TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

ROZLYTREK

ENTRECTINIB
Oncology Approved 2019-08-15

Rozlytrek (entrectinib) is a kinase inhibitor indicated for the treatment of adult patients with ROS1-positive metastatic non-small cell lung cancer. It is also approved for adult and pediatric patients older than one month with solid tumors harboring a neurotrophic tyrosine receptor kinase (NTRK) gene fusion without a known resistance mutation. This therapy is reserved for patients with metastatic disease or those for whom surgical resection would cause severe morbidity, specifically when the cancer has progressed following treatment or no satisfactory alternative therapies exist.

Source: FDA Label • Roche

How ROZLYTREK Works

Entrectinib and its major active metabolite, M5, inhibit the tropomyosin receptor tyrosine kinases TRKA, TRKB, and TRKC, as well as ROS1 and ALK. In certain cancers, these kinases form fusion proteins that hyperactivate downstream signaling pathways, resulting in unconstrained cell proliferation. By blocking these specific kinase domains, the drug inhibits the growth of tumor cells harboring NTRK, ROS1, or ALK gene fusions. Furthermore, the drug demonstrates the ability to cross the blood-brain barrier, showing anti-tumor activity in the central nervous system.

Source: FDA Label
2
Indications
--
Phase 3 Trials
2
Priority Reviews
6
Years on Market

Details

Status
Prescription
First Approved
2019-08-15
Routes
ORAL
Dosage Forms
CAPSULE, PELLETS

Companies

Active Ingredient: ENTRECTINIB

ROZLYTREK Approval History

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What ROZLYTREK Treats

2 indications

ROZLYTREK is approved for 2 conditions since its original approval in 2019. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • ROS1-positive metastatic non-small cell lung cancer (NSCLC) in adults
  • NTRK gene fusion-positive solid tumors in adult and pediatric patients older than 1 month
Source: FDA Label

ROZLYTREK Target & Pathway

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Target

JAK2 (Janus Kinase 2) Intracellular Kinase

A JAK family member critical for blood cell production and involved in myeloproliferative disorders. JAK2 mutations drive polycythemia vera and myelofibrosis. Inhibiting JAK2 reduces abnormal blood cell production and spleen enlargement.

ROZLYTREK Competitors

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10 other drugs also target JAK2. Compare mechanisms, indications, and trial activity.

View all 10 JAK2 drugs →
Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (JAK2). Earlier expiry dates signal biosimilar/generic opportunities.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ROZLYTREK FDA Label Details

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Indications & Usage

FDA Label (PDF)

ROZLYTREK is a kinase inhibitor indicated for the treatment of: Adult patients with ROS1- positive metastatic non-small cell lung cancer (NSCLC) as detected by an FDA-approved test. Adult and pediatric patients older than 1 month of age with solid tumors that: have a neurotrophic tyrosine receptor kinase ( NTRK) gene fusion, as detected by an FDA-approved test without a known acquired resistance mutation, are metastatic or where surgical resection is likely to result in severe morbidity, and have progressed following treatment or have no satisfactory alternative therapy. This indication is app...

ROZLYTREK Patents & Exclusivity

Latest Patent: Jul 2038
Exclusivity: Oct 2030

Patents (76 active)

US11253515 Expires Jul 18, 2038
US10398693 Expires Jul 18, 2038
US10738037 Expires May 18, 2037
US11091469 Expires May 18, 2037
US10561651 Expires Feb 19, 2035
US10231965 Expires Feb 17, 2035
US9649306 Expires May 22, 2033
US9085565 Expires May 22, 2033
US8299057 Expires Mar 10, 2032
US9616059 Expires Jul 8, 2028
+ 66 more patents

Exclusivity

NPP Until Oct 2026
ODE-265 Until Aug 2026
ODE-313 Until Aug 2026
ODE-448 Until Oct 2030
NPP Until Oct 2026
Source: FDA Orange Book

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.