Crizotinib (Xalkori)

Targeted Therapy · Approved since 2011

US Off-label EU EMA Approved ES Hospital use off-label in CRC Oral 4 Clinical Trials
ALK ROS1 MET

Description

Crizotinib is an oral tyrosine kinase inhibitor primarily approved for ALK-positive non-small cell lung cancer that has been explored in colorectal cancer through precision medicine approaches. In CRC, crizotinib is used off-label for tumors harboring specific genetic alterations, particularly ALK rearrangements or ROS1 fusions, which occur in a small subset of patients. The drug represents a targeted approach for patients whose tumors demonstrate these rare but actionable molecular alterations identified through comprehensive genomic profiling.

Mechanism of Action

Crizotinib selectively inhibits multiple receptor tyrosine kinases, including ALK (anaplastic lymphoma kinase), ROS1, and MET kinases. By blocking these aberrant signaling pathways, the drug disrupts tumor cell proliferation and survival mechanisms that drive cancer growth in genetically defined patient populations.

Molecular Targets

Side Effects

Visual disturbances Nausea Diarrhea Vomiting Edema Constipation Fatigue Decreased appetite

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT05725200 Phase 2
Recruiting
Study to Investigate Outcome of Individualized Treatment in Patients With Metastatic Colorectal Cancer
Norway
NCT04693468 Phase 1
Recruiting
Talazoparib and Palbociclib, Axitinib, or Crizotinib for the Treatment of Advanced or Metastatic Solid Tumors, TalaCom Trial
United States
NCT03947385 Phase 1
Recruiting
Study of IDE196 in Patients With Solid Tumors Harboring GNAQ/11 Mutations or PRKC Fusions
United States, Australia, Canada
NCT02465060 Phase 2
Active, not recruiting
Targeted Therapy Directed by Genetic Testing in Treating Patients With Advanced Refractory Solid Tumors, Lymphomas, or Multiple Myeloma (The MATCH Screening Trial)
United States, Guam, Puerto Rico