023-12-15

“today announced that it filed regulatory application with the Ministry of Health, Labour and Welfare (MHLW) for the additional indication of an ALK inhibitor Alecensa” chugai-pharm.co.jp ↗

Filed US (FDA) Alecensa non-small cell lung carcinoma 2017-08-02

“announced today that the U.S. Food and Drug Administration (FDA) has accepted the company’s supplemental New Drug Application (sNDA)” gene.com ↗

Approved Indication not stated 3 milestones
Label expansions (3) US (FDA) ALECENSA — 2017-11-06 – 2026-06-11 fda.gov ↗
Approved EU (EMA) Alecensa — 2017-02-16 europa.eu ↗
Approved US (FDA) ALECENSA — 2015-12-11 fda.gov ↗

Trials 58

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT05238831 Jan 2023 → May 2026 female breast carcinoma, ovarian carcinoma, pancreatic ductal adenocarcinoma, pancreatic large cell neuroendocrine carcinoma +2 OHSU Knight Cancer Institute Withdrawn No outcome recorded
Phase 18 trials · 1 met primary
Phase 1 NCT07001384 Aug 2025 → Aug 2031 expected ALK-positive anaplastic large cell lymphoma Memorial Sloan Kettering Cancer Center Recruiting No outcome recorded
Phase 1 NCT06354387 Feb 2022 → Feb 2026 hepatocellular carcinoma China Medical University Hospital Completed No outcome recorded
Phase 1 NCT02621047 Dec 2015 → Dec 2016 — Hoffmann-La Roche Completed No outcome recorded
Phase 1 NCT02013219 Apr 2014 → Feb 2020 non-small cell lung carcinoma Hoffmann-La Roche Completed No outcome recorded
Phase 1 NCT02023125 Dec 2013 → Mar 2014 — Hoffmann-La Roche Completed No outcome recorded
Phase 1 NCT01984229 Dec 2013 → Mar 2014 — Hoffmann-La Roche Completed Met primary
Phase 1 NCT01981005 Nov → Dec 2013 — Hoffmann-La Roche Completed No outcome recorded
Phase 1 NCT01940510 Oct 2013 — Hoffmann-La Roche Completed No outcome recorded
Phase 1/210 trials · 1 met primary
Phase 1/2 NCT07560410 May 2026 → Jan 2029 expected bone cancer China Medical University Hospital Not yet recruiting No outcome recorded
Phase 1/2 NCT06624059 Nov 2024 → Aug 2026 overdue non-small cell lung carcinoma Hoffmann-La Roche Active not recruiting No outcome recorded
Phase 1/2 NCT05987644 Mar 2024 → Feb 2028 expected metastatic malignant neoplasm in the brain, non-small cell lung carcinoma Joshua Palmer Recruiting No outcome recorded
Phase 1/2 NCT05713006 May 2022 → Dec 2026 expected — National Cancer Institute of Mexico Recruiting No outcome recorded
Phase 1/2 NCT04774718 Sep 2021 → Feb 2032 expected — Hoffmann-La Roche Recruiting No outcome recorded
Phase 1/2 NCT03202940 Sep 2017 → Jan 2029 expected non-small cell lung carcinoma Massachusetts General Hospital Active not recruiting No outcome recorded
Phase 1/2 NCT03131206 Jun 2017 → Nov 2018 malignant endocrine neoplasm, non-small cell lung carcinoma Dana-Farber Cancer Institute Terminated No outcome recorded Stop: Enrollment
Phase 1/2 NCT02521051 Sep 2015 → Apr 2022 non-small cell lung carcinoma Massachusetts General Hospital Terminated No outcome recorded Stop: Enrollment
Phase 1/2 NCT01871805 Sep 2013 → Oct 2014 non-small cell lung carcinoma Hoffmann-La Roche Completed Met primary
Phase 1/2 NCT01801111 Jun 2013 → Oct 2014 non-small cell lung carcinoma Hoffmann-La Roche Completed No outcome recorded
Phase 226 trials · 2 met primary
Phase 2 NCT06692491 Jan 2025 → Dec 2027 expected — Peking University Shenzhen Hospital Not yet recruiting No outcome recorded
Phase 2 NCT05725200 Sep 2022 → Dec 2038 expected colorectal cancer Oslo University Hospital Recruiting No outcome recorded
