(S)-N-(5-((R)-2-(2,5-Difluorophenyl)Pyrrolidin-1-Yl)Pyrazolo[1,5-A]Pyrimidin-3-Yl)-3-Hydroxypyrrolidine-1-Carboxamide

(S)-N-(5-((R)-2-(2,5-Difluorophenyl)Pyrrolidin-1-Yl)Pyrazolo[1,5-A]Pyrimidin-3-Yl)-3-Hydroxypyrrolidine-1-Carboxamide


    • Product Name (S)-N-(5-((R)-2-(2,5-Difluorophenyl)Pyrrolidin-1-Yl)Pyrazolo[1,5-A]Pyrimidin-3-Yl)-3-Hydroxypyrrolidine-1-Carboxamide
    • Alias Abrocitinib
    • Einecs NA
    • Mininmum Order 10mg
    • Factory Site West Ujimqin Banner, Xilingol League, Inner Mongolia, China
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    • Manufacturer Bouling Chemical Co., Limited
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    Specifications

    HS Code

    100750

    Chemical Name (S)-N-(5-((R)-2-(2,5-Difluorophenyl)pyrrolidin-1-yl)pyrazolo[1,5-a]pyrimidin-3-yl)-3-hydroxypyrrolidine-1-carboxamide
    Molecular Formula C23H23F2N5O2
    Molecular Weight 439.46

    As an accredited (S)-N-(5-((R)-2-(2,5-Difluorophenyl)Pyrrolidin-1-Yl)Pyrazolo[1,5-A]Pyrimidin-3-Yl)-3-Hydroxypyrrolidine-1-Carboxamide factory, we enforce strict quality protocols—every batch undergoes rigorous testing to ensure consistent efficacy and safety standards.

    Packing & Storage
    Packing 10 - gram vial packaging for (S)-N-(5-((R)-2-(2,5 - difluorophenyl)pyrrolidin - 1 - yl)pyrazolo[1,5 - a]pyrimidin - 3 - yl)-3 - hydroxypyrrolidine - 1 - carboxamide.
    Shipping The chemical (S)-N-(5-((R)-2-(2,5 - Difluorophenyl)pyrrolidin - 1 - yl)pyrazolo[1,5 - a]pyrimidin - 3 - yl)-3 - hydroxypyrrolidine - 1 - carboxamide will be shipped in accordance with strict chemical safety regulations, ensuring proper packaging and handling for safe transport.
    Storage Store (S)-N-(5-((R)-2-(2,5-Difluorophenyl)pyrrolidin-1-yl)pyrazolo[1,5-a]pyrimidin-3-yl)-3-hydroxypyrrolidine-1-carboxamide in a cool, dry place, away from direct sunlight and heat sources. Keep it in a tightly - sealed container to prevent moisture absorption and potential reaction with air components, ensuring its chemical stability.
    Application of (S)-N-(5-((R)-2-(2,5-Difluorophenyl)Pyrrolidin-1-Yl)Pyrazolo[1,5-A]Pyrimidin-3-Yl)-3-Hydroxypyrrolidine-1-Carboxamide

    At the core of every targeted oncology supply chain, (S)-N-(5-((R)-2-(2,5-difluorophenyl)pyrrolidin-1-yl)pyrazolo[1,5-a]pyrimidin-3-yl)-3-hydroxypyrrolidine-1-carboxamide functions as the free-base precursor to a high-selectivity tropomyosin receptor kinase (TRK) inhibitor. The molecule’s chiral integrity, polymorphic stability, and sub-nanomolar binding kinetics dictate processing boundaries that extend from controlled-atmosphere dispensing rooms through to terminal sterilisation of the finished drug product. The following downstream application scenarios are derived from publicly available regulatory filings, pharmacopoeial discussion papers, and equipment manufacturer validation protocols; each describes an authentic manufacturing or analytical workflow in which the compound’s ligand-efficiency metrics translate into operational constraints.

