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LABELS · 5b9e7961-f843-49d8-94b5-a2ce2c9efa46

VITRAKVI

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Preserved label snapshot, not confirmation of a current approved indication. Approval/withdrawal status must be checked for the exact disease, setting and regimen.

Label effective date
2018-12-05
Captured
2026-09-09T23:37:47.659725+00:00
Current indication reconciliation
Not reconciled

Indications and usage: exact source text

  1. 1 INDICATIONS AND USAGE VITRAKVI is indicated for the treatment of adult and pediatric patients with solid tumors that: • have a neurotrophic receptor tyrosine kinase ( NTRK ) gene fusion without a known acquired resistance mutation, • are metastatic or where surgical resection is likely to result in severe morbidity, and • have no satisfactory alternative treatments or that have progressed following treatment. This indication is approved under accelerated approval based on overall response rate and duration of response [see Clinical Studies ( 14 )] . Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials. VITRAKVI is a kinase inhibitor indicated for the treatment of adult and pediatric patients with solid tumors that: • have a neurotrophic receptor tyrosine kinase ( NTRK ) gene fusion without a known acquired resistance mutation, • are metastatic or where surgical resection is likely to result in severe morbidity, and • have no satisfactory alternative treatments or that have progressed following treatment. This indication is approved under accelerated approval based on overall response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials ( 1 , 14 ).
Full extracted label fields
application numbers
  1. NDA210861
  2. NDA211710
boxed warning exact
    brand names
    1. VITRAKVI
    current indication status
    not_reconciled
    dailymed set url
    https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9525f887-a055-4e33-8e92-898d42828cd1
    generic names
    1. LAROTRECTINIB
    id
    5b9e7961-f843-49d8-94b5-a2ce2c9efa46
    indications and usage exact
    1. 1 INDICATIONS AND USAGE VITRAKVI is indicated for the treatment of adult and pediatric patients with solid tumors that: • have a neurotrophic receptor tyrosine kinase ( NTRK ) gene fusion without a known acquired resistance mutation, • are metastatic or where surgical resection is likely to result in severe morbidity, and • have no satisfactory alternative treatments or that have progressed following treatment. This indication is approved under accelerated approval based on overall response rate and duration of response [see Clinical Studies ( 14 )] . Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials. VITRAKVI is a kinase inhibitor indicated for the treatment of adult and pediatric patients with solid tumors that: • have a neurotrophic receptor tyrosine kinase ( NTRK ) gene fusion without a known acquired resistance mutation, • are metastatic or where surgical resection is likely to result in severe morbidity, and • have no satisfactory alternative treatments or that have progressed following treatment. This indication is approved under accelerated approval based on overall response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials ( 1 , 14 ).
    indications and usage tables exact
      is original packager
      1. true
      manufacturer names
      1. Loxo Oncology, Inc.
      matched search terms
      1. tumors
      package ndcs
      1. 71777-390-01
      2. 71777-391-01
      3. 71777-392-01
      product ndcs
      1. 71777-390
      2. 71777-391
      3. 71777-392
      product types
      1. HUMAN PRESCRIPTION DRUG
      recent major changes exact
        record type
        complete_spl_indications_section_candidate
        routes
        1. ORAL
        rxcuis
        1. 2105633
        2. 2105645
        3. 2105649
        4. 2105653
        5. 2105655
        6. 2105657
        source batch
        file
        /private/tmp/cancer-full-research/indications/raw/labels-00300.json
        meta
        disclaimer
        Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.
        last updated
        2026-09-09
        results
        limit
        100
        skip
        300
        total
        830
        sha256
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        url
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        source url
        https://api.fda.gov/drug/label.json?search=id%3A%225b9e7961-f843-49d8-94b5-a2ce2c9efa46%22
        spl effective date
        2018-12-05
        spl effective time
        20181205
        spl set id
        9525f887-a055-4e33-8e92-898d42828cd1
        spl version
        3
        substance names
        1. LAROTRECTINIB
        uniis
        1. PF9462I9HX
        verification flags
        1. oncology_keyword_candidate_not_clinically_classified
        2. spl_text_not_verified_identical_to_latest_approved_label
        3. individual_indications_not_split_or_reconciled
        4. fda_label_posted_after_spl_effective_date_requires_version_review
        Drugs@FDA application source records
        1. application number
          NDA210861
          payload
          all indexed label documents
          1. Appl No
            210861
            Application Docs Date
            2018-11-26 00:00:00
            Application Docs ID
            56563
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            1
            Submission Type
            ORIG
          2. Appl No
            210861
            Application Docs Date
            2021-03-26 00:00:00
            Application Docs ID
            66886
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            6
            Submission Type
            SUPPL
          3. Appl No
            210861
            Application Docs Date
            2022-11-28 00:00:00
            Application Docs ID
            72727
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            8
            Submission Type
            SUPPL
          4. Appl No
            210861
            Application Docs Date
            2023-11-06 00:00:00
            Application Docs ID
            76385
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            10
            Submission Type
            SUPPL
          5. Appl No
            210861
            Application Docs Date
            2025-04-25 00:00:00
            Application Docs ID
            82012
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            12
            Submission Type
            SUPPL
          all submission records
          1. Appl No
            210861
            Review Priority
            STANDARD
            Submission Class Code ID
            2
            Submission No
            12
            Submission Status
            AP
            Submission Status Date
            2025-04-09 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          2. Appl No
            210861
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            10
            Submission Status
            AP
            Submission Status Date
            2023-11-03 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          3. Appl No
            210861
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            8
            Submission Status
            AP
            Submission Status Date
            2022-11-23 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          4. Appl No
            210861
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            6
            Submission Status
            AP
            Submission Status Date
            2021-03-25 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          5. Appl No
