Clinical Trials

Numerous clinical trials across early to late development phases evaluate ensartinib for ALK-positive non-small cell lung cancer, central nervous system metastases, and recurrent or refractory solid neoplasms. Conducted by industry sponsors such as Betta Pharmaceuticals alongside academic and governmental institutions like the National Cancer Institute and Shanghai Pulmonary Hospital, trial recruitment statuses range from not yet recruiting to completed. Overall, these studies assess ensartinib as both monotherapy and combination regimens across neoadjuvant, adjuvant, and advanced disease settings.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07235306 NOT_YET_RECRUITING
NSCLC Stage III; Ensartinib; Chemoradiotherapy; ALK
Shanghai Pulmonary Hospital, Shanghai, China
2025-12-01 PHASE2
NCT06955325 NOT_YET_RECRUITING
Non-Small Cell Lung Cancer
The First Affiliated Hospital of Guangzhou Medical University
2025-05 PHASE3
NCT06772610 NOT_YET_RECRUITING
NSCLC; ALK; Stage I; Adjuvant Treatment
Shanghai Pulmonary Hospital, Shanghai, China
2025-03-15 PHASE2
NCT07448116 RECRUITING
Solid Advanced Tumor
Betta Pharmaceuticals Co., Ltd.
2026-01-31 PHASE1; PHASE2
NCT06780839 NOT_YET_RECRUITING
NSCLC, Stage I, II, IIIA, IIIB
Peking University Cancer Hospital & Institute
2025-01-15 PHASE2
NCT07671560 NOT_YET_RECRUITING
ALK-positive, Locally Advanced or Metastatic (TNM Stage IIIB-IV) Non-small Cell Lung Cancer That Has Developed Resistance to Prior Treatment With Lorlatinib
Qiming Wang
2026-07-01 PHASE4
NCT06779539 NOT_YET_RECRUITING
Non-Small Cell Lung Cancer
West China Hospital
2025-01-15 PHASE2
NCT07354061 RECRUITING
NSCLC (Non-small Cell Lung Cancer)
Tang-Du Hospital
2026-03-25 PHASE1; PHASE2
NCT06563999 RECRUITING
Lung Cancer Stage III; Mutation
Sun Yat-sen University
2024-11-01 PHASE2
NCT04837716 ACTIVE_NOT_RECRUITING
Metastatic Lung Non-Small Cell Carcinoma; Recurrent Lung Non-Small Cell Carcinoma; Stage IIIC Lung Cancer AJCC v8; Stage IV Lung Cancer AJCC v8; Stage IVA Lung Cancer AJCC v8; Stage IVB Lung Cancer AJCC v8
M.D. Anderson Cancer Center
2021-03-18 PHASE1
NCT05241028 RECRUITING
Non-small Cell Lung Cancer
Hebei Medical University Fourth Hospital
2022-05-01 PHASE2
NCT03420508 ACTIVE_NOT_RECRUITING
Melanoma
Memorial Sloan Kettering Cancer Center
2018-01-10 PHASE2
NCT06762327 NOT_YET_RECRUITING
Solid Tumors
Nanjing First Hospital, Nanjing Medical University
2025-02-28 PHASE2
NCT02767804 ACTIVE_NOT_RECRUITING
Non-small Cell Lung Cancer
Xcovery Holdings, Inc.
2016-06 PHASE3
NCT06785584 NOT_YET_RECRUITING
ALK-positive Advanced NSCLC; ALK-positive Non-small Cell Lung Cancer (NSCLC); MPR; Neoadjuvant Therapy
Fujian Medical University Union Hospital
2025-02-01 PHASE4
NCT03213652 ACTIVE_NOT_RECRUITING
Advanced Malignant Solid Neoplasm; Malignant Solid Neoplasm; Recurrent Ependymoma; Recurrent Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor; Recurrent Hepatoblastoma; Recurrent Langerhans Cell Histiocytosis; Recurrent Malignant Germ Cell Tumor; Recurrent Malignant Glioma; Recurrent Malignant Solid Neoplasm; Recurrent Medulloblastoma; Recurrent Neuroblastoma; Recurrent Non-Hodgkin Lymphoma; Recurrent Osteosarcoma; Recurrent Primary Central Nervous System Neoplasm; Recurrent Rhabdoid Tumor; Recurrent Rhabdomyosarcoma; Recurrent Soft Tissue Sarcoma; Refractory Ependymoma; Refractory Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor; Refractory Hepatoblastoma; Refractory Langerhans Cell Histiocytosis; Refractory Malignant Germ Cell Tumor; Refractory Malignant Glioma; Refractory Malignant Solid Neoplasm; Refractory Medulloblastoma; Refractory Neuroblastoma; Refractory Non-Hodgkin Lymphoma; Refractory Osteosarcoma; Refractory Primary Central Nervous System Neoplasm; Refractory Rhabdoid Tumor; Refractory Rhabdomyosarcoma; Refractory Soft Tissue Sarcoma; Wilms Tumor
National Cancer Institute (NCI)
2018-04-17 PHASE2
NCT03753685 ACTIVE_NOT_RECRUITING
Nonsmall Cell Lung Cancer; Brain Metastases
