Drugs / Ensartinib
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Ensartinib

Small molecule targets ALK, MET, ROS1 via inhibition

Developed for
non-small cell lung carcinoma · cancer · ependymoma · hepatoblastoma · Langerhans cell histiocytosis · malignant germ cell tumor · malignant glioma · medulloblastoma
+17 more · metastatic malignant neoplasm in the brain · neuroblastoma · non-Hodgkin lymphoma · rhabdoid tumor · rhabdomyosarcoma · Wilms tumor · conventional osteosarcoma · Ewing sarcoma · Ewing sarcoma/peripheral primitive neuroectodermal tumor · histiocytic sarcoma · juvenile xanthogranuloma · lung cancer · lung carcinoma · melanoma · osteosarcoma · peripheral primitive neuroectodermal tumor · primary organ-specific lymphoma
Investigated by
Betta Pharmaceuticals Co., Ltd. · Xcovery Holdings, Inc. · National Cancer Institute (NCI) · Fudan University · Hebei Medical University Fourth Hospital · Peking University Cancer Hospital & Institute
+30 more · Shanghai Pulmonary Hospital, Shanghai, China · Sun Yat-sen University · West China Hospital · Cancer Research Institute, New York City · Central People's Hospital of Zhanjiang · Children's Oncology Group · Chinese Thoracic Oncology Group · Fifth Affiliated Hospital, Sun Yat-Sen University · First Affiliated Hospital of Wenzhou Medical University · First People's Hospital of Foshan · Fujian Medical University Union Hospital · Guangdong Association of Clinical Trials · Guangdong Provincial Agricultural Reclamation Central Hospital · Guangzhou Institute of Respiratory Disease · Li Zhang, MD · Ludwig Institute for Cancer Research · M.D. Anderson Cancer Center · MedImmune LLC · Memorial Sloan Kettering Cancer Center · NRG Oncology · Nanjing First Hospital, Nanjing Medical University · Qiming Wang · Second Affiliated Hospital, School of Medicine, Zhejiang University · Shenyang Chest Hospital · Tang-Du Hospital · The First Affiliated Hospital of Guangzhou Medical University · The First Affiliated Hospital with Nanjing Medical University · Union Hospital, Tongji Medical College, Huazhong University of Science and Technology · Yuebei People's Hospital · Yunnan Cancer Hospital

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed non-small cell lung carcinoma 1 milestone
Filed China (NMPA) — non-small cell lung carcinoma 2018-12-26

“公司申报的盐酸恩莎替尼(X-396)用于此前接受过克唑替尼治疗后进展的或者对克唑替尼不耐受的间变性淋巴瘤激酶(ALK)阳性的局部晚期或转移性非小细胞肺癌(NSCLC)患者的药品注册申请获得国家药品监督管理局受理。” bettapharma.com ↗

Approved Indication not stated 1 milestone
Approved US (FDA) ENSACOVE — 2024-12-18 fda.gov ↗