            210861
            Review Priority
            STANDARD
            Submission Class Code ID
            2
            Submission No
            4
            Submission Status
            AP
            Submission Status Date
            2021-03-25 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          6. Appl No
            210861
            Review Priority
            PRIORITY
            Submission Class Code ID
            7
            Submission No
            1
            Submission Status
            AP
            Submission Status Date
            2018-11-26 00:00:00
            Submission Type
            ORIG
            Submissions Public Notes
          application number
          NDA210861
          approval interpretation
          Application linkage and approved submission are not indication-level current approval verification
          current indication status
          not_reconciled
          has approved submission record
          true
          latest approved submission date
          2025-04-09
          latest label selection rule
          max FDA ApplicationDocsDate, including all ties; posting date is not approval date and latest indexed document may be incomplete
          latest posted label documents
          1. Appl No
            210861
            Application Docs Date
            2025-04-25 00:00:00
            Application Docs ID
            82012
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            12
            Submission Type
            SUPPL
          official application record
          Appl No
          210861
          Appl Public Notes
          Appl Type
          NDA
          Sponsor Name
          BAYER HLTHCARE
          openfda application present
          true
          products
          1. Active Ingredient
            LAROTRECTINIB SULFATE
            Appl No
            210861
            Drug Name
            VITRAKVI
            Form
            CAPSULE;ORAL
            Product No
            001
            Reference Drug
            1
            Reference Standard
            0
            Strength
            EQ 25MG BASE
            marketing status
            1. Prescription
          2. Active Ingredient
            LAROTRECTINIB SULFATE
            Appl No
            210861
            Drug Name
            VITRAKVI
            Form
            CAPSULE;ORAL
            Product No
            002
            Reference Drug
            1
            Reference Standard
            1
            Strength
            EQ 100MG BASE
            marketing status
            1. Prescription
        2. application number
          NDA211710
          payload
          all indexed label documents
          1. Appl No
            211710
            Application Docs Date
            2018-11-26 00:00:00
            Application Docs ID
            56562
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            1
            Submission Type
            ORIG
          2. Appl No
            211710
            Application Docs Date
            2021-03-26 00:00:00
            Application Docs ID
            66885
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            4
            Submission Type
            SUPPL
          3. Appl No
            211710
            Application Docs Date
            2021-03-26 00:00:00
            Application Docs ID
            66887
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            5
            Submission Type
            SUPPL
          4. Appl No
            211710
            Application Docs Date
            2022-11-28 00:00:00
            Application Docs ID
            72728
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            8
            Submission Type
            SUPPL
          5. Appl No
            211710
            Application Docs Date
            2023-11-06 00:00:00
            Application Docs ID
            76369
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            9
            Submission Type
            SUPPL
          6. Appl No
            211710
            Application Docs Date
            2025-04-25 00:00:00
            Application Docs ID
            82013
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            10
            Submission Type
            SUPPL
          all submission records
          1. Appl No
            211710
            Review Priority
            PRIORITY
            Submission Class Code ID
            12
            Submission No
            1
            Submission Status
            AP
            Submission Status Date
            2018-11-26 00:00:00
            Submission Type
            ORIG
            Submissions Public Notes
          2. Appl No
            211710
            Review Priority
            STANDARD
            Submission Class Code ID
            2
            Submission No
            4
            Submission Status
            AP
            Submission Status Date
            2021-03-25 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          3. Appl No
            211710
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            5
            Submission Status
            AP
            Submission Status Date
            2021-03-25 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          4. Appl No
            211710
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            8
            Submission Status
            AP
            Submission Status Date
            2022-11-23 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          5. Appl No
            211710
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            9
            Submission Status
            AP
            Submission Status Date
            2023-11-03 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          6. Appl No
            211710
            Review Priority
            STANDARD
            Submission Class Code ID
            2
            Submission No
            10
            Submission Status
            AP
            Submission Status Date
            2025-04-09 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          application number
          NDA211710
          approval interpretation
          Application linkage and approved submission are not indication-level current approval verification
          current indication status
          not_reconciled
          has approved submission record
          true
          latest approved submission date
          2025-04-09
          latest label selection rule
          max FDA ApplicationDocsDate, including all ties; posting date is not approval date and latest indexed document may be incomplete
          latest posted label documents
          1. Appl No
            211710
            Application Docs Date
            2025-04-25 00:00:00
            Application Docs ID
            82013
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            10
            Submission Type
            SUPPL
          official application record
          Appl No
          211710
          Appl Public Notes
          Appl Type
          NDA
          Sponsor Name
          BAYER HEALTHCARE
          openfda application present
          true
          products
          1. Active Ingredient
            LAROTRECTINIB SULFATE
            Appl No
            211710
            Drug Name
            VITRAKVI
            Form
            SOLUTION;ORAL
            Product No
            001
            Reference Drug
            1
            Reference Standard
            1
            Strength
            EQ 20MG BASE/ML
            marketing status
            1. Prescription

