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Non-Small Cell Lung Cancer ALK-positiveNCT07556549

A Study to Learn About Study Medicine Lorlatinib, as a First-line Treatment in Chinese Adults With ALK-positive a/mNSCLC

An observational study of Non-Small Cell Lung Cancer ALK-positive, run by Pfizer at 1 site in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

The purpose of this retrospective study is to learn about the real-world effects of the study medicine lorlatinib for the first-line treatment of Chinese adult patients who were diagnosed with ALK-positive a/mNSCLC. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-Small Cell Lung Cancer ALK-positive
What is being tested?
Lorlatinib
How many people
50 participants
Where
1 siteChina
Study dates
18 May 2026to 30 Aug 2026
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Chinese adult patients who were diagnosed with ALK-positive a/mNSCLC, and initiated lorlatinib as first line treatment

Patients must meet all of the following inclusion criteria to be eligible for inclusion in the study:

  1. Age ≥18 years
  2. Diagnosed with a/mNSCLC
  3. Confirmed testing for ALK-positive
  4. Initiated first-line lorlatinib treatment during the patient selection period, prior therapy such as adjuvant or neoadjuvant treatment are allowed.
  5. A minimum lookback period of at least 3 months to establish a baseline period and ensure first-line use of cohort entry drug
  6. Have at least 6 months of follow-up data available (early death or progression will be included)

Trial locations and contacts

1 site in 1 country.

China1 site
  • Pfizer

    Beijing

Other trials in China

About this study

Official title: RETROSPECTIVE CHART REVIEW STUDY OF FIRST LINE LORLATINIB IN LOCALLY ADVANCED/METASTATIC ALK-POSITIVE NON-SMALL CELL LUNG CANCER PATIENTS IN CHINA

The purpose of this retrospective study is to learn about the real-world effects of the study medicine lorlatinib for the first-line treatment of Chinese adult patients who were diagnosed with ALK-positive a/mNSCLC.

The participants included in this study are:

  • Aged 18 years or more
  • diagnosed with a/mNSCLC
  • confirmed with testing for ALK-positive
  • have started first-line lorlatinib treatment during the patient selection period

In this study, the main objectives are to learn the patient characteristics and the real-world treatment pattern of first-line treatment of lorlatinib in China at a real-world setting.

Being tested
Lorlatinib

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LorlatinibDrug

    for the treatment of patients with locally advanced or metastatic ALK positive non-small cell lung cancer.

Study groups in NCT07556549
Study groupRoleWhat they receive
Lorlatinib in locally advanced/metastatic ALK-positive Non-Small Cell Lung Cancer Patients in ChinaNot described
Receives: Drug: Lorlatinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Age at Start of Lorlatinib Treatment

    Number of percentages of patients by age

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  2. Smoking status (if available) at Start of Lorlatinib Treatment

    Number of patients by smoking status

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  3. Histology of patients at start of Lorlatinib treatment

    Histology of patients were reported in this outcome measure

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  4. Eastern Cooperative Oncology Group (ECOG) performance status of patients at Start of Lorlatinib Treatment

    number of Eastern Cooperative Oncology Group (ECOG) performance status of patients

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  5. Initial cancer stage at diagnosis of patients prior Start of Lorlatinib Treatment

    initial cancer stage of patients were reported in this outcome measure

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  6. Current cancer stage at Start of Lorlatinib Treatment

    Current cancer stage of patients were reported in this outcome measure

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  7. Brain metastases status at Start of Lorlatinib Treatment

    Brain metastases status of patients were reported in this outcome measure

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  8. Date of initial NSCLC diagnosis

    Date of initial NSCLC diagnosis

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  9. Date of a/mNSCLC diagnosis

    Date of a/mNSCLC diagnosis of patients were reported in this outcome measure

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  10. ALK-positive diagnosis prior to Start of Lorlatinib Treatment

    Date of patients with ALK-positive diagnosis

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  11. Gene testing method and results prior to initiation of lorlatinib treatment

    Gene testing method and results of patients were reported in this outcome measure

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  12. Date of brain metastases diagnosis prior to initiation of lorlatinib treatment

    number and date of brain metastases diagnosis of patients for whom had BM prior lorlatinib treatment

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  13. Presence of comorbidities at Start of Lorlatinib Treatment

    Presence of comorbidities of patients were reported in this outcome measure

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  14. Concomitant therapies at Start of Lorlatinib Treatment

    Concomitant therapies of patients were reported in this outcome measure

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  15. Date of lorlatinib initiation

    Date of Lorlatinib first prescription were reported in this outcome measure

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  16. Initial lorlatinib dose at Start of Lorlatinib Treatment

    Initial lorlatinib dose for patients receiving Lorlatinb treatment were reported in this outcome measure

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  17. Dose adjustments when patients were prescribed with Lorlatinib Treatment

    Dose adjustments of Lorlatinib Treatment and Date were reported in this outcome measure

    Measured: From the date of initiation of lorlatinib treatment to the date of treatment dose adjustments, assessed up to 50 months (where 50 months is the estimated maximum follow-up duration for this outcome).

