Numerous clinical trials spanning Phase 1 through Phase 4 evaluate lorlatinib across monotherapy and combination regimens for advanced or metastatic ALK- or ROS1-rearranged non-small cell lung cancer, relapsed neuroblastoma, and central nervous system progression. Additional studies assess drug-drug interactions and pharmacokinetics in healthy volunteers and individuals with hepatic impairment. Sponsored by pharmaceutical companies, academic institutions, and oncology consortia, these studies encompass various recruitment statuses, including recruiting, active, and completed.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT03126916 | RECRUITING | Ganglioneuroblastoma; Ganglioneuroblastoma, Nodular; Neuroblastoma |
Children's Oncology Group |
2018-05-14 | PHASE3 |
| NCT07617337 | RECRUITING | ALK Positive Non-small Cell Lung Cancer |
Chugai Pharmaceutical |
2026-07-24 | PHASE1 |
| NCT07782359 | NOT_YET_RECRUITING | Lung Cancer |
University of Chicago |
2026-10 | PHASE1 |
| NCT06858410 | NOT_YET_RECRUITING | Neoadjuvant Non-Small Cell Lung Cancer |
Guangdong Association of Clinical Trials |
2025-03 | PHASE3 |
| NCT07750704 | NOT_YET_RECRUITING | ALK Positive Non-small Cell Lung Cancer |
Guangdong Association of Clinical Trials |
2026-09 | PHASE2 |
| NCT06333899 | RECRUITING | High Grade Glioma; Diffuse Intrinsic Pontine Glioma; Anaplastic Astrocytoma; Infant Type Hemispheric Glioma; Glioblastoma; Glioblastoma Multiforme; WHO Grade III Glioma; WHO Grade IV Glioma; Diffuse Midline Glioma, H3K27-altered |
Nationwide Children's Hospital |
2025-08-03 | EARLY_PHASE1 |
| 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 |
| NCT06487078 | RECRUITING | ALK+ Non-Small-Cell Lung Carcinoma |
Pfizer |
2025-01-20 | |
| NCT06007937 | ACTIVE_NOT_RECRUITING | Non Small Cell Lung Cancer; Metastatic; Recurrent |
Memorial Sloan Kettering Cancer Center |
2023-08-17 | PHASE1; PHASE2 |
| NCT07415005 | RECRUITING | Advanced Non-Small Cell Lung Cancer |
M.D. Anderson Cancer Center |
2026-04-24 | PHASE2 |
| NCT07674368 | NOT_YET_RECRUITING | ALK Fusion-positive Non-small Cell Lung Cancer |
Hunan Cancer Hospital |
2026-07-10 | PHASE4 |
| NCT06378892 | RECRUITING | Non Small Cell Lung Cancer Metastatic; ALK Gene Mutation |
Centro di Riferimento Oncologico - Aviano |
2024-03-15 | PHASE2 |
| NCT02925234 | RECRUITING | Cancer; Tumors; Neoplasm; Neoplasia |
The Netherlands Cancer Institute |
2016-08 | PHASE2 |
| NCT07784959 | RECRUITING | ALK Positive; ALK Positive Non-small Cell Lung Cancer; NSCLC; ALK+ Non-Small-Cell Lung Carcinoma |
Nuvectis Pharma, Inc. |
2026-08-17 | PHASE1 |
| NCT06893354 | NOT_YET_RECRUITING | NSCLC |
The First Affiliated Hospital of Guangzhou Medical University |
2025-05-10 | PHASE4 |
| NCT07083687 | NOT_YET_RECRUITING | Lung Cancer (NSCLC) |
Hunan Cancer Hospital |
2025-08-15 | PHASE2 |
| NCT05144997 | ACTIVE_NOT_RECRUITING | Non-Small-Cell Lung Cancer; NSCLC |
Pfizer |
2021-12-28 | PHASE4 |
| NCT06282874 | ACTIVE_NOT_RECRUITING | Carcinoma, Non-Small-Cell Lung; Brain Metastases; Leptomeningeal Metastasis |
Guangdong Association of Clinical Trials |
2024-08-01 | PHASE4 |
| NCT06682884 | NOT_YET_RECRUITING | Neoadjuvant Non-Small Cell Lung Cancer |
