NCT04142437

Brief Summary

In this observational study researcher want to learn more about the effectiveness of drug VITRAKVI (generic name: larotrectinib) and how well the drug is tolerated during routine use in patients with TRK fusion cancer which is locally advanced or spread from the place where it started to other places in the body. TRK fusion cancer is a term used to describe a variety of common and rare cancers that are caused by a change to the NTRK (Neurotrophic Tyrosine Kinase) gene called a fusion. During this fusion, an NTRK gene joins together, or fuses, with a different gene. This joining results in the activation of certain proteins (TRK fusion proteins), which can cause cancer cells to multiply and form a tumor. VITRAKVI is an approved drug that blocks the action of the NTRK gene fusion. This study will enroll adult and paediatric patients suffering from a solid tumor with NTRK gene fusion for whom the decision to treat their disease with VITRAKVI has been made by their treating physicians. During the study, patients' medical information such as treatment information with VITRAKVI, other medication or treatments, changes in disease status and other health signs and symptoms will be collected within the normal medical care by the treating doctor. Participants will be observed over a period from 24 to 60 months.

Trial Health

88
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
150

participants targeted

Target at P50-P75 for all trials

Timeline
48mo left

Started Apr 2020

Longer than P75 for all trials

Geographic Reach
25 countries

75 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress61%
Apr 2020Mar 2030

First Submitted

Initial submission to the registry

October 17, 2019

Completed
12 days until next milestone

First Posted

Study publicly available on registry

October 29, 2019

Completed
5 months until next milestone

Study Start

First participant enrolled

April 3, 2020

Completed
9.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2029

Expected
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2030

Last Updated

April 14, 2026

Status Verified

April 1, 2026

Enrollment Period

9.7 years

First QC Date

October 17, 2019

Last Update Submit

April 13, 2026

Conditions

Outcome Measures

Primary Outcomes (6)

  • Number of participants with treatment-emergent adverse events (TEAEs)

    Up to 30 days after last dose

  • Severity of TEAEs

    Up to 30 days after last dose

  • Seriousness of TEAEs

    Up to 30 days after last dose

  • Reasonable causal relationship between larotrectinib and an AE

    Up to 30 days after last dose

  • Causality of TEAEs

    Up to 30 days after last dose

  • Action taken related to larotrectinib treatment

    Up to 30 days after last dose

Secondary Outcomes (19)

  • Objective response rate (ORR)

    Up to 8 years

  • Disease control rate (DCR)

    Up to 8 years

  • Duration of response (DOR)

    Up to 8 years

  • Time to response (TTR)

    Up to 8 years

  • Progression-free survival (PFS)

    Up to 8 years

  • +14 more secondary outcomes

Study Arms (8)

GI

adult patients with gastrointestinal (GI) cancer

Drug: larotrectinib(Vitrakvi, BAY2757556)

H&N

adult patients with head and neck (H\&N) cancer

Drug: larotrectinib(Vitrakvi, BAY2757556)

STS

adult patients with soft tissue sarcoma (STS)

Drug: larotrectinib(Vitrakvi, BAY2757556)

CNS

adult patients with primary central nervous system (CNS) cancer

Drug: larotrectinib(Vitrakvi, BAY2757556)

Lung

adult patients with lung cancer

Drug: larotrectinib(Vitrakvi, BAY2757556)

Melanoma

adult patients with melanoma

Drug: larotrectinib(Vitrakvi, BAY2757556)

Pediatric

all pediatric patients regardless of tumor type will be enrolled under this cohort

Drug: larotrectinib(Vitrakvi, BAY2757556)

other

patients with other tumor types

Drug: larotrectinib(Vitrakvi, BAY2757556)

Interventions

In the study, patients treated under local standard of care clinical practice; all decisions in terms of diagnostic procedures, treatments, management of the disease, and resource utilization are fully dependent on mutual agreement between the patient and the attending physician, without interference by the study initiator or study protocol

CNSGIH&NLungMelanomaPediatricSTSother

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Adult and pediatric (from birth to 18-year-old) patients with a locally advanced or metastatic solid tumor harboring an NTRK gene fusion (detected by NGS (Next-Generation Sequencing), FISH (Fluorescent In Situ Hybridization), rt-PCR (Reverse Transcription Polymerase Chain Reaction) or other genomic testing able to detect NTRK gene fusion) assessed locally for whom a decision to treat with larotrectinib has been made before enrollment