Trials 34

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 15 trials
Phase 1 NCT06492525 Jul → Oct 2024 overdue — Betta Pharmaceuticals Co., Ltd. Not yet recruiting No outcome recorded
Phase 1 NCT04837716 Mar 2021 → Sep 2027 expected non-small cell lung carcinoma M.D. Anderson Cancer Center Active not recruiting No outcome recorded
Phase 1 NCT03804541 Dec 2018 → Jun 2019 non-small cell lung carcinoma Betta Pharmaceuticals Co., Ltd. Unknown No outcome recorded
Phase 1 NCT03510611 Mar → Aug 2018 non-small cell lung carcinoma Betta Pharmaceuticals Co., Ltd. Completed No outcome recorded
Phase 1 NCT02959619 Mar 2017 → Oct 2019 non-small cell lung carcinoma Betta Pharmaceuticals Co., Ltd. Completed No outcome recorded
Phase 1/24 trials
Phase 1/2 NCT07354061 Mar 2026 → Mar 2028 expected non-small cell lung carcinoma Tang-Du Hospital Recruiting No outcome recorded
Phase 1/2 NCT07448116 Jan 2026 → Feb 2029 expected cancer Betta Pharmaceuticals Co., Ltd. Recruiting No outcome recorded
Phase 1/2 NCT02898116 May → Aug 2017 non-small cell lung carcinoma Ludwig Institute for Cancer Research Completed No outcome recorded
Phase 1/2 NCT01625234 Jun 2012 → Sep 2020 non-small cell lung carcinoma Xcovery Holdings, Inc. Completed No outcome recorded
Phase 219 trials · 1 met primary
Phase 2 NCT07235306 Dec 2025 → Jan 2031 expected non-small cell lung carcinoma Shanghai Pulmonary Hospital, Shanghai, China Not yet recruiting No outcome recorded
Phase 2 NCT06772610 Mar 2025 → Mar 2029 expected non-small cell lung carcinoma Shanghai Pulmonary Hospital, Shanghai, China Not yet recruiting No outcome recorded
Phase 2 NCT06762327 Feb 2025 → Dec 2026 expected cancer Nanjing First Hospital, Nanjing Medical University Not yet recruiting No outcome recorded
Phase 2 NCT06780839 Jan 2025 → Jan 2029 expected non-small cell lung carcinoma Peking University Cancer Hospital & Institute Not yet recruiting No outcome recorded
Phase 2 NCT06779539 Jan 2025 → Jun 2028 expected non-small cell lung carcinoma West China Hospital Not yet recruiting No outcome recorded
Phase 2 NCT06563999 Nov 2024 → Nov 2027 expected lung carcinoma Sun Yat-sen University Recruiting No outcome recorded
Phase 2 NCT05380024 Aug 2022 → Dec 2023 non-small cell lung carcinoma Peking University Cancer Hospital & Institute Unknown No outcome recorded
Phase 2 NCT05491811 Aug 2022 → Aug 2024 overdue non-small cell lung carcinoma Sun Yat-sen University Active not recruiting No outcome recorded
Phase 2 NCT05241028 May 2022 → Feb 2027 expected non-small cell lung carcinoma Hebei Medical University Fourth Hospital Recruiting No outcome recorded
Phase 2 NCT05178511 Dec 2021 → Jul 2023 — Li Zhang, MD Unknown No outcome recorded
Phase 33 trials · 2 met primary
Phase 3 NCT06955325 May 2025 → Dec 2030 expected non-small cell lung carcinoma The First Affiliated Hospital of Guangzhou Medical University Not yet recruiting No outcome recorded
Phase 3 NCT05341583 May 2022 → Jun 2025 overdue non-small cell lung carcinoma Betta Pharmaceuticals Co., Ltd. Recruiting Met primary
Phase 3 NCT02767804 Jun 2016 → Dec 2025 overdue non-small cell lung carcinoma Xcovery Holdings, Inc. Active not recruiting Met primary
Phase 42 trials
Phase 4 NCT07671560 Jul 2026 → Dec 2028 expected — Qiming Wang Not yet recruiting No outcome recorded
Phase 4 NCT06785584 Feb → Dec 2025 overdue non-small cell lung carcinoma Fujian Medical University Union Hospital Not yet recruiting No outcome recorded
Phase not stated1 trial
— NCT04146571 — non-small cell lung carcinoma Xcovery Holdings, Inc. Available No outcome recorded
Comparator or background therapy1 trial
Phase 1 NCT05665283 Comparator Nov 2022 → Jan 2023 — Xcovery Holdings, Inc. Completed No outcome recorded

