Drugs / Lorlatinib
last change Jul 2026 re-read 2 minutes ago

Lorlatinib

also known as PF-06463922 · Lorbrena · [14C]lorlatinib

Small molecule targets ALK, ROS1 via inhibition

Developed for
non-small cell lung carcinoma · cancer · metastatic malignant neoplasm · neuroblastoma · ALK-positive anaplastic large cell lymphoma · anaplastic astrocytoma · cancer of unknown primary site · diffuse midline glioma, H3 K27-altered
+8 more · glioblastoma · grade III glioma · infant-type hemispheric glioma · lung cancer · metastatic malignant neoplasm in the brain · neoplasm · neoplastic meningitis · ganglioneuroblastoma
Investigated by
Pfizer · Eli Lilly and Company · French Cooperative Thoracic Intergroup · Guangdong Association of Clinical Trials · Hunan Cancer Hospital · Hunan Province Tumor Hospital
+58 more · Massachusetts General Hospital · Merck Sharp & Dohme LLC · National Cancer Institute (NCI) · Air Force Military Medical University, China · Amgen · Array BioPharma · AstraZeneca · Bayer · Boehringer Ingelheim · Bristol-Myers Squibb · CStone Pharmaceuticals · Cancer League of Colorado · Centro di Riferimento Oncologico - Aviano · Children's Neuroblastoma Cancer Foundation · Children's Oncology Group · Clinical Research Technology S.r.l. · Clovis Oncology - Pharma and · Cookies for Kids' Cancer · Dutch Cancer Society · Eisai Inc. · European Organisation for Research and Treatment of Cancer - EORTC · Fondazione Ricerca Traslazionale · Gilead Sciences · GlaxoSmithKline · Guangdong Provincial People's Hospital · Guangzhou No.12 People's Hospital · Incyte Corporation · Ipsen · Janssen, LP · Liaoning Cancer Hospital & Institute · M.D. Anderson Cancer Center · Memorial Sloan Kettering Cancer Center · NRG Oncology · National Cancer Center, Korea · Nationwide Children's Hospital · New Approaches to Neuroblastoma Therapy Consortium · Novartis · OHSU Knight Cancer Institute · Oregon Health and Science University · Peking Union Medical College Hospital · Peking University People's Hospital · Roche Pharma AG · Ronan Thompson Foundation · SCRI Development Innovations, LLC · Second Affiliated Hospital, School of Medicine, Zhejiang University · Second Xiangya Hospital of Central South University · Solving Kids' Cancer US/EU · Stelvio for Life · Strata Oncology · The Band of Parents · The Catherine Elizabeth Blair Memorial Foundation · The Evan Foundation · The First Affiliated Hospital of Guangzhou Medical University · The Netherlands Cancer Institute · University of Colorado, Denver · University of Milano Bicocca · University of Southern California · Wade's Army

Regulatory milestones approvals, filings & regulatory actions · 3 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) LORBRENA 2021-03-03 fda.gov
Approved EU (EMA) Lorviqua 2019-05-06 europa.eu
Approved US (FDA) LORBRENA 2018-11-02 fda.gov