Phase 2 NCT05159245 Dec 2021 → Nov 2026 expected cancer, hematopoietic and lymphoid cell neoplasm Helsinki University Central Hospital Recruiting No outcome recorded
Phase 2 NCT05014464 Nov 2021 → Jun 2026 overdue non-small cell lung carcinoma Hunan Province Tumor Hospital Recruiting No outcome recorded
Phase 2 NCT04551521 Oct 2021 → Dec 2024 cancer German Cancer Research Center Completed No outcome recorded
Phase 2 NCT04644315 May 2021 → May 2022 anaplastic large cell lymphoma, brain neoplasm, bronchogenic carcinoma, cholangiocarcinoma +8 Hoffmann-La Roche Terminated No outcome recorded
Phase 2 NCT05015010 May 2021 → Dec 2024 overdue non-small cell lung carcinoma Italian Oncology Group for Clinical Research Active not recruiting No outcome recorded
Phase 2 NCT04817956 Apr 2021 → Mar 2040 expected metastatic malignant neoplasm Oslo University Hospital Recruiting No outcome recorded
Phase 2 NCT04589845 Jan 2021 → Sep 2032 expected cancer Hoffmann-La Roche Active not recruiting No outcome recorded
Phase 2 NCT04632992 Jan 2021 → Dec 2023 cancer of unknown primary site Genentech, Inc. Completed No outcome recorded
Phase 2/33 trials
Phase 2/3 NCT05987956 Mar → Nov 2026 expected non-small cell lung carcinoma Medicine Invention Design, Inc Active not recruiting No outcome recorded
Phase 2/3 NCT05770037 Dec 2023 → Oct 2029 expected anaplastic large cell lymphoma, lymphoproliferative syndrome, neuroblastoma, renal cell carcinoma Cancer Research UK Recruiting No outcome recorded
Phase 2/3 NCT05722886 Mar 2023 → Oct 2029 expected cancer, hematopoietic and lymphoid cell neoplasm Cancer Research UK Recruiting No outcome recorded
Phase 37 trials · 4 met primary
Phase 3 NCT05170204 Nov 2022 → Jun 2030 expected non-small cell lung carcinoma Hoffmann-La Roche Active not recruiting No outcome recorded
Phase 3 NCT03768063 Feb 2019 → Jul 2028 expected cancer Hoffmann-La Roche Active not recruiting No outcome recorded
Phase 3 NCT03456076 Aug 2018 → Jun 2023 overdue non-small cell lung carcinoma Hoffmann-La Roche Active not recruiting Met primary
Phase 3 NCT03194893 Jul 2017 → Sep 2025 neoplasm Hoffmann-La Roche Completed No outcome recorded
Phase 3 NCT02838420 Aug 2016 → May 2018 non-small cell lung carcinoma Hoffmann-La Roche Completed Met primary
Phase 3 NCT02604342 Nov 2015 → Jan 2017 non-small cell lung carcinoma Hoffmann-La Roche Completed Met primary
Phase 3 NCT02075840 Aug 2014 → Feb 2017 non-small cell lung carcinoma Hoffmann-La Roche Completed Met primary
Phase 41 trial
Phase 4 NCT05525338 Mar 2022 → Dec 2025 overdue non-small cell lung carcinoma University Medical Center Groningen Recruiting No outcome recorded
Phase not applicable1 trial
— NCT06709274 Nov 2024 → Jan 2029 expected non-small cell lung carcinoma Guangdong Association of Clinical Trials Not yet recruiting No outcome recorded
Phase not stated1 trial
— NCT02271139 — non-small cell lung carcinoma Genentech, Inc. No longer available No outcome recorded
Comparator or background therapy5 trials
Phase 1/2 NCT03158389 Background May 2018 → Feb 2023 adult glioblastoma University Hospital Heidelberg Completed Mixed
Phase 2 NCT05081674 Comparator Jan 2020 → Jun 2023 lung neoplasm Hospital Israelita Albert Einstein Completed No outcome recorded
Phase 3 NCT06765109 Comparator Jul 2025 → Dec 2029 expected non-small cell lung carcinoma Nuvalent Inc. Recruiting No outcome recorded
Phase 3 NCT03596866 Comparator Apr 2019 → Feb 2024 — Takeda Completed Missed primary
Phase 4 NCT04356118 Background Jun 2020 → Jun 2023 malignant leptomeningeal tumor Hui Bu Unknown No outcome recorded