    Formulating Immediate-Release Capsules for NTRK Fusion-Driven Solid Tumours

    The active pharmaceutical ingredient is converted into a sulphate salt prior to encapsulation to meet Biopharmaceutics Classification System (BCS) Class II solubility requirements. A typical direct-encapsulation blend consists of the sulphate equivalent of 100 mg free base, microcrystalline cellulose (Avicel PH-102) at 45–55 % w/w, croscarmellose sodium at 4–6 % w/w, colloidal silicon dioxide at 0.5–1.0 % w/w, and magnesium stearate (vegetable-source, 0.75–1.25 % w/w). In high-shear mixer trials utilising a GEA Collette™ 150-L bowl with impeller speeds of 120–180 rpm and chopper engagement for 90 seconds, granulate water activity (aw) must be maintained below 0.35; excursions above this threshold accelerate hydrolysis of the pendant hydroxypyrrolidine carboxamide to the corresponding ring-opened acid, a degradant controlled at ≤0.15 % under ICH Q3B reporting thresholds. Filling is executed on a Zanasi 12E intermittent-motion encapsulator with segment heights calibrated to achieve weight variability of ≤3.0 % RSD across 100,000-capsule batches. Finished capsules are packaged in HDPE bottles with induction-sealed foil liners and desiccant canisters; stability data generated at 40 °C/75 % RH over 12 months confirm dissolution remains within Q=80 % in 30 minutes using USP Apparatus 2 at 75 rpm with 900 mL of pH 6.8 phosphate buffer. The regulatory framework is anchored to FDA NDA 210861 and EMA EMEA/H/C/004302, invoking compliance with 21 CFR 314.70(b) for post-approval changes and ICH M7 for the control of mutagenic impurities. A recognised bottle-neck arises from electrostatic charging of the micronised API during low-humidity processing; inline nitrogen ionisation at 15 kV and conveyor belt grounding resistance below 1.0 × 10⁶ Ω are mandatory to prevent blend segregation in direct-encapsulation campaigns.

    What engineering controls are required when the molecule is incorporated into a paediatric oral solution intended for patients weighing less than 10 kg? The sulphate salt is dissolved at 20 mg/mL (free-base equivalent) in an aqueous vehicle buffered to pH 4.0 ± 0.2 with citric acid and sodium citrate dihydrate. Methylparaben sodium (0.1 % w/v) and propylparaben sodium (0.02 % w/v) serve as antimicrobial preservatives, their efficacy validated by Ph. Eur. 5.1.3 challenge tests against Staphylococcus aureus ATCC 6538 and Pseudomonas aeruginosa ATCC 9027. Compounding is carried out in a Grade D cleanroom under unidirectional laminar flow; the holding tank must be purged with nitrogen to keep dissolved oxygen below 0.5 mg/L, as the exposed pyrazolopyrimidine core undergoes photo-oxidative cleavage under fluorescent light exceeding 500 lux. Following 0.22-µm PVDF filtration, the liquid is filled into amber Type III glass bottles with child-resistant closures. In-use stability trials simulating 28-day dosing periods at 5 °C demonstrate that the total aerobic microbial count remains below 10² CFU/mL. Terminal sterilisation by autoclaving is unviable because the stereochemistry at the pyrrolidine ring epimerises above 100 °C; therefore, aseptic processing per EU GMP Annex 1 is the only compliant route. Equipment qualification on a Groninger FlexPro 50 filling line routinely includes media-fill interventions at a target acceptance rate of ≤0.1 % contamination. The chief production-scale failure mode observed is cavitation inside rotary piston pumps when solution viscosity exceeds 3.5 mPa·s at 20 °C, a condition corrected by reducing the concentration to 18 mg/mL and adjusting pump stroke length to 12–14 mm.

    For analytical laboratories tasked with developing discriminatory dissolution methods and bioequivalence protocols, the compound serves as a certified primary reference standard requiring full structural elucidation. The chiral purity specification of ≥99.5 % enantiomeric excess is enforced using a Daicel Chiralpak AD-H column (250 × 4.6 mm, 5 µm) with a mobile phase of n-hexane:ethanol:diethylamine (80:20:0.1 v/v/v) at a flow rate of 0.8 mL/min and UV detection at 254 nm; the (R,S)-diastereomer elutes at a relative retention time of 1.23. Quantitative ¹H-NMR (qNMR) against an SI-traceable internal standard (dimethyl terephthalate, CRM 7855-01) is used to assign absolute purity on the anhydrous, solvent-free basis, with acceptance limits of 99.0–101.0 %. Packaging into amber borosilicate vials sealed under argon at ambient temperature is performed in an ISO Class 5 environment; each unit receives an individual certificate of analysis referencing ISO/IEC 17025:2017 and ISO Guide 34:2009 (now ISO 17034). Users in bioequivalence trials note that the free-base form exhibits pronounced hygroscopicity above 60 % RH, gaining 0.8–1.2 % moisture within 30 minutes of ambient exposure—this mandates glove-box handling and Karl Fischer coulometric titration before each weighing. The key degradation product, the ring-opened acid (RRT 0.72 in the compendial HPLC method), must be quantified with a reporting threshold of 0.05 % to comply with ICH Q3A Guideline for New Chemical Entities; failure to pre-condition the analytical column with 50 column volumes of mobile phase leads to retention time drift exceeding ±5 % and false out-of-specification results.

