Entrectinib: A potent new TRK, ROS1, and ALK inhibitor Article

Rolfo, C, Ruiz, R, Giovannetti, E et al. (2015). Entrectinib: A potent new TRK, ROS1, and ALK inhibitor . EXPERT OPINION ON INVESTIGATIONAL DRUGS, 24(11), 1493-1500. 10.1517/13543784.2015.1096344

cited authors

  • Rolfo, C; Ruiz, R; Giovannetti, E; Gil-Bazo, I; Russo, A; Passiglia, F; Giallombardo, M; Peeters, M; Raez, L

authors

abstract

  • Introduction: Receptor tyrosine kinases (RTKs) and their signaling pathways, control normal cellular processes; however, their deregulation play important roles in malignant transformation. In advanced non-small cell lung cancer (NSCLC), the recognition of oncogenic activation of specific RTKs, has led to the development of molecularly targeted agents that only benefit roughly 20% of patients. Entrectinib is a pan-TRK, ROS1 and ALK inhibitor that has shown potent anti-neoplastic activity and tolerability in various neoplastic conditions, particularly NSCLC.Areas covered: This review outlines the pharmacokinetics, pharmacodynamics, mechanism of action, safety, tolerability, pre-clinical studies and clinical trials of entrectinib, a promising novel agent for the treatment of advanced solid tumors with molecular alterations of Trk-A, B and C, ROS1 or ALK.Expert opinion: Among the several experimental drugs under clinical development, entrectinib is emerging as an innovative and promising targeted agent. The encouraging antitumor activity reported in the Phase 1 studies, together with the acceptable toxicity profile, suggest that entrectinib, thanks to its peculiar mechanism of action, could play an important role in the treatment-strategies of multiple TRK-A, B, C, ROS1, and ALK- dependent solid tumors, including NSCLC and colorectal cancer. That being said, further evidence for its clinical use is still needed.

publication date

  • November 2, 2015

Digital Object Identifier (DOI)

start page

  • 1493

end page

  • 1500

volume

  • 24

issue

  • 11