Oncology Drug Approval News Flash: Taletrectinib (Ibtrozi) Approved by FDA for ROS1-Positive NSCLC

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【FDA Approval Alert】Nuvation Bio’s taletrectinib (Ibtrozi) Approved for ROS1-Positive Non-Small Cell Lung Cancer (June 11, 2025)

On June 11, 2025, the U.S. FDA approved taletrectinib (Ibtrozi) for adult patients with locally advanced or metastatic ROS1-positive non-small cell lung cancer (NSCLC). This kinase inhibitor was approved based on TRUST-I (NCT04395677) and TRUST-II (NCT04919811) trials.

Disease Overview: ROS1-Positive Non-Small Cell Lung Cancer

ROS1-positive NSCLC is a molecular subtype of lung cancer characterized by ROS1 gene fusions, leading to abnormal kinase activity. Targeted therapies against ROS1 have demonstrated clinical benefit.

Treatment Summary

  • Drug Name: taletrectinib (Ibtrozi)
  • Company: Nuvation Bio Inc.
  • Approval Date: June 11, 2025
  • Indication: ROS1-positive locally advanced or metastatic NSCLC
  • Mechanism of Action: ROS1 kinase inhibition
  • Pivotal Trials: TRUST-I (NCT04395677), TRUST-II (NCT04919811)
  • Key Efficacy:
    • TKI-naive: ORR 85–90%, DOR ≥12 months in 63–72% of responders
    • TKI-pretreated: ORR 52–62%, DOR ≥6 months in 74–83% of responders

Patient-Friendly Summary

Ibtrozi is an oral therapy targeting ROS1 gene alterations, offering high response rates regardless of prior treatment history. It is administered on an empty stomach.

M&A Information

  • Subsidiary: Not applicable (Nuvation Bio in-house development)
  • Acquisition Date: Not applicable
  • Development Stage at Acquisition: Not applicable
  • Investor Information: Public Investors (NYSE: NUVB)

Source

This approval information is based on data from Drugs@FDA (U.S. FDA) and AACR releases.

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Author of this article

After completing graduate school, I studied at a Top tier research hospital in the U.S., where I was involved in the creation of treatments and therapeutics in earnest. I have worked for several major pharmaceutical companies, focusing on research, business, venture creation, and investment in the U.S. During this time, I also serve as a faculty member of graduate program at the university.

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