Clinical Trials

Brigatinib has been evaluated in numerous clinical trials ranging from Phase 1 to Phase 3 in adult and pediatric populations, as well as safety and bioavailability studies in healthy volunteers. These trials target non-small cell lung cancer, ALK-positive anaplastic large cell lymphoma, ROS1-rearranged lung malignancies, inflammatory myofibroblastic tumors, and central nervous system metastases. Sponsored by commercial pharmaceutical companies like Takeda and Ariad alongside academic institutions such as the National Cancer Institute, the body of research encompasses completed, active recruiting, non-recruiting, and withdrawn or terminated studies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04925609 RECRUITING
Anaplastic Large Cell Lymphoma, ALK-Positive; Inflammatory Myofibroblastic Tumor; Other Solid Tumor
Princess Maxima Center for Pediatric Oncology
2022-08-18 PHASE1; PHASE2
NCT06620835 RECRUITING
NSCLC
Groupe Francais De Pneumo-Cancerologie
2025-06-19 PHASE2
NCT04374305 RECRUITING
Neurofibromatosis Type 2; Vestibular Schwannoma; Non-vestibular Schwannoma; Meningioma; Ependymoma
Scott R. Plotkin, MD, PhD
2020-06-20 PHASE2
NCT06813079 RECRUITING
Pancreatic Ductal Carcinoma; Advanced Cancer; Epithelial Tumor
University Health Network, Toronto
2025-04-07 PHASE2
NCT04227028 ACTIVE_NOT_RECRUITING
Locally Advanced Lung Non-Small Cell Carcinoma; Metastatic Lung Non-Small Cell Carcinoma; Recurrent Lung Non-Small Cell Carcinoma; Stage III Lung Cancer AJCC v8; Stage IIIA Lung Cancer AJCC v8; Stage IIIB Lung Cancer AJCC v8; Stage IIIC Lung Cancer AJCC v8; Stage IV Lung Cancer AJCC v8; Stage IVA Lung Cancer AJCC v8; Stage IVB Lung Cancer AJCC v8
City of Hope Medical Center
2020-03-09 PHASE1
NCT04223596 ACTIVE_NOT_RECRUITING
Lung Cancer; NSCLC; NSCLC Stage IIIB; NSCLC Stage IV
Fundación GECP
2020-05-04 PHASE2
NCT04318938 COMPLETED
NSCLC
Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest
2020-03-30 PHASE2
NCT03707938 ACTIVE_NOT_RECRUITING
Advanced Lung Carcinoma; ALK Gene Rearrangement; Lung Non-Small Cell Carcinoma; Recurrent Lung Non-Small Cell Carcinoma; Stage IV Lung Cancer AJCC v8; Stage IVA Lung Cancer AJCC v8; Stage IVB Lung Cancer AJCC v8
M.D. Anderson Cancer Center
2018-12-18 PHASE1
NCT05200481 ACTIVE_NOT_RECRUITING
Non Small Cell Lung Cancer; ALK Gene Mutation
Intergroupe Francophone de Cancerologie Thoracique
2022-05-18 PHASE2
NCT06522360 WITHDRAWN
Non-small Cell Lung Cancer
M.D. Anderson Cancer Center
2024-12-11 PHASE2
NCT04074993 UNKNOWN
Non Small Cell Lung Cancer
JI-YOUN HAN
2020-05-15 PHASE2
NCT04591431 UNKNOWN
Breast Cancer; Gastrointestinal Cancer; Non Small Cell Lung Cancer; Other Cancer
Fondazione per la Medicina Personalizzata
2020-10-07 PHASE2
NCT05718297 WITHDRAWN
NSCLC, Stage III; ALK-rearrangement
ETOP IBCSG Partners Foundation
2024-06-07 PHASE2
NCT05361564 UNKNOWN
Non-small Cell Lung Cancer
Yonsei University
2022-06 PHASE2
NCT03596866 COMPLETED
ALK+ Advanced NSCLC
Takeda
2019-04-19 PHASE3
NCT06132867 COMPLETED
Healthy Volunteers
Takeda
2023-12-20 PHASE1
NCT06132867 Completed
Healthy Volunteers
Takeda
2024-01-17 Phase 1
NCT04260009 WITHDRAWN
Anaplastic Lymphoma Kinase Positive (ALK +) Anaplastic Large Cell Lymphoma; Inflammatory Myofibroblastic Tumors; Solid Tumors
Takeda
2020-09-01 PHASE1; PHASE2
NCT04005144 TERMINATED
