Description
Vitrakvi is a prescription medication for certain types of cancer. It is specifically indicated for metastatic solid tumors with neurotrophic receptor tyrosine kinase (NTRK) gene fusion, without a known acquired resistance mutation, and with no alternative treatments.
Vitrakvi is a selective TRK inhibitor that targets and inhibits the activity of tropomyosin receptor kinases (TRKs), which are involved in the growth and proliferation of cancer cells with NTRK gene fusions. Vitrakvi stops cancer cells from growing and spreading by blocking TRK activity.
Fact Table
|
Formula
|
C21H22F2N6O2 |
License |
US FDA, EMA |
Bioavailability |
34% |
Legal status |
Prescription only (?) |
Chemical Name |
(3S)-N-{5-[(2,5-Difluorophenyl)methyl]-1H-pyrazol-3-yl}-3-(1-methylpyrazol-4-yl)benzamide |
Elimination half-life |
2.9 hours |
Dosage (Strength) |
25 mg, 100 mg capsules; 20 mg/mL oral solution |
Pregnancy |
Use with caution |
Brands |
Vitrakvi |
Protein binding |
70-80% |
PubChem CID |
50920634 |
MedlinePlus |
a619025 |
ChEBI |
CHEBI:133003 |
ATC code |
L01XE56 |
DrugBank |
DB11986 |
KEGG |
D11019 |
Routes of administration |
Oral |
Directions
The typical dose for adults and pediatric patients is 100 mg orally twice daily. If necessary, your doctor may recommend an adjustment.
Ingredients
The active ingredient in Vitrakvi is larotrectinib.
Interactions
Common drug-drug interactions include:
- Abametapir
- Acalabrutinib
- Alfentanil
- Alprazolam
- Amiodarone
- Apalutamide
- Aprepitant
- Atazanavir
- Avanafil
- Avapritinib
- Boceprevir
- Bosentan
- Bosutinib
- Budesonide
- Buprenorphine
- Buspirone
- Carbamazepine
- Cenobamate
- Ciprofloxacin
- Clarithromycin
- Clozapine
- Cobicistat
- Cobimetinib
- Codeine
- Conivaptan
- Crizotinib
- Cyclosporine
- Darifenacin
- Darunavir
- Dasatinib
- Dihydroergotamine
- Diltiazem
- Dronedarone
- Efavirenz
- Eletriptan
- Entrectinib
- Enzalutamide
- Eplerenone
- Erythromycin
- Etravirine
- Everolimus
- Fedratinib
- Felodipine
- Fentanyl
- Fexinidazole
- Finerenone
- Fluconazole
- Fluticasone
- Fosaprepitant
- Fosnetupitant
- Fosphenytoin
- Ibrexafungerp
- Ibrutinib
- Idelalisib
- Imatinib
- Indinavir
- Itraconazole
- Ivabradine
- Ivacaftor
- Ketoconazole
- Lemborexant
- Letermovir
- Lomitapide
- Lopinavir
- Lorlatinib
- Lovastatin
- Lumacaftor
- Lurasidone
- Maraviroc
- Mavacamten
- Methadone
- Midazolam
- Mitotane
- Modafinil
- Nafcillin
- Naloxegol
- Nefazodone
- Nelfinavir
- Netupitant
- Nilotinib
- Omaveloxolone
- Oxycodone
- Phenobarbital
- Phenytoin
- Posaconazole
- Primidone
- Quetiapine
- Rifabutin
- Rifampin
- Ritonavir
- Roflumilast
- Saquinavir
- Sildenafil
- Simvastatin
- Sirolimus
- Sirolimus Protein-Bound
- St John's Wort
- Sufentanil
- Tacrolimus
- Telaprevir
- Telithromycin
- Temsirolimus
- Ticagrelor
- Tipranavir
- Tolvaptan
- Tramadol
- Triazolam
- Ubrogepant
- Vardenafil
- Venetoclax
- Venlafaxine
- Verapamil
- Voclosporin
- Voriconazole
- Zolpidem
Cautions
Patients should be monitored for signs of neurological adverse reactions, such as dizziness and gait disturbance. If severe neurological adverse reactions occur, dose modification or discontinuation may be necessary.
Tell your doctor if you have a history of liver problems before starting this drug.
Side Effects
The most common side effects include:
- Abdominal pain
- ALT/SGPT level raised
- Aspartate aminotransferase serum level above reference range
- Constipation
- Cough
- Diarrhea
- Dizziness
- Dyssomnia
- Fatigue
- Fever
- Fracture of bone
- Impaired cognition
- Mood disorder
- Musculoskeletal pain
- Nausea
- Vomiting
References
- Vitrakvi [package insert]. Stamford, CT: Loxo Oncology; November 2018.
About Dr. Conor Sheehy (Page Author)
Dr. Sheehy (BSc Molecular Biology, PharmD) works a clinical pharmacist specializing in cardiology, oncology, and ambulatory care. He’s a board-certified pharmacotherapy specialist (BCPS), and his experience working one-on-one with patients to fine tune their medication and therapy plans for optimal results makes him a valuable subject matter expert for our pharmacy. Read More....
IMPORTANT NOTE:
The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.
Product Code : 14206