Actively Recruiting

Age: 18Years +
All Genders
ID07374614

An Observational Study of the Efficacy and Safety of Iruplinalkib in ALK-Positive Advanced Lung Adenocarcinoma Following Lorlatinib Treatment

Led by Peking University Shenzhen Hospital · Updated on 2026-01-29

20

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

P

Peking University Shenzhen Hospital

Lead Sponsor

S

Shenzhen People's Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the real-world effectiveness and safety of iruplinalkib in patients with advanced ALK-positive lung adenocarcinoma who have previously been treated with lorlatinib but experienced disease progression or intolerance. This observational study addresses the unmet need for treatment options after lorlatinib, as resistance and disease progression remain common. Iruplinalkib, a novel ALK inhibitor, shows promise against various ALK resistance mutations and is being studied for its potential role in this patient population. Eligible patients who have started iruplinalkib treatment as part of routine clinical care will be included. Iruplinalkib is administered as 180 mg tablets taken once daily. The study will collect real-world data on its use without altering patients' usual treatment plans. This investigation does not involve randomization or placebo control but observes patients receiving the drug in clinical practice. Participants will be followed for an average of 36 months from the index date to monitor real-world progression-free survival. Additional assessments include time to next treatment, overall survival, and treatment-related adverse reactions. Data collected will include baseline characteristics, treatment history, and follow-up outcomes from medical records to evaluate the clinical benefit and safety of iruplinalkib in this heavily pretreated group.

CONDITIONS

Brief Title

Iruplinalkib in ALK-Positive Advanced Lung Adenocarcinoma After Lorlatinib

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female patients aged 18 years or older
  • Histologically or cytologically confirmed advanced lung adenocarcinoma
  • ALK rearrangement confirmed by a validated test such as NGS, IHC, or FISH
  • Prior treatment with lorlatinib with documented disease progression or intolerance
  • Started treatment with iruplinalkib in real-world clinical practice
  • At least one evaluable lesion for response assessment
  • Availability of key clinical data including baseline characteristics and treatment history
Not Eligible

You will not qualify if you...

  • Patients who never received iruplinalkib or took it for less than one week before stopping for non-medical reasons
  • Active malignancies other than lung adenocarcinoma (except treated basal cell carcinoma and similar)
  • Concurrent participation in another interventional trial involving investigational anti-tumor drugs
  • Pregnant or breastfeeding women
  • Missing critical medical records that prevent assessment of primary outcomes

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Up to 36 months or until discontinuation or start of a new therapy

Participants receive iruplinalkib tablets as part of routine clinical practice while being observed for effectiveness and safety.

Trial Site Locations

Total: 1 location

1

Peking University Shenzhen Hospital

Shenzhen, Guangdong, China, 518000

Actively Recruiting

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Research Team

F

FEN WANG

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

Safety and activity of WX-0593 (Iruplinalkib) in patients with ALK- or ROS1-rearranged advanced non-small cell lung cancer: a phase 1 dose-escalation and dose-expansion trial.

Yuankai Shi, Jian Fang, Xuezhi Hao...

https://pubmed.ncbi.nlm.nih.gov/35087031

Brigatinib Versus Crizotinib in Advanced ALK Inhibitor-Naive ALK-Positive Non-Small Cell Lung Cancer: Second Interim Analysis of the Phase III ALTA-1L Trial.

D Ross Camidge, Hye Ryun Kim, Myung-Ju Ahn...

https://pubmed.ncbi.nlm.nih.gov/32780660

Updated overall survival and final progression-free survival data for patients with treatment-naive advanced ALK-positive non-small-cell lung cancer in the ALEX study.

T Mok, D R Camidge, S M Gadgeel...

https://pubmed.ncbi.nlm.nih.gov/32418886

The Potent ALK Inhibitor Brigatinib (AP26113) Overcomes Mechanisms of Resistance to First- and Second-Generation ALK Inhibitors in Preclinical Models.

Sen Zhang, Rana Anjum, Rachel Squillace...

https://pubmed.ncbi.nlm.nih.gov/27780853

Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.

Freddie Bray, Mathieu Laversanne, Hyuna Sung...

https://pubmed.ncbi.nlm.nih.gov/38572751