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MedsAcross

Molecule

Lorlatinib

Kinase Inhibitor
Available on requestOrphanOncology
Presentations
2
Brands
1
Manufacturers
1
Available from stock
0

Lorlatinib is a kinase inhibitor indicated for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumors are anaplastic lymphoma kinase (ALK)-positive as detected by an FDA-approved test. MedsAcross supplies Lorlatinib for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Kinase Inhibitor, Breast Cancer Resistance Protein Inhibitors, Cytochrome P450 2B6 Inducers, Cytochrome P450 3A Inducers, Kinase Inhibitors, Multidrug and Toxin Extrusion Transporter 1 Inhibitors, Organic Anion Transporter 3 Inhibitors, Organic Cation Transporter 1 Inhibitors, P-Glycoprotein Inducers
ATC classification
L01ED05 Lorlatinib · Cancer medicines (antineoplastics), subgroup L01E, subgroup L01ED
US FDA first approval
2 November 2018
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII OSP71S83EURxCUI 2103164CAS 1454846-35-5DrugBank DB12130Q27285820

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

LORBRENA ® is indicated for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumors are anaplastic lymphoma kinase (ALK)-positive as detected by an FDA-approved test. LORBRENA is a kinase inhibitor indicated for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumors are anaplastic lymphoma kinase (ALK)-positive as detected by an FDA-approved test.

Source: US FDA prescribing information

How it works

Lorlatinib is a kinase inhibitor with in vitro activity against ALK and ROS1 as well as TYK1, FER, FPS, TRKA, TRKB, TRKC, FAK, FAK2, and ACK. Lorlatinib demonstrated in vitro activity against multiple mutant forms of the ALK enzyme, including some mutations detected in tumors at the time of disease progression on crizotinib and other ALK inhibitors. In mice subcutaneously implanted with tumors harboring EML4 fusions with either ALK variant 1 or ALK mutations, including the G1202R and I1171T mutations detected in tumors at the time of disease progression on ALK inhibitors, administration of lorlatinib resulted in antitumor activity. Lorlatinib also demonstrated anti-tumor activity and prolonged survival in mice implanted intracranially with EML4-ALK-driven tumor cell lines.

Source: US FDA prescribing information

Dosing overview

Recommended dosage: 100 mg orally once daily. Severe Hepatic Impairment: 50 mg orally once daily. Renal Impairment: 75 mg orally once daily.

Source: US FDA prescribing information

Contraindications

LORBRENA is contraindicated in patients taking strong CYP3A inducers, due to the potential for serious hepatotoxicity. Concomitant use with strong CYP3A inducers.

Source: US FDA prescribing information

Warnings and precautions

• Risk of Serious Hepatotoxicity with Concomitant Use of Strong CYP3A Inducers: Discontinue strong CYP3A inducers for 3 plasma half-lives of the strong CYP3A inducer prior to initiating LORBRENA. • Central Nervous System (CNS) Effects: CNS effects include seizures, psychotic effects and changes in cognitive function, mood (including suicidal ideation), speech, mental status, and sleep. Withhold and resume LORBRENA at same or reduced dose or permanently discontinue LORBRENA based on severity. • Hyperlipidemia: Initiate or increase the dose of lipid-lowering agents. Withhold and resume LORBRENA at same or reduced dose based on severity. • Atrioventricular Block: Withhold and resume LORBRENA at same or reduced dose based on severity. • Interstitial Lung Disease/Pneumonitis: Immediately withhold LORBRENA in patients with suspected ILD/pneumonitis.

Source: US FDA prescribing information

Side effects

The following adverse reactions are described elsewhere in the labeling: • Risk of Serious Hepatotoxicity with Concomitant Use of Strong CYP3A Inducers • Central Nervous System Effects • Hyperlipidemia • Atrioventricular Block • Interstitial Lung Disease/Pneumonitis • Hypertension • Hyperglycemia Most common (incidence ≥20%) adverse reactions and Grade 3–4 laboratory abnormalities are edema, peripheral neuropathy, weight gain, cognitive effects, fatigue, dyspnea, arthralgia, diarrhea, mood effects, hypercholesterolemia, hypertriglyceridemia, and cough.

Source: US FDA prescribing information

Interactions

• Strong CYP3A Inducers: Contraindicated. • Moderate CYP3A Inducers: Avoid concomitant use. If concomitant use cannot be avoided, increase the LORBRENA dose. • Strong CYP3A Inhibitors: Avoid concomitant use, reduce LORBRENA dose if concomitant use cannot be avoided. • Fluconazole: Avoid concomitant use, reduce LORBRENA dose if concomitant use cannot be avoided. • Certain CYP3A Substrates: Avoid concomitant use with CYP3A substrates for which minimal concentration changes may lead to serious therapeutic failures. • Certain P-gp Substrates: Avoid concomitant use with P-gp substrates for which minimal concentration changes may lead to serious therapeutic failures.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

2 presentations of Lorlatinib, sorted by availability.

MedicineManufacturerRegisterAvailability
Lorbrena 25 mg tabletOralPfizer LaboratoriesUS FDAAvailable on request
Lorbrena 100 mg tabletOralPfizer LaboratoriesUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 2 November 2018Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Lorlatinib in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Lorlatinib available for export from India?

Yes, on request. MedsAcross lists 2 presentations of Lorlatinib and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Lorlatinib have?

The catalogue lists 1 brand names for Lorlatinib, including Lorbrena.

Is Lorlatinib approved by the US FDA?

Yes. The US FDA first approved Lorlatinib on 2 November 2018, according to Drugs@FDA.

Is Lorlatinib authorised in the European Union?

Yes. Lorlatinib has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Lorlatinib need cold chain shipping?

No listed presentation of Lorlatinib is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Lorlatinib in?

Lorlatinib is classified under ATC code L01ED05 (Lorlatinib).

References

  1. Lorbrena prescribing information (Pfizer Laboratories). U.S. National Library of Medicine, DailyMed. Retrieved 26 June 2026
  2. Lorviqua: European public assessment report (EPAR). European Medicines Agency. Retrieved 3 July 2026

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