Antitumor activity of larotrectinib in tumors harboring NTRK gene fusions: a short review on the current evidence.

Abstract:

:The development of deep-sequencing methods is now unveiling a new landscape of previously undetected gene fusion across different tumor types. Chromosomal translocation involving the NTRK gene family occur across a wide range of cancers in both children and adults. Preclinical studies have demonstrated that chimeric proteins encoded by NTRK rearrangements have oncogenic properties and drive constitutive expression and ligand-independent activation. Larotrectinib (ARRY470, LOXO101, Vitrakvi) is a highly and potent inhibitor of TRKA, TRKB, and TRKC, and has demonstrated rema rkable antitumor activity against TRK-fusion-positive cancers with a favorable side-effect profile in phase I/II clinical trials. In November 2018, the US Food and Drug Administration granted accelerated approval to larotrectinib for adult and pediatric patients with solid tumors harboring NTRK gene fusions without known acquired resistance mutation. In this review, we discuss the clinical activity and safety profile of larotrectinib, focusing on the clinical trials that led to its first global approval.

journal_name

Onco Targets Ther

journal_title

OncoTargets and therapy

authors

Ricciuti B,Genova C,Crinò L,Libra M,Leonardi GC

doi

10.2147/OTT.S177051

subject

Has Abstract

pub_date

2019-04-30 00:00:00

pages

3171-3179

issn

1178-6930

pii

177051

journal_volume

12

pub_type

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