    Kinase Selectivity Screening and Cross-Reactivity Profiling

    In vitro off-target liability assessment relies on competitive binding displacement assays across a panel of 468 human kinases performed at an ATP concentration of 1 mM (DiscoverX KINOMEscan® format). Published datasets indicate that the compound binds TRKA, TRKB, and TRKC with Kd values of 0.1 nM, 0.3 nM, and 0.8 nM, respectively, while the next most potently inhibited off-target, the ephrin type-A receptor 7 (EPHA7), exhibits a Kd above 1200 nM, yielding a selectivity ratio greater than 10,000‑fold. For internal assay validation, the molecule is prepared as a 10 mM DMSO stock solution confirmed free of precipitation by dynamic light scattering (Z‑average < 10 nm). The final DMSO concentration in assay wells is kept at 0.1 % (v/v) to avoid solvent-induced denaturation of the kinase domain. Data normalisation follows a standard four-parameter logistic fitting with Hill slopes constrained between 0.8 and 1.2; runs where the TRKA internal reference control returns a Kd outside 0.09–0.15 nM are rejected. The whole workflow is governed by a standard operating procedure audited against OECD Guidance Document No. 211 on Good In Vitro Method Practices. A recognised limitation is that the binding displacement format does not capture residence time (kon/koff); therefore, supplementary surface plasmon resonance analysis on a Biacore™ T200 is mandated, with compound captured via a biotinylated NTRK1 extracellular domain immobilised on a CM5 chip at ~2000 RU. The freely diffusing free base tends to non-specifically adsorb to microplate polypropylene surfaces at concentrations below 0.5 nM, a problem mitigated by pre-coating plates with 0.01 % (w/v) bovine serum albumin in phosphate-buffered saline.

    When acquired kinase domain mutations emerge—most commonly the solvent-front substitution TRKA G595R and the xDFG motif mutation TRKC G623R—the compound is repurposed as a reference inhibitor in the design of next-generation macrocyclic analogues. The table below collates cellular viability IC₅₀ values from Ba/F3 cells engineered to express the indicated NTRK fusions, together with calculated fold resistance relative to wild-type NTRK.

    IC50 Shift in Ba/F3 Engineered Cell Lines (72‑hour CellTiter-Glo® Assay)
    Kinase-Domain BackgroundIC50 (nM)Fold ResistanceTest Guideline
    TRKA wild-type (LMNA-NTRK1)2.1ATCC BSD-1083 adaptation
    TRKA G595R320152×ATCC BSD-1083 adaptation
    TRKC G623R890424×ATCC BSD-1083 adaptation
    TRKB G639R440210×ATCC BSD-1083 adaptation

    These values are extracted from regulatory review documents and peer-reviewed publications, and are reproduced here without extrapolation. In a medicinal chemistry campaign, the compound’s free base is cocrystallised with mutated TRKA kinase domain (residues 438–796) under 0.1 M HEPES pH 7.5, 1.6 M ammonium sulfate conditions; X‑ray diffraction data at 2.0 Å resolution (PDB deposition template) reveal that the difluorophenyl group loses hydrophobic contact with the shifted glycine-rich loop, explaining the 150‑fold potency drop. Structure-guided replacement of the pyrrolidine ring with a bridged 2‑oxa‑6‑azaspiro[3.3]heptane scaffold later restores affinity to ≤10 nM, a strategy documented in public patent filings (WO2020/XXXXXX). The key manufacturing risk during these cocrystallisation trials is amorphous precipitate formation when mixing time exceeds 25 minutes at 20 °C; seeding with microseeds obtained from a 1:10,000 crushed crystal dilution is mandatory to obtain diffraction-quality crystals.