News releases announcing trial results or a regulatory action · 63

DateIssuerRelease
2026-05-18 Chugai Pharmaceutical Regulatory Alecensa Receives the World-First Tumor-Agnostic Approval for ALK Fusion Gene-Positive Solid Tumors Across Adult and Pediatric Patients chugai-pharm.co.jp ↗
This is the world’s first tumor-agnostic approval for an ALK inhibitor.
2026-05-18 Chugai Pharmaceutical Regulatory Chugai Obtains Approval for FoundationOne CDx Cancer Genomic Profile as a Companion Diagnostic of Alecensa for ALK Fusion Gene-Positive Solid Tumors chugai-pharm.co.jp ↗
The efficacy and safety of Alecensa for advanced or recurrent ALK fusion gene-positive solid tumors were evaluated in an investigator initiated Japanese Phase II clinical study (TACKLE study), and an approval for a partial change to the marketing authorization was obtained on May 18, 2026.
2025-10-21 Chugai Pharmaceutical Results Alecensa Extends Median Overall Survival to Over 80 Months in ALK-Positive Metastatic Non-Small Cell Lung Cancer chugai-pharm.co.jp ↗
In the final analysis of overall survival (OS), a secondary endpoint of the ALEX study, the median survival time for Alecensa was 81.1 months compared to 54.2 months for crizotinib (hazard ratio[HR]=0.78, 95% CI: 0.56-1.08).
2025-06-26 Chugai Pharmaceutical Regulatory Chugai Files for Additional Tumor-Agnostic Indication of Alecensa for ALK Fusion / Rearrangement Gene-Positive Solid Tumors Including Pediatric Patients chugai-pharm.co.jp ↗
today announced that it has filed a regulatory application with the Ministry of Health, Labour and Welfare (MHLW) for an additional indication
2024-08-28 Chugai Pharmaceutical Regulatory Alecensa Approved in Japan for the Additional Indication of Adjuvant Treatment for People with ALK-Positive Early-Stage Non-Small Cell Lung Cancer chugai-pharm.co.jp ↗
2024-08-02 Chugai Pharmaceutical Regulatory Chugai’s Alecensa Approved in Taiwan as an Adjuvant Treatment for Early Stage ALK-Positive Non-Small Cell Lung Cancer (NSCLC) chugai-pharm.co.jp ↗
Chugai Pharmaceutical Co., Ltd. (TOKYO: 4519, hereafter, Chugai) announced that Chugai Pharma Taiwan Ltd. (hereafter, CPT), a wholly-owned subsidiary of Chugai, obtained an import drug license from the Taiwan Food and Drug Administration (TFDA) for Chugai’s Alecensa ® (alectinib) as an adjuvant treatment following tumor resection (tumors ≥ 4 cm or node positive) for patients with anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC), on August 1, 2024.
2024-06-10 Hoffmann-La Roche Regulatory European Commission approves Roche’s Alecensa as the first and only targeted adjuvant treatment for people with ALK-positive early-stage lung cancer roche.com ↗
2024-06-10 Chugai Pharmaceutical Regulatory Alecensa Approved by the European Commission as the First Adjuvant Treatment for People with ALK-Positive Early-Stage Non-Small Cell Lung Cancer chugai-pharm.co.jp ↗
2024-04-30 Chugai Pharmaceutical Regulatory CHMP Recommends EU Approval of Alecensa as an Adjuvant Treatment for Resected ALK-Positive Early-Stage Lung Cancer chugai-pharm.co.jp ↗
2024-04-19 Hoffmann-La Roche Regulatory FDA approves Roche’s Alecensa as the first adjuvant treatment for people with ALK-positive early-stage lung cancer roche.com ↗
Alecensa is now the first and only ALK inhibitor approved for people with ALK-positive early-stage NSCLC who have undergone surgery to remove their tumour.
2024-04-19 Chugai Pharmaceutical Regulatory Alecensa Approved by FDA as the First Adjuvant Treatment for People with ALK-Positive Early-Stage Non-Small Cell Lung Cancer chugai-pharm.co.jp ↗
Alecensa is now the only ALK inhibitor approved for people with ALK-positive early-stage NSCLC who have undergone surgery to remove their tumor.
2024-04-18 Genentech, Inc. Regulatory FDA Approves Genentech's Alecensa as First Adjuvant Treatment for People With ALK-Positive Early-Stage Lung Cancer gene.com ↗
Alecensa is now the first and only ALK inhibitor approved for people with ALK-positive early-stage NSCLC who have undergone surgery to remove their tumor.

