Clinical Trials

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)

Check the Lorlatinib (PF-6463922) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Lorlatinib selectively binds to the ATP-binding sites of wild-type and mutant ALK and ROS1 receptor tyrosine kinases, preventing their autophosphorylation and suppressing downstream oncogenic signaling cascades. This inhibition induces cell cycle arrest and apoptosis in transformed cells, which directly mediates tumor regression in patients with ALK-positive or ROS1-rearranged non-small cell lung cancer.

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.