Clinical Trials

Multiple clinical trials, sponsored predominantly by Novartis Pharmaceuticals and Erasca, Inc., are evaluating naporafenib (LXH254) across Phase 1 through Phase 3 studies. These investigations focus on advanced solid tumors, non-small cell lung cancer, ovarian cancer, BRAF V600 colorectal cancer, and metastatic NRAS-mutant cutaneous melanoma, ranging from early-phase dose-finding combinations to late-stage Phase 3 trials. Across these evaluations, recruitment statuses include active, not recruiting, and terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06346067 ACTIVE_NOT_RECRUITING
Advanced or Metastatic NRAS-mutant Melanoma
Erasca, Inc.
2024-04-29 PHASE3
NCT04417621 ACTIVE_NOT_RECRUITING
Melanoma
Novartis Pharmaceuticals
2020-10-30 PHASE2
NCT03333343 ACTIVE_NOT_RECRUITING
EGFR-mutant Non-small Cell Lung Cancer
Novartis Pharmaceuticals
2018-01-29 PHASE1
NCT05907304 ACTIVE_NOT_RECRUITING
Advanced or Metastatic Solid Tumors
Erasca, Inc.
2023-08-17 PHASE1
NCT04294160 TERMINATED
BRAF V600 Colorectal Cancer
Novartis Pharmaceuticals
2020-07-22 PHASE1
NCT02974725 TERMINATED
Non-Small Cell Lung Cancer; Melanoma
Novartis Pharmaceuticals
2017-02-24 PHASE1
NCT02607813 TERMINATED
NSCLC; Ovarian Cancer; Melanoma; Other Solid Tumors
Novartis Pharmaceuticals
2016-01-18 PHASE1
NCT04417621 Active not recruiting
Melanoma
Novartis Pharmaceuticals|Novartis
2020-10-30 Phase 2
NCT02974725 Active not recruiting
Non-Small Cell Lung Cancer|Melanoma
Novartis Pharmaceuticals|Novartis
2017-02-24 Phase 1
NCT02607813 Terminated
NSCLC|Ovarian Cancer|Melanoma|Other Solid Tumors
Novartis Pharmaceuticals|Novartis
2016-01-18 Phase 1

(data from https://clinicaltrials.gov, updated on 2026-02-27)

Check the Naporafenib (LXH254) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Naporafenib acts as a type II ATP-competitive inhibitor that potently binds B-RAF and C-RAF kinases at picomolar concentrations, blocking RAF dimerization and downstream MAPK signaling cascade activation within cancer cells. By suppressing intracellular MAPK pathway signaling and downstream cellular proliferation, this therapeutic action inhibits tumor growth in patients with MAPK-altered solid tumors, non-small cell lung cancer, and NRAS- or BRAF-mutant melanoma.

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.