Trials 48 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT06333899 Aug 2025 → Jul 2029 expected anaplastic astrocytoma, diffuse midline glioma, H3 K27-altered, glioblastoma, grade III glioma +1 Nationwide Children's Hospital Recruiting No outcome recorded
Phase 113 trials
Phase 1 NCT05224609 Apr 2022 → Aug 2024 Pfizer Completed No outcome recorded
Phase 1 NCT04800822 Mar 2021 → Jun 2024 neoplasm Pfizer Terminated No outcome recorded
Phase 1 NCT04541407 Oct 2020 → Apr 2022 non-small cell lung carcinoma University of Colorado, Denver Completed No outcome recorded
Phase 1 NCT03878524 Apr → Dec 2020 acute myeloid leukemia, atypical chronic myeloid leukemia, BCR-ABL1 negative, blast phase chronic myelogenous leukemia, BCR-ABL1 positive, castration-resistant prostate carcinoma +14 OHSU Knight Cancer Institute Terminated No outcome recorded
Phase 1 NCT03726333 Jan 2020 → Jul 2021 cancer of unknown primary site Pfizer Terminated No outcome recorded
Phase 1 NCT03961997 Aug → Dec 2019 Pfizer Completed No outcome recorded
Phase 1 NCT03542305 Aug 2018 → Feb 2020 impaired renal function disease Pfizer Completed No outcome recorded
Phase 1 NCT03107988 Sep 2017 → Aug 2024 neuroblastoma New Approaches to Neuroblastoma Therapy Consortium Completed No outcome recorded
Phase 1 NCT03184168 Jul → Aug 2017 Pfizer Completed No outcome recorded
Phase 1 NCT02838264 Aug 2016 → Mar 2017 Pfizer Completed No outcome recorded
Phase 1/24 trials
Phase 1/2 NCT06007937 Aug 2023 → Aug 2028 expected metastatic malignant neoplasm, non-small cell lung carcinoma Memorial Sloan Kettering Cancer Center Recruiting No outcome recorded
Phase 1/2 NCT04292119 May 2020 → Dec 2022 non-small cell lung carcinoma, refractory malignant neoplasm Massachusetts General Hospital Unknown No outcome recorded
Phase 1/2 NCT02584634 Dec 2015 → Feb 2021 non-small cell lung carcinoma Pfizer Terminated No outcome recorded
Phase 1/2 NCT01970865 Jan 2014 → Mar 2017 non-small cell lung carcinoma Pfizer Completed No outcome recorded
Phase 221 trials
Phase 2 NCT07415005 Apr 2026 → Jul 2028 expected non-small cell lung carcinoma M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 2 NCT07083687 Aug 2025 → Jan 2027 expected non-small cell lung carcinoma Hunan Cancer Hospital Not yet recruiting No outcome recorded
Phase 2 NCT06682884 Nov 2024 → Apr 2026 overdue non-small cell lung carcinoma Peking University People's Hospital Not yet recruiting No outcome recorded
Phase 2 NCT06378892 Mar 2024 → May 2028 expected non-small cell lung carcinoma Centro di Riferimento Oncologico - Aviano Recruiting No outcome recorded
Phase 2 NCT05948462 Nov 2023 → Mar 2025 non-small cell lung carcinoma SCRI Development Innovations, LLC Withdrawn No outcome recorded
Phase 2 NCT06092086 Aug 2023 → Aug 2025 overdue non-small cell lung carcinoma Guangdong Association of Clinical Trials Recruiting No outcome recorded
Phase 2 NCT05740943 Mar 2023 → Dec 2025 overdue non-small cell lung carcinoma Guangdong Provincial People's Hospital Active not recruiting No outcome recorded
Phase 2 NCT05297890 May 2022 → Dec 2023 overdue CStone Pharmaceuticals Active not recruiting No outcome recorded
Phase 2 NCT05097599 Apr 2022 → Jun 2024 cancer Strata Oncology Terminated 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 32 trials
Phase 3 NCT03126916 May 2018 → Sep 2030 expected neuroblastoma, nodular ganglioneuroblastoma Children's Oncology Group Recruiting No outcome recorded
Phase 3 NCT03052608 Apr 2017 → Mar 2020 overdue non-small cell lung carcinoma Pfizer Active not recruiting No outcome recorded
Phase 45 trials
Phase 4 NCT06893354 May 2025 → Jul 2027 expected non-small cell lung carcinoma The First Affiliated Hospital of Guangzhou Medical University Not yet recruiting No outcome recorded
Phase 4 NCT06282874 Aug 2024 → Apr 2026 overdue metastatic malignant neoplasm in the brain, neoplastic meningitis, non-small cell lung carcinoma Guangdong Association of Clinical Trials Active not recruiting No outcome recorded
Phase 4 NCT05144997 Dec 2021 → Dec 2026 expected non-small cell lung carcinoma Pfizer Active not recruiting No outcome recorded
Phase 4 NCT04362072 Sep 2020 → May 2024 non-small cell lung carcinoma Pfizer Completed No outcome recorded
Phase 4 NCT04541706 Aug 2020 → Jul 2022 non-small cell lung carcinoma Pfizer Completed No outcome recorded
Phase not applicable1 trial
NCT06487078 Jan 2025 → Nov 2028 expected non-small cell lung carcinoma Pfizer Recruiting No outcome recorded
Phase not stated1 trial
NCT03178071 lung cancer Pfizer No longer available No outcome recorded
Also used as a comparator or background therapy in 3 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT07617337 Background Jul 2026 → Aug 2030 expected non-small cell lung carcinoma Chugai Pharmaceutical Not yet recruiting No outcome recorded
Phase 31 trial
Phase 3 NCT06858410 Comparator Mar 2025 → Mar 2030 expected non-small cell lung carcinoma Guangdong Association of Clinical Trials Not yet recruiting No outcome recorded
Phase not stated1 trial
NCT03127618 Background Pfizer Approved for marketing No outcome recorded