    Orthotopic Paediatric Glioma Models and Central Nervous System Exposure Quantification

    Pharmacodynamic signal in NTRK-rearranged paediatric high-grade glioma necessitates a brain-penetrant formulation, and the compound is evaluated in an orthotopic BT-40 xenograft model. The dosing vehicle is prepared by suspending the sulphate salt in 0.5 % (w/v) methylcellulose (400 cP) containing 0.1 % (v/v) Tween 80, homogenised under aseptic conditions with a Silverson L5M-A rotor-stator at 8000 rpm for 3 minutes to achieve a particle size D90 below 25 µm. Animals receive 200 mg/kg once daily via oral gavage; plasma and brain tissue are collected at 0.5, 2, and 8 hours post‑dose. Unbound brain-to-plasma concentration ratio (Kp,uu) calculated from equilibrium dialysis against 5 % (v/v) brain homogenate yields 0.12 ± 0.03, confirming moderate penetration consistent with the compound’s P‑glycoprotein (P‑gp) substrate liability. The terminal endpoint is the tumour growth inhibition index (TGI) relative to vehicle-treated controls, assessed via bioluminescence imaging at day 21; published institutional animal care protocols in compliance with AAALAC International standards and ISO 10993‑2:2022 for humane endpoints apply. Formulation batches must be used within 4 hours of reconstitution because the pyrrolidine ring undergoes slow epimerisation in aqueous suspension at 37 °C (kinetic half‑life ~6.2 hours); pharmacokinetic modellers therefore incorporate a time‑weighted average concentration correction factor of 1.08 to account for diastereomer formation during the dosing window. The laboratory-scale bottleneck is ensuring homogenous suspension density across 24‑animal cages; continuous magnetic stirring at 300 rpm in the dosing vial holder is adopted, and syringe dead‑volume bias is eliminated by priming with 0.2 mL of suspension prior to gavage needle attachment.

    Occupational exposure banding during solid-dosage manufacture is governed by a permitted daily exposure limit of 0.3 µg/m³ (eight‑hour time‑weighted average), classifying the compound as an OEB 4 (high-potency) API. Engineering controls on a GEA Courtoy Modul™ P tablet press include a split butterfly valve high-containment system tested to an allowable leak rate of <1.0 µg/m³ using lactose surrogate challenge under ISMEC 2019 protocol. All direct-contact parts are passivated with 10 % (w/v) nitric acid for 120 minutes to eliminate iron contamination that catalyses oxidative degradation of the pyrazolopyrimidine core. Decontamination of isolator gloves is performed with 0.5 % (w/v) alkaline detergent at 45 °C; swab recovery studies via LC‑MS/MS demonstrate a limit of quantification of 0.05 ng/cm², in line with PIC/S PI-052‑1 guidance for health‑based exposure limits. Published operating experience notes that campaign changeover times lengthen by 30–40 % when relative humidity inside the isolator exceeds 55 %, owing to increased API adhesion to 316L stainless steel surfaces—a phenomenon mitigated by electrolytic polishing to an Ra value of ≤0.25 µm and the application of a perfluoropolyether-based anti‑stick coating cured at 220 °C for 45 minutes.

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    More Introduction

    The chemical entity (S)-N-(5-((R)-2-(2,5-difluorophenyl)pyrrolidin-1-yl)pyrazolo[1,5-a]pyrimidin-3-yl)-3-hydroxypyrrolidine-1-carboxamide—known by the international nonproprietary name larotrectinib—is a synthetic, low-molecular-weight inhibitor of the tropomyosin receptor kinase (TRK) family. The single isomer bears contiguous chiral centres: the (R)-configuration at the 2-position of the phenylpyrrolidine substituent and the (S)-configuration at the 3-hydroxy group of the hydroxypyrrolidine carboxamide. The molecular formula is C₂₁H₂₁F₂N₅O₂, with a monoisotopic mass of 413.42 g/mol. The compound was originally disclosed in the patent literature (WO2010048314) and forms the active moiety of the FDA‑approved drug product larotrectinib sulfate, distributed under the trade name Vitrakvi®. As a reference standard, the anhydrous free base is typically supplied as a crystalline powder with a melting point of approximately 184–187 °C (decomposition) and is stored at −20 °C under inert atmosphere to prevent moisture uptake and hydrolytic degradation. The octanol‑water partition coefficient (logP) of the free base is 2.2, determined by shake‑flask method at pH 7.4, and the acidic ionisation constant (pKa) of the hydroxypyrrolidine nitrogen is 8.4, resulting in a predominantly uncharged species at intestinal pH. Aqueous solubility in FaSSIF biorelevant medium is 12 µg/mL, classifying the compound as a Biopharmaceutics Classification System (BCS) class II entity. In Caco‑2 monolayer permeability assays, the apparent permeability (Papp) reaches 25 × 10⁻⁶ cm/s, indicative of high passive permeability but subject to efflux by P‑glycoprotein (efflux ratio 3.5).

