STARTRK-2-PANC
Regimen
- Experimental
- Entrectinib 600 mg PO QD continuous
- Control
- single-arm / no comparator
Population
NTRK fusion-positive locally advanced/metastatic solid tumors pooled across STARTRK-2 (NCT02568267), STARTRK-1 (NCT02097810), ALKA-372-001; overall N=54 efficacy-evaluable; pancreatic subset n=3 (ultra-rare). Doebele Lancet Oncol 2020.
Key finding
Supported FDA tissue-agnostic approval of entrectinib for NTRK fusion-positive advanced solid tumors (Aug 2019). Small PDAC subset (n=3) with 2 responders mirrors the general TRK-inhibitor class activity in fusion-positive tumors. CNS penetration is a differentiator vs larotrectinib for PDAC pts with brain mets (rare in PDAC but occasional).
Source: PMID 31838007
Timeline
Guideline citations
- NCCN PANCREATIC (p.98)