Peking University People's Hospital |
2024-11-15 | PHASE2 |
| NCT03505554 | COMPLETED | Anaplastic Large Cell Lymphoma, ALK-Positive |
University of Milano Bicocca |
2019-09-28 | PHASE2 |
| NCT05740943 | ACTIVE_NOT_RECRUITING | Stage III NSCLC; Surgery |
Guangdong Provincial People's Hospital |
2023-03-15 | PHASE2 |
| NCT06092086 | RECRUITING | ALK Positive Non-small Cell Lung Cancer |
Guangdong Association of Clinical Trials |
2023-08-18 | PHASE2 |
| NCT05948462 | WITHDRAWN | Lung Cancer; Non-small Cell Lung Cancer |
SCRI Development Innovations, LLC |
2023-11 | PHASE2 |
| NCT04621188 | ACTIVE_NOT_RECRUITING | Non Small Cell Lung Cancer Metastatic |
Intergroupe Francophone de Cancerologie Thoracique |
2021-03-19 | PHASE2 |
| NCT03107988 | COMPLETED | Neuroblastoma |
New Approaches to Neuroblastoma Therapy Consortium |
2017-09-05 | PHASE1 |
| NCT05224609 | COMPLETED | Moderate Hepatic Impairment; Severe Hepatic Impairment; Healthy Volunteers |
Pfizer |
2022-04-28 | PHASE1 |
| NCT04127110 | ACTIVE_NOT_RECRUITING | Non Small Cell Lung Cancer |
European Organisation for Research and Treatment of Cancer - EORTC |
2020-11-17 | PHASE2 |
| NCT04800822 | TERMINATED | Solid Tumor |
Pfizer |
2021-03-17 | PHASE1 |
| NCT05097599 | TERMINATED | Cancer; Advanced Solid Tumor |
Strata Oncology |
2022-04-29 | PHASE2 |
| NCT04362072 | COMPLETED | Carcinoma; Non-Small-Cell Lung |
Pfizer |
2020-09-29 | PHASE4 |
| NCT06378892 | Recruiting | Non Small Cell Lung Cancer Metastatic|ALK Gene Mutation |
Centro di Riferimento Oncologico - Aviano |
2024-03-15 | Phase 2 |
| NCT05297890 | ACTIVE_NOT_RECRUITING | Advanced or Metastatic ROS1-Positive Non-Small Cell Lung Cancer |
CStone Pharmaceuticals |
2022-05-27 | PHASE2 |
| NCT06092086 | Recruiting | ALK Positive Non-small Cell Lung Cancer |
Guangdong Association of Clinical Trials |
2023-08-18 | Phase 2 |
| NCT03612154 | UNKNOWN | Nonsmall Cell Lung Cancer |
National Cancer Center, Korea |
2019-05-02 | PHASE2 |
| NCT04292119 | UNKNOWN | Lung Cancer; Anaplastic Lymphoma Kinase Gene Translocation; ROS1 Rearrangement; Relapsed Cancer; MET Amplification; Resistant Cancer; NSCLC |
Massachusetts General Hospital |
2020-05-01 | PHASE1; PHASE2 |
| NCT04111705 | COMPLETED | Non Small Cell Lung Cancer Metastatic |
Intergroupe Francophone de Cancerologie Thoracique |
2020-08-05 | PHASE2 |
| NCT04541706 | COMPLETED | Advanced Non-Small Cell Lung Cancer |
Pfizer |
2020-08-27 | PHASE4 |
| NCT03439215 | UNKNOWN | Carcinoma, Non-Small-Cell Lung |
Fondazione Ricerca Traslazionale |
2017-06-13 | PHASE2 |
| NCT05297890 | Active not recruiting | Advanced or Metastatic ROS1-Positive Non-Small Cell Lung Cancer |
CStone Pharmaceuticals|Pfizer |
2022-05-27 | Phase 2 |
| NCT04541407 | COMPLETED | Non Small Cell Lung Cancer; CNS Progression |
University of Colorado, Denver |
2020-10-29 | PHASE1 |
| NCT05224609 | Recruiting | Moderate Hepatic Impairment|Severe Hepatic Impairment|Healthy Volunteers |
Pfizer |
2022-04-28 | Phase 1 |
| NCT02927340 | UNKNOWN | Non-Small Cell Lung Cancer (NSCLC) |
Massachusetts General Hospital |
2016-10 | 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 |