Fudan University
2019-04-12 PHASE2
NCT05341583 UNKNOWN
Non-small Cell Lung Cancer
Betta Pharmaceuticals Co., Ltd.
2022-05-24 PHASE3
NCT03155620 ACTIVE_NOT_RECRUITING
Advanced Malignant Solid Neoplasm; Ann Arbor Stage III Non-Hodgkin Lymphoma; Ann Arbor Stage IV Non-Hodgkin Lymphoma; Histiocytic Sarcoma; Juvenile Xanthogranuloma; Langerhans Cell Histiocytosis; Malignant Glioma; Recurrent Childhood Rhabdomyosarcoma; Recurrent Ependymoma; Recurrent Ewing Sarcoma; Recurrent Glioma; Recurrent Hepatoblastoma; Recurrent Langerhans Cell Histiocytosis; Recurrent Malignant Germ Cell Tumor; Recurrent Malignant Solid Neoplasm; Recurrent Medulloblastoma; Recurrent Neuroblastoma; Recurrent Non-Hodgkin Lymphoma; Recurrent Osteosarcoma; Recurrent Peripheral Primitive Neuroectodermal Tumor; Recurrent Primary Central Nervous System Neoplasm; Recurrent Rhabdoid Tumor; Recurrent Soft Tissue Sarcoma; Refractory Ewing Sarcoma; Refractory Glioma; Refractory Hepatoblastoma; Refractory Langerhans Cell Histiocytosis; Refractory Malignant Germ Cell Tumor; Refractory Malignant Solid Neoplasm; Refractory Medulloblastoma; Refractory Neuroblastoma; Refractory Non-Hodgkin Lymphoma; Refractory Osteosarcoma; Refractory Peripheral Primitive Neuroectodermal Tumor; Refractory Primary Central Nervous System Neoplasm; Refractory Rhabdoid Tumor; Refractory Rhabdomyosarcoma; Rhabdoid Tumor; Stage III Osteosarcoma AJCC v7; Stage III Soft Tissue Sarcoma AJCC v7; Stage IV Osteosarcoma AJCC v7; Stage IV Soft Tissue Sarcoma AJCC v7; Stage IVA Osteosarcoma AJCC v7; Stage IVB Osteosarcoma AJCC v7; Wilms Tumor
National Cancer Institute (NCI)
2017-07-31 PHASE2
NCT06492525 UNKNOWN
Healthy
Betta Pharmaceuticals Co., Ltd.
2024-07 PHASE1
NCT05491811 ACTIVE_NOT_RECRUITING
Non-Small Cell Lung Cancer
Sun Yat-sen University
2022-08-01 PHASE2
NCT05380024 UNKNOWN
Non Small Cell Lung Cancer
Peking University Cancer Hospital & Institute
2022-08-17 PHASE2
NCT05178511 UNKNOWN
The Diagnosis Was ALK Positive NSCLC; Second Generation ALK-TKI is Resistant; Efficacy of Ensatinib in This Subset of Patients
Li Zhang, MD
2021-12-01 PHASE2
NCT05665283 COMPLETED
Bioequivalency
Xcovery Holdings, Inc.
2022-11-29 PHASE1
NCT03574402 UNKNOWN
Carcinoma, Non-Small-Cell Lung
Guangdong Association of Clinical Trials
2018-07-09 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
NCT04415320 UNKNOWN
Lung Cancer, Nonsmall Cell; Brain Metastases
Betta Pharmaceuticals Co., Ltd.
2019-03-21 PHASE2
NCT01625234 COMPLETED
Advanced Solid Tumors; Non-small Cell Lung Cancer
Xcovery Holdings, Inc.
2012-06 PHASE1; PHASE2
NCT03215693 UNKNOWN
Non-Small Cell Lung Cancer
Betta Pharmaceuticals Co., Ltd.
2017-09-28 PHASE2
NCT03608007 UNKNOWN
Lung Cancer; ROS1 Gene Rearrangement
Betta Pharmaceuticals Co., Ltd.
2018-06-15 PHASE2
NCT02959619 COMPLETED
Solid Tumor; Non-Small Cell Lung Cancer Metastatic
Betta Pharmaceuticals Co., Ltd.
2017-03-06 PHASE1
NCT03804541 UNKNOWN
ALK-POSITIVE NSCLC
Betta Pharmaceuticals Co., Ltd.
2018-12-28 PHASE1
NCT03536481 COMPLETED
Lung Cancer
Betta Pharmaceuticals Co., Ltd.
2018-06-11 PHASE1
NCT03510611 COMPLETED
Non-Small Cell Lung Cancer
Betta Pharmaceuticals Co., Ltd.
2018-03-12 PHASE1
NCT02898116 COMPLETED
Non-small Cell Lung Cancer; Carcinoma; NSCLC
Ludwig Institute for Cancer Research
2017-05-10 PHASE1; PHASE2

(data from https://clinicaltrials.gov, updated on 2025-11-19)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Ensartinib dihydrochloride potently binds to and inhibits anaplastic lymphoma kinase (ALK), including wild-type ALK and crizotinib-resistant mutant variants such as G1202R and L1196M, thereby blocking downstream oncogenic signal transduction and suppressing tumor cell proliferation. This kinase inhibition triggers apoptosis in ALK-dependent cancer cells, providing the biological foundation for its clinical efficacy in patients with ALK-positive non-small cell lung cancer and brain metastases.

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.