Chemistry:Repotrectinib

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Short description: Medication
Repotrectinib
Repotrectinib.svg
Repotrectinib 7VKN.png
Clinical data
Trade namesAugtyro
Other namesTPX-0005
AHFS/Drugs.comAugtyro
License data
Routes of
administration
By mouth
Drug classTyrosine kinase inhibitor
ATC code
  • None
Legal status
Legal status
Identifiers
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
PDB ligand
Chemical and physical data
FormulaC18H18FN5O2
Molar mass355.373 g·mol−1
3D model (JSmol)

Repotrectinib, sold under the brand name Augtyro, is an anti-cancer medication used for the treatment of non-small cell lung cancer.[1][2] It is taken by mouth.[1] Repotrectinib is an inhibitor of proto-oncogene tyrosine-protein kinase ROS1 (ROS1) and of the tropomyosin receptor tyrosine kinases (TRKs) TRKA, TRKB, and TRKC.[1]

The most common adverse reactions include dizziness, dysgeusia, peripheral neuropathy, constipation, dyspnea, ataxia, fatigue, cognitive disorders, and muscular weakness.[2]

Repotrectinib was approved for medical use in the United States in November 2023.[2][3]

Medical uses

Repotrectinib is indicated for the treatment of adults with locally advanced or metastatic ROS1-positive non-small cell lung cancer.[1][2]

History

Approval by the US Food and Drug Administration (FDA) was based on TRIDENT-1, a global, multicenter, single-arm, open-label, multi-cohort clinical trial (NCT03093116) which included participants with ROS1-positive locally advanced or metastatic non-small cell lung cancer.[2] Efficacy was evaluated in 71 ROS1 tyrosine kinase inhibitor-naïve participants who received up to one prior line of platinum-based chemotherapy and/or immunotherapy and 56 participants who received one prior ROS1 tyrosine kinase inhibitor with no prior platinum-based chemotherapy or immunotherapy.[2]

The FDA granted the application for repotrectinib priority review, breakthrough therapy, and fast track designations.[2]

References

  1. 1.0 1.1 1.2 1.3 1.4 "Augtyro- repotrectinib capsule". 15 November 2023. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=fb526827-40ba-4462-94cf-179ae3b0cb8a. 
  2. 2.0 2.1 2.2 2.3 2.4 2.5 2.6 "FDA approves repotrectinib for ROS1-positive non-small cell lung cancer". 15 November 2023. https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-repotrectinib-ros1-positive-non-small-cell-lung-cancer.  This article incorporates text from this source, which is in the public domain.
  3. "U.S. Food and Drug Administration Approves Augtyro (repotrectinib), a Next-Generation Tyrosine Kinase Inhibitor (TKI), for the Treatment of Locally Advanced or Metastatic ROS1-Positive Non-Small Cell Lung Cancer (NSCLC)" (Press release). Bristol Myers Squibb. 16 November 2023. Archived from the original on 16 November 2023. Retrieved 17 November 2023 – via Business Wire.

Further reading

  • "Repotrectinib (TPX-0005) Is a Next-Generation ROS1/TRK/ALK Inhibitor That Potently Inhibits ROS1/TRK/ALK Solvent- Front Mutations". Cancer Discovery 8 (10): 1227–1236. October 2018. doi:10.1158/2159-8290.CD-18-0484. PMID 30093503. 

External links