You may qualify if:

  • Adult and pediatric (from birth to 18-year-old) patients
  • Patients with locally advanced or metastatic solid tumor harboring an NTRK gene fusion. NTRK (NTRK1, NTRK2, and NTRK3) gene fusions will be identified locally. Acceptable methods of detection of NTRK gene fusion include NGS, fluorescence in situ hybridization (FISH), reverse-transcription polymerase chain reaction (rt-PCR) or any other genomic testing able to detect NTRK gene fusion. If a pan-TRK IHC method is used, this result needs to be accompanied with the results using one of the other methods noted above.
  • Life expectancy of at least 3 months based on clinical judgement
  • Decision to treat with larotrectinib made by the treating physician prior to study enrollment
  • Patients can also be enrolled if the initial visit (larotrectinib start date) occurred within 2 months ±3 days prior to informed consent signed date
  • Signed informed consent form
  • For patients under legal age, signed assent by the patient (where applicable) and parental/legal guardian signed informed consent is required

You may not qualify if:

  • Any contraindications as listed in the local approved product information
  • Pregnancy
  • Participation in an investigational program with interventions outside of routine clinical practice
  • Prior treatment with larotrectinib or other kinase inhibitor with TRK inhibition
  • Patients with NTRK gene amplification or NTRK point mutation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (76)

Banner Desert Medical Center

Mesa, Arizona, 85202, United States

WITHDRAWN

California Research Inst.

Los Angeles, California, 90027, United States

RECRUITING

USC / Norris Comprehensive Cancer Center

Los Angeles, California, 90089, United States

WITHDRAWN

UCLA - Mattel Children's Hospital

Los Angeles, California, 90095, United States

RECRUITING

Hoag Memorial Hospital Presbyterian

Newport Beach, California, 82663, United States

RECRUITING

UCSF Benioff Children's Hospital Oakland

Oakland, California, 94609, United States

WITHDRAWN

Stanford Univ Med Ctr. / Lucile Packard Children's Hosp

Palo Alto, California, 94304, United States

RECRUITING

Providence Health System - Southern California

Santa Monica, California, 90404, United States

TERMINATED

Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

Torrance, California, 90502, United States

WITHDRAWN

SCL Health

Grand Junction, Colorado, 81501, United States

WITHDRAWN

Yale University

New Haven, Connecticut, 06520, United States

RECRUITING

Mayo Clinic

Jacksonville, Florida, 32224, United States

WITHDRAWN

University of Miami

Miami, Florida, 33146, United States

RECRUITING

Nicklaus Children's Hospital

Miami, Florida, 33155, United States

RECRUITING

Nemours Children's Hospital

Orlando, Florida, 32827, United States

WITHDRAWN

Fort Wayne Medical Oncology Hematology

Fort Wayne, Indiana, 46804, United States

RECRUITING

Regional Health Hope Center

Terre Haute, Indiana, 47802, United States

WITHDRAWN

Cancer Center of Kansas

Wichita, Kansas, 67214, United States

RECRUITING

Maine Health

South Portland, Maine, 04106, United States

RECRUITING

Univ. of Maryland / Greenebaum Comp. Cancer Ctr.

Baltimore, Maryland, 21201, United States

WITHDRAWN

Johns Hopkins / Sidney Kimmel Cancer Center

Baltimore, Maryland, 21205, United States

RECRUITING

Frederick Health-James M Stockman Cancer Institute

Frederick, Maryland, 21702, United States

TERMINATED

Tufts / Neely Cancer Center

Boston, Massachusetts, 02111, United States

RECRUITING

Boston Children's / Dana Farber

Boston, Massachusetts, 02215, United States

WITHDRAWN

Detroit Clinical Research Center

Farmington Hills, Michigan, 48334, United States

RECRUITING

Sparrow Cancer Center

Lansing, Michigan, 48912, United States

RECRUITING

Nevada Cancer Research Foundation

Las Vegas, Nevada, 89169, United States

RECRUITING

Atlantic Hem Onc / Morristown Medical Center

Morristown, New Jersey, 07960, United States

WITHDRAWN

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, 08901, United States

WITHDRAWN

Great Lakes Cancer Center

Buffalo, New York, 14210, United States

TERMINATED

Memorial Sloan Kettering Children's Cancer Center

New York, New York, 10065, United States

RECRUITING

Staten Island Univ. Hospital (Northwell Health)