  18. Gender at Start of Lorlatinib Treatment

    Number of patients by gender

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  19. Weight at Start of Lorlatinib Treatment

    Number of patients by weight

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  20. Height at Start of Lorlatinib Treatment

    Number of patients by height

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

  21. Body mass index (BMI) at Start of Lorlatinib Treatment

    Number of patients by BMI

    Measured: At initiation of lorlatinib treatment between July 2022- October 2024

Secondary outcomes (9)
  1. Time to Discontinuation (TTD) in 1 L lorlatinib patients

    Time to Discontinuation (TTD) was the time from the date of initiation of Lorlatinib Treatment to date if the permanent cessation of lorlatinib due to any reasons, including progression, adverse events, patient decision, or physician recommendation. TTD will be analyzed using Kaplan-Meier survival analysis.

    Measured: From the date of first lorlatinib dose until permanent discontinuation of treatment for any cause, assessed up to 50 months (where 50 months is the estimated maximum follow-up duration for this outcome).

  2. Last dose for Patients who are still on the Lorlatinib first line treatment

    Last dose for Patients who are still on the therapy were reported in this outcome measure

    Measured: the date of any-cause treatment discontinuation or study end, assessed up to 50 months (where 50 months is the estimated maximum follow-up duration for this outcome).

  3. Treatment switching to other ALK TKls from Lorlatinib Treatment

    Treatment switching to other ALK TKls was switching from lorlatinib to another ALK-TKIs due to any reasons. The Name of treatment regimen, Date of treatment switch and Duration of each switched regimen were recorded in this outcome measure.

    Measured: From the date of initiation of other ALK TKIs to the study end, assessed up to 50 months (where 50 months is the estimated maximum follow-up duration for this outcome).

  4. 1L lorlatinib resistance mechanism (if applicable)

    Characterization of acquired resistance mechanisms to first-line lorlatinib, including on-target ALK alterations and off-target/bypass pathway activations, as identified at disease progression.

    Measured: From the date of initiation of lorlatinib treatment to the date of any-cause treatment discontinuation or study end, assessed up to 50 months (where 50 months is the estimated maximum follow-up duration for this outcome).

  5. Treatment switching to subsequence treatment from 1L Lorlatinib Treatment

    Treatment switching to subsequence treatment was switching from lorlatinib to another systemic therapy due to treatment failure caused by progression, intolerance, or physician decision. It was recorded in this outcome measure.

    Measured: From the date of initiation of subsequent other treatment to the date of any-cause treatment discontinuation or study end, assessed up to 50 months (where 50 months is the estimated maximum follow-up duration for this outcome).

  6. Medical Costs during lorlatinib treatment period

    Medical Costs during lorlatinib treatment period for patients were reported in this outcome measure, inducing drug costs, hospitalization costs, outpatient cost, and ect.

    Measured: From the date of first lorlatinib dose until permanent discontinuation of treatment for any cause, assessed up to 50 months (where 50 months is the estimated maximum follow-up duration for this outcome).

  7. Brain metastases progression and date of patients receiving Lorlatinib treatment

    Brain metastases progression was radiological confirmation of new or worsening intracranial lesions.

    Measured: From the date of initiation of lorlatinib treatment to the date of BM progression, assessed up to 50 months (where 50 months is the estimated maximum follow-up duration for this outcome).

  8. Death (if applicable) of patients receiving Lorlatinib for the first-line treatment

    percentage of Deaths (and date if applicable) of patients

    Measured: From the date of initiation of lorlatinib treatment to the date of any-cause treatment discontinuation or study end, assessed up to 50 months (where 50 months is the estimated maximum follow-up duration for this outcome).

  9. The cumulative incidence rate of BM of patients receiving Lorlatinib for the first-line treatment

    Percentage of number of patients with BM

    Measured: From the date of initiation of lorlatinib treatment to the date of any-cause treatment discontinuation or study end, assessed up to 50 months (where 50 months is the estimated maximum follow-up duration for this outcome).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Apr 2026
  2. Study start18 May 2026
  3. Primary completion30 Aug 2026 (estimated)
  4. Study completion30 Aug 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07556549
Sponsor's protocol ID
B7461056
Status last verified
Aug 2026
First submitted
7 Apr 2026
Last updated
10 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

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