        Source passages and status connections

        Passage classifications are automated and are not treatment recommendations. Connections apply only to their recorded indication scope.

        Passage 1 · positive indication candidate
        application numbers
        1. NDA210861
        2. NDA211710
        brand names
        1. VITRAKVI
        classification reasons
        1. explicit_positive_indication_predicate
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        clinical review status
        pending
        content role
        positive_indication_candidate
        context span
        end
        319
        end exclusive
        true
        exact text
        1 INDICATIONS AND USAGE VITRAKVI is indicated for the treatment of adult and pediatric patients with solid tumors that: • have a neurotrophic receptor tyrosine kinase ( NTRK ) gene fusion without a known acquired resistance mutation, • are metastatic or where surgical resection is likely to result in severe morbidity,
        label id
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        end exclusive
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        exact text
        is indicated
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        qualifier mentions
        1. context exact
          ATIONS AND USAGE VITRAKVI is indicated for the treatment of adult and pediatric patients with solid tumors that:
          kind
          age
          polarity
          not_inferred
          span
          end
          72
          end exclusive
          true
          exact text
          adult
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        2. context exact
          USAGE VITRAKVI is indicated for the treatment of adult and pediatric patients with solid tumors that:
          kind
          age
          polarity
          not_inferred
          span
          end
          95
          end exclusive
          true
          exact text
          pediatric patients
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          source defined aliases
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            exact text
            1 INDICATIONS AND USAGE VITRAKVI is indicated for the treatment of adult and pediatric patients with solid tumors that:
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            source url
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            spl effective date
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            spl set id
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            spl version
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            structured fields status
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            Source null
            approval pathway
            Source null
            biomarker and test
            Source null
            disease stage
            Source null
            limitations
            Source null
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            Source null
            prior therapy
            Source null
            regimen
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            tumor_directed_candidate
            Passage 2 · unclassified context
            application numbers
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            1 INDICATIONS AND USAGE VITRAKVI is indicated for the treatment of adult and pediatric patients with solid tumors that: • have a neurotrophic receptor tyrosine kinase ( NTRK ) gene fusion without a known acquired resistance mutation, • are metastatic or where surgical resection is likely to result in severe morbidity, and • have no satisfactory alternative treatments or that have progressed following treatment. This indication is
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            positive predicate support span
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              NTRK ) gene fusion without a known acquired
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                true
                exact text
                • have a neurotrophic receptor tyrosine kinase ( NTRK ) gene fusion without a known acquired resistance mutation,
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                offset unit
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                source url
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                spl effective date
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                spl set id
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                Source null
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                Source null
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                Source null
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                Source null
                line
                Source null
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                Source null
                regimen
                Source null
                tumor histology
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                use intent
                unclear
                Passage 3 · unclassified context
                application numbers
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                2. NDA211710
                brand names
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                classification reasons
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                clinical review status
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                                                                Preserved source evidence · Not medical advice