Staten Island, New York, 10305, United States

WITHDRAWN

Levine Cancer Center

Charlotte, North Carolina, 28204, United States

WITHDRAWN

East Carolina University / Vidant Health

Greenville, North Carolina, 27834, United States

RECRUITING

Ohio State Comp. Cancer Ctr. / James Cancer Hospital

Columbus, Ohio, 43210, United States

WITHDRAWN

Mercy Health Youngstown

Youngstown, Ohio, 44501, United States

RECRUITING

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

RECRUITING

University of Pennsylvania (Penn Med)

Philadelphia, Pennsylvania, 19104, United States

WITHDRAWN

Allegheny Health Network

Pittsburgh, Pennsylvania, 15212, United States

TERMINATED

Medical Univ. of South Carolina

Charleston, South Carolina, 29425, United States

RECRUITING

St. Jude Children's Research Hospital

Memphis, Tennessee, 38105, United States

WITHDRAWN

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

RECRUITING

UT Southwestern Medical Center / Children's Health

Dallas, Texas, 75390, United States

RECRUITING

MD Anderson Cancer Center

Houston, Texas, 77030, United States

RECRUITING

Intermountain Healthcare - Intermountain Medical Center

Murray, Utah, 84107, United States

WITHDRAWN

Univ. of Utah / Huntsman Cancer Center

Salt Lake City, Utah, 84112, United States

RECRUITING

Intermountain Healthcare - Dixie Regional Medical Center

St. George, Utah, 84790, United States

WITHDRAWN

Seattle Children's

Seattle, Washington, 98105, United States

RECRUITING

West Virginia University

Morgantown, West Virginia, 26506, United States

RECRUITING

Gundersen Health System

La Crosse, Wisconsin, 54601, United States

RECRUITING

SSM Health Cancer Center - Dean Medical Group

Madison, Wisconsin, 53717, United States

TERMINATED

Many Locations

Multiple Locations, Argentina

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Australia

NOT YET RECRUITING

Many Locations

Multiple Locations, Austria

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Belgium

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Brazil

WITHDRAWN

Many Locations

Multiple Locations, Canada

COMPLETED

Many Locations

Multiple Locations, China

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Denmark

WITHDRAWN

Many Locations

Multiple Locations, Finland

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, France

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Germany

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Greece

NOT YET RECRUITING

Many Locations

Multiple Locations, Ireland

WITHDRAWN

Many Locations

Multiple Locations, Italy

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Japan

WITHDRAWN

Many Locations

Multiple Locations, Luxembourg

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Norway

WITHDRAWN

Many Locations

Multiple Locations, Russia

WITHDRAWN

Many Locations

Multiple Locations, Singapore

WITHDRAWN

Many Locations

Multiple Locations, South Korea

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Spain

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Sweden

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Switzerland

ACTIVE NOT RECRUITING

Many Locations

Multiple Locations, Taiwan

WITHDRAWN

Many Locations

Multiple Locations, United Kingdom

NOT YET RECRUITING

Related Publications (1)

  • Yang JCH, Brose MS, Castro G, Kim ES, Lassen UN, Leyvraz S, Pappo A, Lopez-Rios F, Reeves JA, Fellous M, Penault-Llorca F, Rudzinski ER, Tabatabai G, Vassal G, Drilon A, Trent J. Rationale and design of ON-TRK: a novel prospective non-interventional study in patients with TRK fusion cancer treated with larotrectinib. BMC Cancer. 2022 Jun 7;22(1):625. doi: 10.1186/s12885-022-09687-x.

MeSH Terms

Interventions

larotrectinib

Central Study Contacts

Bayer Clinical Trials Contact

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 17, 2019

First Posted

October 29, 2019

Study Start

April 3, 2020

Primary Completion (Estimated)

November 30, 2029

Study Completion (Estimated)

March 31, 2030

Last Updated

April 14, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share

Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.

Locations