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OncoMatch/Clinical Trials/NCT05770544

DETERMINE Trial Treatment Arm 03: Entrectinib in Adult, Paediatric and Teenage/Young Adult Patients With ROS1 Gene Fusion-Positive Cancers.

Is NCT05770544 recruiting? Yes, currently enrolling (May 2026). This Phase 2/3 trial studies Entrectinib for haematological malignancy.

Phase 2/3RecruitingCancer Research UKNCT05770544Data as of May 2026

Treatment: EntrectinibThis clinical trial is looking at a drug called entrectinib. Entrectinib is approved as standard of care treatment for adult patients with non-small cell lung cancer (NSCLC) which have a particular molecular alteration called ROS1-positive, and patients 12 years old or above with solid tumours which have another type of change in the cancer cells. This means it has gone through clinical trials and been approved by the Medicines and Healthcare products Regulatory Agency (MHRA) in the UK. Investigators now wish to find out if it will be useful in treating patients with other cancer types which have the same molecular alteration (ROS1-positive). If the results are positive, the study team will work with the NHS and the Cancer Drugs Fund to see if these drugs can be routinely accessed for patients in the future. This trial is part of a trial programme called DETERMINE. The programme will also look at other anti-cancer drugs in the same way, through matching the drug to rare cancer types or ones with specific mutations.

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Extracted eligibility criteria

Cancer type

Acute Myeloid Leukemia

Acute Lymphoblastic Leukemia

Non-Hodgkin Lymphoma

Multiple Myeloma

Myelodysplastic Syndrome

Chronic Lymphocytic Leukemia

Tumor Agnostic

Melanoma

Glioblastoma

Biomarker criteria

Required: ROS1 fusion

Prior therapy

Cannot have received: same class of drug

Exception: unless genetic profile demonstrates a mechanism of resistance known to be potentially sensitive to entrectinib

Prior treatment with the same class of drug unless genetic profile demonstrates a mechanism of resistance known to be potentially sensitive to entrectinib

Lab requirements

Blood counts

Adequate organ function as per haematological and biochemical indices within the ranges defined in the protocol

Kidney function

Adequate organ function as per haematological and biochemical indices within the ranges defined in the protocol

Liver function

Adequate organ function as per haematological and biochemical indices within the ranges defined in the protocol

Cardiac function

No significant cardiovascular disease as defined by: current congestive heart failure requiring therapy (NYHA III or IV) or LVEF <50%; history of unstable angina or MI up to 3 months prior; symptomatic/severe valvular heart disease; history of clinically significant arrhythmia up to 3 months prior (asymptomatic atrial fibrillation or first-degree heart block permitted); history of stroke within last 3 months; baseline QTcF >450 ms (male) or >470 ms (female); congenital long QTcF syndrome; taking QTc-prolonging drugs; additional risk factors for Torsades de Pointes.

ADULT PATIENTS (≥18 years): Adequate organ function as per haematological and biochemical indices within the ranges defined in the protocol. These measurements should be performed to confirm the patient's eligibility. PAEDIATRIC PATIENTS (<18 years): Adequate organ function as per haematological and biochemical indices within the ranges defined in the protocol. These measurements should be performed to confirm the patient's eligibility. Patients with significant cardiovascular disease are excluded as defined by: i. Current congestive heart failure requiring therapy (NYHA III or IV) or known LVEF <50% (moderate to severe). ii. History of unstable angina pectoris or myocardial infarction up to three months prior to trial entry, or current poorly controlled angina (symptoms weekly or more). iii. Presence of symptomatic or severe valvular heart disease (severe by local echo graphic criteria or AHA/ACC Stage C or D). iv. History of a clinically significant cardiac arrhythmia up to three months prior to trial entry (asymptomatic atrial fibrillation or asymptomatic first-degree heart block are permitted). v. History of stroke (ischaemic or haemorrhagic) within the last three months. Patients with a baseline QTcF interval longer than 450 ms for male patients and 470 ms for female patients, patients with congenital long QTcF syndrome, and patients taking medicinal products that are known to prolong the QTc interval. History of additional risk factors for Torsades de Pointes (e.g., family history of long QT syndrome)

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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