Tumour Agnostic Therapy

The information contained in these regimens is a statement of consensus of NCCP and ISMO or IHS professionals regarding their views of currently accepted approaches to treatment.

Any clinician seeking to apply or consult these documents is expected to use independent medical judgement in the context of individual clinical circumstances to determine any patient's care or treatment.

The treatment regimen to be used should take into account factors such as histology, molecular pathology, age, performance status, co-morbidities and the patient's preference.

Each treatment regimen has advantages and disadvantages, and there may be more than one good option. Also, treatment choices can change over time as more evidence becomes available.  

Use of these documents is the responsibility of the prescribing clinician and is subject to the HSE.ie terms of use.

Please email any comments or feedback on these regimens to oncologydrugs@cancercontrol.ie

NTRK Gene Fusion Positive Solid Tumours

NCCP NTRK Gene Fusion Testing Guidance available here

Regimen Name Indication

Entrectinib Monotherapy - adult

Regimen

00702b

For the treatment of adult patients with solid tumours expressing a neurotrophic tyrosine receptor kinase (NTRK) gene fusion, 

  • who have a disease that is locally advanced, metastatic or where surgical resection is likely to result in severe morbidity and, 
  • who have not received a prior NTRK inhibitor 
  • who have no satisfactory treatment options

 Larotrectinib Monotherapy - Adult

Regimen

 00758a

For the treatment of adult patients with solid tumours that display a Neurotrophic Tyrosine Receptor Kinase (NTRK) gene fusion,

  • who have a disease that is locally advanced, metastatic or where surgical resection is likely to result in severe morbidity, and
  • who have no satisfactory treatment options

Larotrectinib Monotherapy - Paediatric

Regimen

P00760a

For the treatment of paediatric patients with solid tumours that display a Neurotrophic Tyrosine Receptor Kinase (NTRK) gene fusion,

  • who have a disease that is locally advanced, metastatic or where surgical resection is likely to result in severe morbidity, and
  • who have no satisfactory treatment options