| NCT03726333 | TERMINATED | Advanced Cancers |
Pfizer |
2020-01-14 | PHASE1 |
| NCT03878524 | TERMINATED | Accelerated Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Anatomic Stage IV Breast Cancer AJCC v8; Anemia; Ann Arbor Stage III Hodgkin Lymphoma; Ann Arbor Stage III Non-Hodgkin Lymphoma; Ann Arbor Stage IV Hodgkin Lymphoma; Ann Arbor Stage IV Non-Hodgkin Lymphoma; Atypical Chronic Myeloid Leukemia, BCR-ABL1 Negative; Blast Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Castration-Resistant Prostate Carcinoma; Chronic Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Hematopoietic and Lymphoid System Neoplasm; Locally Advanced Pancreatic Adenocarcinoma; Metastatic Breast Carcinoma; Metastatic Malignant Solid Neoplasm; Metastatic Pancreatic Adenocarcinoma; Myelodysplastic/Myeloproliferative Neoplasm With Ring Sideroblasts and Thrombocytosis; Myelodysplastic/Myeloproliferative Neoplasm, Unclassifiable; Primary Myelofibrosis; Recurrent Acute Lymphoblastic Leukemia; Recurrent Acute Myeloid Leukemia; Recurrent Chronic Lymphocytic Leukemia; Recurrent Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Recurrent Hematologic Malignancy; Recurrent Hodgkin Lymphoma; Recurrent Myelodysplastic Syndrome; Recurrent Myelodysplastic/Myeloproliferative Neoplasm; Recurrent Myeloproliferative Neoplasm; Recurrent Non-Hodgkin Lymphoma; Recurrent Plasma Cell Myeloma; Recurrent Small Lymphocytic Lymphoma; Refractory Acute Lymphoblastic Leukemia; Refractory Acute Myeloid Leukemia; Refractory Chronic Lymphocytic Leukemia; Refractory Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Refractory Chronic Myelomonocytic Leukemia; Refractory Hematologic Malignancy; Refractory Hodgkin Lymphoma; Refractory Malignant Solid Neoplasm; Refractory Myelodysplastic Syndrome; Refractory Myelodysplastic/Myeloproliferative Neoplasm; Refractory Non-Hodgkin Lymphoma; Refractory Plasma Cell Myeloma; Refractory Primary Myelofibrosis; Refractory Small Lymphocytic Lymphoma; Stage II Pancreatic Cancer AJCC v8; Stage III Pancreatic Cancer AJCC v8; Stage IV Pancreatic Cancer AJCC v8; Stage IV Prostate Cancer AJCC v8; Unresectable Pancreatic Adenocarcinoma |
OHSU Knight Cancer Institute |
2020-04-01 | PHASE1 |
| NCT03909971 | COMPLETED | Carcinoma, Non-Small-Cell Lung |
Pfizer |
2019-04-28 | PHASE2 |
| NCT03052608 | ACTIVE_NOT_RECRUITING | Carcinoma, Non-Small-Cell Lung |
Pfizer |
2017-04-27 | PHASE3 |
| NCT03542305 | COMPLETED | Renal Impairment |
Pfizer |
2018-08-23 | PHASE1 |
| NCT03961997 | COMPLETED | Adult; Drug Interactions; Healthy Volunteers; Humans |
Pfizer |
2019-08-22 | PHASE1 |
| NCT03184168 | COMPLETED | Healthy Volunteers |
Pfizer |
2017-07-05 | PHASE1 |
(data from https://clinicaltrials.gov, updated on 2026-08-25)
Mechanism and Biochemical Profile
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>).
- Lorlatinib (PF-6463922) Solubility in DMSO
- Lorlatinib (PF-6463922) Stock Solution
- Lorlatinib (PF-6463922) Storage
- Lorlatinib (PF-6463922) Stability
- Lorlatinib (PF-6463922) Molecular Weight
- Lorlatinib (PF-6463922) SMILES
- Lorlatinib (PF-6463922) CAS Number
- Lorlatinib (PF-6463922) Chemical Structure (2D and 3D)
- Lorlatinib (PF-6463922) SDS|MSDS