New Reference: Taletrectinib for ROS1+ NSCLC


  • Study

    Pooled, international, open-label, single-arm, phase II studies (TRUST-I and TRUST-II)
    Advanced or metastatic ROS1+ NSCLC, TKI-naïve or previously treated (crizotinib/entrectinib)
    Taletrectinib 600 mg orally once daily until progression or toxicity



  • Efficacy

    cORR: 88.8% (TKI-naïve), 55.8% (TKI-pretreated)
    mDOR: 44.2 mos (TKI-naïve), 16.6 mos (TKI-pretreated)
    mPFS: 45.6 mos (TKI-naïve), 9.7 mos (TKI-pretreated)
    G2032R subset ORR: 61.5%



  • Safety

    Any Grade AEs: AST ↑ (72%), ALT ↑ (68%), diarrhea (64%), nausea (46%), vomiting (44%)
    Grade ≥3 AEs: AST ↑ (7.4%), ALT ↑ (9.9%), QT prolongation (3.4%)
    Neurologic AEs: dizziness (21%), dysgeusia (15%) – mostly Grade 1
    Discontinuations due to AEs: 6.5%



  • J Clin Oncol 2025;43:1920-29

    Perol M,Li W,Pennell NA Taletrectinib in ROS1-positive Non–Small-Cell Lung Cancer: TRUST-I and TRUST-II

    http://doi.org/10.1200/JCO-25-00275

    Reviewed by Ulas D. Bayraktar, MD on Jun 2, 2025

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