ALK Gene Rearrangement; Lung Non-Small Cell Carcinoma; Progressive Disease; ROS1 Gene Rearrangement; Stage IIIB Lung Cancer; Stage IIIC Lung Cancer; Stage IV Lung Cancer; Stage IVA Lung Cancer; Stage IVB Lung Cancer
University of California, San Francisco
2020-02-25 PHASE1
NCT04925609 Recruiting
Anaplastic Large Cell Lymphoma ALK-Positive|Inflammatory Myofibroblastic Tumor|Other Solid Tumor
Princess Maxima Center for Pediatric Oncology|Takeda
2022-08-18 Phase 1|Phase 2
NCT04634110 TERMINATED
Brain Metastases; Lung Cancer
University of Colorado, Denver
2020-11-17 PHASE2
NCT03737994 TERMINATED
Lung Non-Squamous Non-Small Cell Carcinoma; Stage IV Lung Cancer AJCC v8; Stage IVA Lung Cancer AJCC v8; Stage IVB Lung Cancer AJCC v8
National Cancer Institute (NCI)
2019-07-25 PHASE2
NCT04718012 Completed
Lung Cancer ROS Translocated
Centre Hospitalier Intercommunal Creteil
2021-03-17 --
NCT03868423 WITHDRAWN
Advanced Malignant Neoplasm; ALK Fusion Protein Expression; ALK Gene Amplification; ALK Gene Mutation; Locally Advanced Malignant Solid Neoplasm; Metastatic Malignant Neoplasm in the Brain; Metastatic Malignant Neoplasm in the Central Nervous System; Metastatic Malignant Solid Neoplasm; ROS1 Fusion Positive; ROS1 Gene Amplification; ROS1 Gene Mutation
Sameek Roychowdhury
2019-03-20 PHASE2
NCT04634110 Terminated
Brain Metastases|Lung Cancer
University of Colorado Denver|National Cancer Institute (NCI)
2020-11-17 Phase 2
NCT02706626 TERMINATED
Non-Small Cell Lung Cancer
Criterium, Inc.
2017-03-09 PHASE2
NCT03535740 COMPLETED
ALK-positive Advanced NSCLC
Ariad Pharmaceuticals
2019-01-31 PHASE2
NCT03410108 COMPLETED
ALK-positive Advanced NSCLC
Takeda
2018-01-29 PHASE2
NCT04260009 Withdrawn
Anaplastic Lymphoma Kinase Positive (ALK +) Anaplastic Large Cell Lymphoma|Inflammatory Myofibroblastic Tumors|Solid Tumors
Takeda
2020-09-01 Phase 1|Phase 2
NCT04111705 Active not recruiting
Non Small Cell Lung Cancer Metastatic
Intergroupe Francophone de Cancerologie Thoracique
2020-08-05 Phase 2
NCT02737501 COMPLETED
Non-small Cell Lung Cancer; Lung Cancer; Advanced Malignancies; Carcinoma
Ariad Pharmaceuticals
2016-05-26 PHASE3
NCT03420742 COMPLETED
Carcinoma, Advanced ALK+ or ROS1+Non-Small-Cell Lung, Neoplasm, Advanced ALK+ or ROS1+Solid Tumors
Takeda
2019-06-26 PHASE1
NCT03719898 WITHDRAWN
Anaplastic Large Cell Lymphoma, ALK-Positive
Fox Chase Cancer Center
2018-12-06 PHASE2
NCT02094573 COMPLETED
Carcinoma, Non-Small-Cell Lung
Ariad Pharmaceuticals
2014-06-04 PHASE2
NCT01449461 COMPLETED
Lymphoma, Large-Cell, Anaplastic; Carcinoma, Non-Small-Cell Lung
Ariad Pharmaceuticals
2011-09-20 PHASE1; PHASE2

(data from https://clinicaltrials.gov, updated on 2025-12-05)

Check the Brigatinib product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Brigatinib selectively binds to and inhibits anaplastic lymphoma kinase (ALK) with an IC50 of 0.6 nM and ROS1 with an IC50 of 0.9 nM, thereby suppressing oncogenic receptor autophosphorylation and downstream signal transduction pathways that drive cellular proliferation and survival. By disrupting these oncogenic signaling cascades and inducing tumor cell apoptosis, Brigatinib demonstrates significant therapeutic efficacy against ALK- and ROS1-rearranged malignancies, including non-small cell lung cancer, anaplastic large cell lymphoma, and brain metastases in clinical trials.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.