Difference between revisions of "Crizotinib (Xalkori)"

Revision as of 19:50, 8 June 2022

General information

Class/mechanism: Tyrosine kinase inhibitor; inhibits anaplastic lymphoma kinase (ALK), c-MET and subsequent expression of Hepatocyte Growth Factor Receptor (HGFR), and Recepteur d’Origine Nantais (RON). Inhibits activity of fusion proteins involving ALK, such as EML4-ALK and NPM-ALK.^[1]^[2]
Route: PO
Extravasation: n/a

For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the prescribing information.^[1]

Diseases for which it is used

Patient drug information

History of changes in FDA indication

Anaplastic large cell lymphoma

1/14/2021: Approved for pediatric patients 1 year of age and older and young adults with relapsed or refractory, systemic anaplastic large cell lymphoma (ALCL) that is ALK-positive. (New disease entity; based on ADVL0912)

Non-small cell lung cancer

8/26/2011: Initial accelerated approval for the treatment of patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) that is anaplastic lymphoma kinase (ALK)-positive. (Based on PROFILE 1001)
11/20/2013: Approved for the treatment of patients with metastatic non-small cell lung cancer (NSCLC) whose tumors are anaplastic lymphoma kinase (ALK)-positive. (Indication removed from locally advanced setting; based on PROFILE 1005, PROFILE 1007, PROFILE 1014)
3/11/2016: Approved for the treatment of patients with metastatic non-small cell lung cancer (NSCLC) whose tumors are ROS1-positive. (New mutation-specific indication; based on PROFILE 1001)

History of changes in EMA indication

10/23/2012: Initial marketing authorization as Xalkori.

Also known as

Code names: PF02341066, PF-02341066
Brand name: Crizalk, Crizocap, Crizonix, Xalkori

References

[insert-1] 1.0 ^1.1 ^1.2 Crizotinib (Xalkori) package insert

[2] Crizotinib (Xalkori) package insert (locally hosted backup)

[3] Crizotinib (Xalkori) patient drug information (Chemocare)

[4] Crizotinib (Xalkori) patient drug information (UpToDate)

[1]

[2]

[3]

[4]

@@ Line 23: / Line 23: @@
 ===[[Non-small cell lung cancer]]===
 *8/26/2011: [http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm269856.htm Initial accelerated approval] for the treatment of patients with locally advanced or metastatic [[Non-small_cell_lung_cancer | non-small cell lung cancer (NSCLC)]] that is [[Biomarkers#ALK|anaplastic lymphoma kinase (ALK)]]-[[Biomarkers#Rearrangement|positive]]. ''(Based on PROFILE 1001)''
-*11/20/2013: [http://www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm376058.htm Approved] for the treatment of patients with metastatic [[Non-small_cell_lung_cancer | non-small cell lung cancer (NSCLC)]] whose tumors are [[Biomarkers#ALK|anaplastic lymphoma kinase (ALK)]]-[[Biomarkers#Rearrangement|positive]]. ''(Indication removed from locally advanced setting; based on PROFILE 1007 and PROFILE 1014)''
+*11/20/2013: [http://www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm376058.htm Approved] for the treatment of patients with metastatic [[Non-small_cell_lung_cancer | non-small cell lung cancer (NSCLC)]] whose tumors are [[Biomarkers#ALK|anaplastic lymphoma kinase (ALK)]]-[[Biomarkers#Rearrangement|positive]]. ''(Indication removed from locally advanced setting; based on PROFILE 1005, PROFILE 1007, PROFILE 1014)''
 *3/11/2016: [http://www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm490391.htm Approved] for the treatment of patients with metastatic [[Non-small_cell_lung_cancer|non-small cell lung cancer (NSCLC)]] whose tumors are [[Biomarkers#ROS1|ROS1]]-[[Biomarkers#Rearrangement|positive]]. ''(New mutation-specific indication; based on PROFILE 1001)''