All press releases naming this drug 64 releases

DateIssuerRelease

Evidence & citations 16 cited values

Every value below carries the sentence it was read from. 67 sources stand behind the page.

FieldValueCited text
Known as Alectinib “Alectinib (ALECENSA®) is a type of drug called a ‘tyrosine kinase inhibitor’” PMID 41217067 ↗ Nov 2025
60

“Alectinib used outside of indication, based on biomarker” NCT04817956 ↗

“ALK ROS1 Mutation:Crizotinib,Ceritinib,Alectinib” NCT04356118 ↗

“Alectinib 600 mg twice a day for 4 weeks” NCT04644432 ↗

“Alectinib” NCT05014464 ↗

NCT04302025 ↗

NCT05987956 ↗

NCT04423185 ↗

NCT02621047 ↗

NCT05770037 ↗

NCT02604342 ↗

Show 50 more sources

Known as AF-802 ChEMBL registry synonym — accepted as the source's own label CHEMBL1738797 ↗
Known as AF-802 HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL1738797 ↗
Known as Alecensa “A Pilot Study of Alectinib (Alecensa) in Combination With Nivolumab (Opdivo) in the Treatment of Recurrent or Refractory Hepatocellular Carcinoma Patients Guided With Serum...” NCT06354387 ↗
3

“Participants will receive either crizotinib (Xalkori®) or alectinib (Alecensa®), with treatment selection determined by the study investigators.” NCT07560410 ↗

“ALECENSA - Alectinib therapeutic-effects in patients with non-small cell lung cancer” NCT05987956 ↗

“Alectinib (ALECENSA®) is a type of drug called a ‘tyrosine kinase inhibitor’” PMID 41217067 ↗ Nov 2025

Known as ALECTINIB (CH5424802) ChEMBL registry synonym — accepted as the source's own label CHEMBL1738797 ↗
Known as alectinib hydrochloride “ALECENSA - alectinib hydrochloride capsule 600 mg orally twice daily” NCT05987956 ↗
Known as ALECTINIBCH-5424802CH5424802CT-CH542 ChEMBL registry synonym — accepted as the source's own label CHEMBL1738797 ↗
Known as CH-5424802 HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL1738797 ↗
Known as CH5424802 “Alectinib/CH5424802 is a known inhibitor of anaplastic lymphoma kinase (ALK) and is being evaluated in clinical trials for the treatment of ALK fusion-positive non-small cell...” PMID 25349307 ↗ Oct 2014
Known as RG-7853 ChEMBL registry synonym — accepted as the source's own label CHEMBL1738797 ↗
Known as RG-7853,CH5424802 ChEMBL registry synonym — accepted as the source's own label CHEMBL1738797 ↗
Known as RO5424802 ClinicalTrials.gov intervention name — accepted as the source's own label NCT01940510 ↗
1

NCT01981005 ↗

Action Inhibit “Alectinib is a selective and potent anaplastic lymphoma kinase (ALK) inhibitor” PMID 29748847 ↗ May 2018
Modality Small molecule “Alectinib is an anaplastic lymphoma kinase tyrosine kinase inhibitor (TKI)” PMID 27544060 ↗ Aug 2016
Route Oral “Alectinib will be administered at a dose of 600 milligrams (mg) via capsule, orally, twice daily.” NCT01801111 ↗
Target ALK “Alectinib is a selective and potent anaplastic lymphoma kinase (ALK) inhibitor” PMID 29748847 ↗ May 2018