News releases announcing trial results or a regulatory action · 11

DateIssuerRelease
2026-09-14 Xcovery Holdings, Inc. Regulatory Betta Pharmaceuticals Announces NMPA Approval of Ensartinib for Adjuvant Treatment of ALK-Positive NSCLC in China xcovery.com ↗
This regulatory approval applies to China.
2026-03-25 Betta Pharmaceuticals Co., Ltd. Results 2026 EBMT 丨贝达药业恩沙替尼治疗复发/难治性ALK阳性淋巴瘤研究成果亮相 bettapharma.com ↗
所有患者的总缓解率 (ORR) 和疾病控制率 (DCR) 均为100%(其中完全缓解7例 [77.8%];部分缓解2例 [22.2%]),详见图1和表2。
2025-09-23 Betta Pharmaceuticals Co., Ltd. Results 2025 ESMO丨恩沙替尼术后辅助治疗研究数据将首次披露 bettapharma.com ↗
近期,恩沙替尼用于ALK阳性非小细胞肺癌术后辅助治疗的药物临床试验期中数据分析显示阳性结果,达到预设的主要研究终点。
2021-09-02 Xcovery Holdings, Inc. Results Ensartinib published phase 3 global trial results in the journal of JAMA Oncology Ensartinib vs Crizotinib for Patients With Anaplastic Lymphoma Kinase−Positive Non–Small Cell Lung Cancer A Randomized Clinical Trial xcovery.com ↗
2021-01-28 Xcovery Holdings, Inc. Results Ensartinib updated the efficacy and quality of life data at the World Conference on Lung Cancer (WCLC) World Wide Virtual Event, January 28-31, 2021 Dr. Yi-long Wu presented the poster titled “Quality-of-life outcomes and subgroup analysis in a phase 3 randomized study of ensartinib vs. crizotinib in anaplastic lymphoma kinase (ALK)-positive NSCLC patients: EXALT3” xcovery.com ↗
2020-08-10 Betta Pharmaceuticals Co., Ltd. Results 恩沙替尼一线数据全球惊艳亮相 全线守护ALK阳性患者 bettapharma.com ↗
结果显示,接受恩沙替尼治疗的 ALK 阳性非小细胞肺癌( NSCLC )患者,其中位无进展生存期( mPFS )显著长于接受克唑替尼治疗的患者。
2019-09-02 Betta Pharmaceuticals Co., Ltd. Results 佳音再传!盐酸恩沙替尼药品注册临床试验最新数据彰显更好疗效 bettapharma.com ↗
在疗效性方面,恩沙替尼整体ORR为52.6%,疾病控制率为87.8%,中位PFS为11.2个月,颅内ORR为71.4%,颅内病灶控制率达95.2%。
2018-12-27 Betta Pharmaceuticals Co., Ltd. Regulatory 重大喜讯!国家药监局受理盐酸恩莎替尼新药注册申请 bettapharma.com ↗
公司申报的盐酸恩莎替尼(X-396)用于此前接受过克唑替尼治疗后进展的或者对克唑替尼不耐受的间变性淋巴瘤激酶(ALK)阳性的局部晚期或转移性非小细胞肺癌(NSCLC)患者的药品注册申请获得国家药品监督管理局受理。
2017-12-20 Betta Pharmaceuticals Co., Ltd. Regulatory 贝达新药项目开启全球首个ALK抑制剂在黑色素瘤中的探索性研究 bettapharma.com ↗
该试验由著名的纪念斯隆-凯特琳癌症中心(MSKCC)向美国食品药品管理局提交临床研究申请(IND 137434),获批进行Ensartinib(X-396)在具有ALK突变的晚期恶性黑色素瘤患者中的Ⅱ期研究,由纪念斯隆-凯特琳癌症中心的研究员、黑色素瘤及免疫治疗领域的医学博士Alexander Shoushtari主导。
2017-11-05 Betta Pharmaceuticals Co., Ltd. Regulatory 6载同行,一路非凡——凯美纳上市6周年学术峰会在广州举行 bettapharma.com ↗
特别值得一提的是,公司正在开发的Ensartinib(X-396),在2016年获批进行I、II、III期临床试验的基础上,今年又获批进入国际多中心Ⅲ期临床研究。
2017-06-05 Betta Pharmaceuticals Co., Ltd. Regulatory 贝达药业治疗肺癌新药获得国际多中心临床试验批文 今后有望在全球同步上市 bettapharma.com ↗
6月2日,贝达药业股份有限公司发布公告:公司控股子公司美国Xcovery Holding Company LLC开发的治疗肺癌新药X-396胶囊获得国家食品药品监督管理总局(CFDA)批准进入国际多中心临床研究。

All press releases naming this drug 12 releases

DateIssuerRelease

Evidence & citations 11 cited values

Every value below carries the sentence it was read from. 38 sources stand behind the page.

FieldValueCited text
Known as Ensartinib “To assess treatment effectiveness and safety of oral X-396 capsule (Ensartinib) administered to Chinese patients with Advanced Non-Small Cell Lung Cancer (NSCLC) that is...” NCT03608007 ↗
32

“Efficacy and Safety of Ensartinib Combined With Anlotinib in Lorlatinib-Resistant ALK-Positive Non-small Cell Lung Cancer(NSCLC): An Exploratory Analysis” NCT07671560 ↗

“oral X-396 capsule (Ensartinib) in 37 Chinese ALK-positive NSCLC patients with brain metastases will be assessed.” NCT04415320 ↗

NCT03804541 ↗

NCT03737994 ↗

NCT03753685 ↗

NCT06785584 ↗

NCT07235306 ↗

NCT05241028 ↗

NCT01625234 ↗

NCT07354061 ↗

Show 22 more sources

Known as Ensacove ChEMBL registry synonym — accepted as the source's own label CHEMBL4113131 ↗
Known as Ensartinib dihydrochloride ChEMBL registry synonym — accepted as the source's own label CHEMBL4113131 ↗
Known as Ensartinib Hydrochloride “Drug: Ensartinib Hydrochloride” NCT05665283 ↗
Known as X-396 “This is the first human study to use X-396 (ensartinib), a drug being developed for treatment of advanced cancers.” NCT01625234 ↗
6

“oral X-396 capsule (Ensartinib) in 37 Chinese ALK-positive NSCLC patients with brain metastases will be assessed.” NCT03753685 ↗

“X-396 (ensartinib)” NCT02767804 ↗

NCT03215693 ↗

NCT03574402 ↗

NCT04415320 ↗

NCT03608007 ↗

Known as X-396 DIHYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL4113131 ↗
Known as X-396 HCl ChEMBL registry synonym — accepted as the source's own label CHEMBL4113131 ↗
Action Inhibit “a potent anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitor (TKI)” PMID 29563138 ↗ Mar 2018
Modality Small molecule “Ensartinib, an oral tyrosine kinase inhibitor of anaplastic lymphoma kinase (ALK)” PMID 34473194 ↗ Nov 2021
Route Oral “the investigational drug will be given as a once or twice daily oral dose” NCT01625234 ↗
Target ALK “a potent anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitor (TKI)” PMID 29563138 ↗ Mar 2018