Evidence map›Paper›PMID 41992489›Full record

Trial reportThe oncologist2026

Characterization and clinical management of adverse events following treatment with repotrectinib: a TRIDENT-1 analysis.

Alexander Drilon, Byoung Chul Cho, D Ross Camidge, Misako Nagasaka, Benjamin Besse, Benjamin Solomon, Koichi Goto, Jürgen Wolf, Sanjay Popat, Enriqueta Felip and 11 more

Abstract readClinical Trial, Phase IMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in The oncologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Alexander DrilonMemorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, NY, United States.ORCID 0000-0001-6806-9061
Byoung Chul ChoYonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea.
D Ross CamidgeAnschutz Medical Campus, University of Colorado, Aurora, CO, United States.
Misako NagasakaSchool of Medicine, University of California, Irvine, Orange, CA, United States.ORCID 0000-0001-5308-615X
Benjamin BesseGustave Roussy Cancer Center, Paris-Saclay University, Villejuif, France.ORCID 0000-0001-5090-8189
Benjamin SolomonPeter MacCallum Cancer Centre, Melbourne, Australia.
Koichi GotoNational Cancer Center Hospital East, Kashiwa, Japan.ORCID 0000-0002-3023-2510
Jürgen WolfCentrum für Integrierte Onkologie-Uniklinik Köln, Köln, Germany.
Sanjay PopatThe Royal Marsden NHS Foundation Trust & The Institute of Cancer Research, London, United Kingdom.ORCID 0000-0003-2087-4963
Enriqueta FelipVall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona, Spain.
Nong YangThe Second People's Hospital of Hunan Province, Hunan, China.
Adrianus Johannes de LangenNetherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0000-0001-7343-633X
Shun LuDepartment of Oncology, Shanghai Chest Hospital, Shanghai, China.
Vamsidhar VelchetiMayo Clinic, Jacksonville, FL,United States.
Andrew L LinMemorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, NY, United States.ORCID 0000-0003-0659-261X
Christophe Y CalvetBristol Myers Squibb, Princeton, NJ, United States.
Li LiBristol Myers Squibb, Princeton, NJ, United States.
Marina TschaikaBristol Myers Squibb, Princeton, NJ, United States.
Salman AfsarBristol Myers Squibb, Princeton, NJ, United States.
Haisu YangBristol Myers Squibb, Princeton, NJ, United States.
Jessica J LinHarvard Medical School, Mass General Brigham Cancer Institute, Boston, MA, United States.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI FRANCESCA M GANY · 1985 to 2026
$347.4M
Understanding tumor addiction to TRK fusions and sensitivity to TRK inhibitionR01CA226864 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI DRILON, ALEXANDER, VENTURA, ANDREA · 2018 to 2021
$2.5M
Bristol Myers Squibb CompanyNational Cancer Institute/National Institutes of Health 1R01CA226864National Cancer Institute/National Institutes of Health P30CA008748NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA226864Nonna's GardenTRIDENT-1 ClinicalTrials.gov NCT03093116Turning Point Therapeutics
6 · The paper itself

Abstract

backgroundRepotrectinib, a next-generation ROS1/TRK tyrosine kinase inhibitor, is approved for ROS1 fusion-positive non-small cell lung cancer and NTRK fusion-positive solid tumors. Its side effects and safety management strategies require further characterization. PATIENTS AND

methodsThe safety profile of repotrectinib (treatment-emergent/related adverse events [TEAEs/TRAEs]) was established in patients who initiated treatment at the recommended dose (160 mg daily [QD] for 14 days, then 160 mg twice daily [BID]) across all cohorts of the global, multicenter phase 1/2 TRIDENT-1 study. AE management strategies were outlined.

resultsIn 472 patients, the most common TRAEs (dizziness [58%] and dysgeusia [50%]) were likely TRK inhibition-related. Median relative dose intensity was 90%; 14% (n = 66/472) of patients did not increase their initial QD dose to BID (mostly due to CNS AEs). Rates of dizziness (median onset, 7 days) were similar in patients with/without baseline brain metastases. Dose modifications downgraded severity or resolved dizziness in 78% of patients; 58% of patients had pharmacologic intervention without dose modification. Dizziness was downgraded/resolved in 62% (n = 120/195) of patients who did not receive dose modification or pharmacologic intervention. Treatment-related cognitive impairment and weight gain occurred in 19% and 12% of patients, respectively. Treatment-emergent withdrawal pain occurred in 14% of patients (median resolution time, 2.1 weeks). Dose interruption and reduction from TRAEs occurred in 39% and 38% of patients, respectively; 10% reported later re-escalation back to 160 mg BID.

conclusionMany repotrectinib AEs, including neurological AEs secondary to TRK inhibition, were mitigated with appropriate management, including dose modification and/or pharmacologic intervention.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsMacrocyclic CompoundsProtein Kinase InhibitorsPyrazolesPyrimidinesAdultAgedFemaleHumansMaleMiddle AgedProtein-Tyrosine KinasesProto-Oncogene ProteinsTyrosine Kinase InhibitorsMacrocyclic CompoundsProtein Kinase InhibitorsProtein-Tyrosine KinasesProto-Oncogene ProteinsPyrazolesPyrimidinesrepotrectinibROS1 protein, humanTyrosine Kinase Inhibitorsclinical managementNSCLCRepotrectinibsafety managementTRIDENT-1

Identifiers

PMID41992489
PMCPMC13153690

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.