Press releases naming this drug 14 releases

DateIssuerRelease
2026-05-29 Pfizer Seven-Year Analysis from Pfizer’s LORBRENA CROWN Trial Shows Longest Progression-Free Survival Reported to Date in Advanced Non-Small Cell Lung Cancer pfizer.com
2024-05-31 Pfizer Pfizer’s LORBRENA® CROWN Study Shows Majority of Patients with ALK-Positive Advanced Lung Cancer Living Beyond Five Years Without Disease Progression pfizer.com
2022-01-28 Pfizer European Commission Approves LORVIQUA® (lorlatinib) as a First-Line Treatment for ALK-Positive Advanced Lung Cancer pfizer.com
2021-12-17 Pfizer Pfizer Receives Positive CHMP Opinion for LORVIQUA® (lorlatinib) as First-Line Treatment for ALK-Positive Advanced Lung Cancer pfizer.com
2021-03-03 Pfizer U.S. FDA Expands Approval of Pfizer’s LORBRENA® as First-Line Treatment for ALK-Positive Metastatic Lung Cancer pfizer.com
2020-12-28 Pfizer LORBRENA® (lorlatinib) sNDA in Previously Untreated ALK-Positive Lung Cancer Accepted for Priority Review by U.S. FDA pfizer.com
2020-11-19 Pfizer Results from Phase 3 CROWN Trial of Pfizer’s LORBRENA® (lorlatinib) in Previously Untreated ALK-Positive Lung Cancer Published in the New England Journal of Medicine pfizer.com
2020-08-05 Pfizer LORBRENA® (lorlatinib) Significantly Improves Progression-Free Survival in First-Line ALK-Positive Lung Cancer pfizer.com
2019-05-07 Pfizer European Commission Approves LORVIQUA® (lorlatinib) for Certain Adult Patients with Previously-Treated ALK-Positive Advanced Non-Small Cell Lung Cancer pfizer.com
2019-03-01 Pfizer Pfizer Receives Positive CHMP Opinion for LORVIQUA® (lorlatinib) for Certain Adult Patients with Previously-Treated ALK-Positive Advanced Non-Small Cell Lung Cancer pfizer.com
2018-11-02 Pfizer U.S. FDA Approves LORBRENA® (lorlatinib) for Previously-Treated ALK-Positive Metastatic NSCLC pfizer.com
2018-02-12 Pfizer U.S., EU and Japan Health Authorities Accept Regulatory Submissions for Review of Pfizer’s Third-Generation ALK Inhibitor Lorlatinib pfizer.com

Evidence & citations 9 cited values

Every value below carries the sentence it was read from. 53 sources stand behind the page.

FieldValueCited text
Known as Lorlatinib “Her tumor did not respond to a second-generation ALK inhibitor, but it did respond to lorlatinib (PF-06463922), a third-generation inhibitor.” PMID 26698910 Dec 2015
45

“Participants will receive continuous daily PO dosing of lorlatinib 100mg QD.” NCT06092086

“Alectinib 600mg, po, qd; Lorlatinib, 100mg, po, qd;” NCT04322890

Lorlatinib is an oral ALK and ROS1 inhibitor.” NCT04292119

Lorlatinib 100mg po qd” NCT05014464

NCT03542305

NCT04127110

NCT06378892

NCT05297890

NCT06282874

NCT05144997

NCT04800822

NCT04362072

NCT06007937

NCT03184168

NCT04621188

NCT06487078

NCT07083687

NCT05948462

NCT03737994

NCT03909971

NCT03127618

NCT03126916

NCT03052608

NCT03878524

NCT04111705

NCT03439215

NCT06893354

NCT03505554

NCT07617337

NCT05224609

NCT02925234

NCT03726333

NCT05097599

NCT06333899

NCT02927340

NCT03612154

NCT03107988

NCT03961997

NCT04541407

NCT06682884

NCT07415005

NCT04541706

NCT05740943

NCT03178071

NCT06858410

Known as [14C]lorlatinib “Drug: [14C]lorlatinibNCT03184168
Known as Lorbrena “This arm of the Strata PATH trial will assess the clinical benefit of Lorbrena® (lorlatinib) in ALK and ROS1 gene fusion positive solid tumors, as detected by Strata testing,...” NCT05097599
1

“researchers looked at the effects of two medicines called lorlatinib (Lorbrena) and crizotinib (Xalkori) for people with advanced non-small cell lung cancer (NSCLC) who had not...” PMID 39360949 Oct 2024

Known as PF-06463922 “PHASE 1, OPEN-LABEL, FIXED SEQUENCE, 2-PERIOD STUDY TO INVESTIGATE THE EFFECT OF MULTIPLE DOSES OF MODAFINIL ON THE PHARMACOKINETICS OF SINGLE DOSE LORLATINIB (PF-06463922) IN...” NCT03961997
8

“Her tumor did not respond to a second-generation ALK inhibitor, but it did respond to lorlatinib (PF-06463922), a third-generation inhibitor.” PMID 26698910 Dec 2015

“LORLATINIB (PF-06463922) MONOTHERAPY” NCT03909971

“Lorlatinib - PF-06463922NCT03127618

NCT02564562

NCT02838264

NCT02584634

NCT02804399

NCT02569554

Action Inhibit “Lorlatinib is a small molecule inhibitor of anaplastic lymphoma kinase (ALK) and c-ROS oncogene 1 (ROS1) tyrosine kinases” PMID 33973232 Jun 2021
Modality Small molecule “Lorlatinib is a small molecule inhibitor of anaplastic lymphoma kinase (ALK) and c-ROS oncogene 1 (ROS1) tyrosine kinases” PMID 33973232 Jun 2021
Route Oral “Single oral dose of 100mg PF-06463922” NCT02564562
Target ALK “Lorlatinib is a small molecule inhibitor of anaplastic lymphoma kinase (ALK) and c-ROS oncogene 1 (ROS1) tyrosine kinases” PMID 33973232 Jun 2021
Target ROS1 “Lorlatinib is a small molecule inhibitor of anaplastic lymphoma kinase (ALK) and c-ROS oncogene 1 (ROS1) tyrosine kinases” PMID 33973232 Jun 2021