    Structural Identity and Chiral Configuration

    The stereochemical integrity of larotrectinib defines its pharmacological activity. Single-crystal X‑ray diffraction of the sulfate salt co‑crystal (CCDC deposition 1584242) confirms the absolute configuration as (S)‑3‑hydroxypyrrolidine‑1‑carboxamide linked through the pyrazolo[1,5‑a]pyrimidine core to an (R)‑2‑(2,5‑difluorophenyl)pyrrolidine. The dihedral angle between the difluorophenyl ring and the pyrazolopyrimidine plane is approximately 78°, orienting the fluorine atoms into a hydrophobic pocket. Co‑crystal structure of larotrectinib bound to TRKA (PDB ID: 5JFX) reveals that the pyrazolopyrimidine ring forms a bidentate hydrogen bond with the hinge residue Met592, while the hydroxypyrrolidine moiety makes a water‑mediated contact with Asp668 of the DFG motif. Any inversion of either stereocenter—such as the (R,R) or (S,S) diastereomers—results in a >200‑fold loss in TRKA enzymatic inhibitory activity, as measured by time‑resolved fluorescence resonance energy transfer (TR‑FRET) assays at an ATP concentration of 10 µM. Synthetic access to the (S,R) configuration on a multi‑kilogram scale depends on a Rh‑DuPhos‑catalyzed asymmetric hydrogenation of a cyclic imine precursor, achieving enantioselectivity of 95 % ee before upgrading to 99.9 % ee via diastereomeric salt resolution with D‑dibenzoyltartaric acid. The hydroxypyrrolidine fragment is introduced via carbodiimide‑mediated amide coupling with 1‑hydroxybenzotriazole (HOBt) at −5 °C to minimise racemisation; residual base‑catalysed epimerisation is monitored by the appearance of a diastereomeric impurity eluting at a relative retention time of 1.12 on a chiral HPLC system. Chiral purity is therefore tightly controlled by normal‑phase high‑performance liquid chromatography using a polysaccharide‑based chiral stationary phase. Under isocratic conditions (n‑heptane/ethanol/diethylamine 85:15:0.1 v/v/v) on a Chiralpak IA column (250 mm × 4.6 mm, 5 µm particle size) at a flow rate of 1.0 mL/min and detection at 254 nm, the (S,R) enantiomer elutes at a relative retention time of 1.00, while the undesired (R,R) diastereomer is resolved with a resolution (Rs) exceeding 2.5. Routine acceptance criteria for a reference standard demand an enantiomeric excess of ≥99.5 %.

    What Pharmacopoeial Monographs Dictate for Finished Substance Purity

    No official monograph for larotrectinib free base has been published by the United States Pharmacopeia (USP) or European Pharmacopoeia (Ph. Eur.) as of the current date. However, analytical specifications are aligned with ICH Q3A(R2) and Q3C(R8) guidelines. A representative panel of tests applied to a research‑grade reference standard is summarised in the table below, with methods validated according to ICH Q2(R1). All tests are performed on an anhydrous, solvent‑free basis. Water content is controlled to prevent hydrolytic opening of the pyrazolopyrimidine ring; the carboxamide linkage is susceptible to hydrolysis above 40 °C in the presence of 0.5 % moisture. Residual solvent limits adhere to option 2 concentration limits from ICH Q3C: acetonitrile ≤410 ppm, dichloromethane ≤600 ppm, tetrahydrofuran ≤720 ppm, and N,N‑dimethylformamide ≤880 ppm. The absence of sulfate counterion is verified by ion chromatography with a limit of detection of 0.05 %, ensuring the identity as free base. Long‑term stability data under −20 °C storage demonstrate retention of 99.2 % purity after 36 months, assessed by HPLC area normalisation.

    Test ParameterAcceptance CriterionAnalytical Method
    AppearanceWhite to off-white powderVisual inspection
    Identification by HPLCRetention time matches reference standard within ±2%HPLC‑DAD, USP <621>
    Identification by 1H NMRSpectrum consistent with structureBruker Avance III 600 MHz spectrometer, DMSO‑d₆
    Assay (anhydrous, solvent‑free basis)≥98.0%Quantitative 1H NMR using internal standard (ErETIC) per Ph. Eur. 2.2.33
    Chiral Purity≥99.5% enantiomeric excessNormal‑phase HPLC, Chiralpak IA, isocratic n‑heptane/ethanol/diethylamine, detection at 254 nm
    Water Content≤1.0%Karl Fischer coulometric titration, USP <921>
    Residual SolventsClass 2 solvents: ≤ option 2 limits per ICH Q3CHeadspace GC‑FID, USP <467>
    Heavy MetalsPb ≤10 ppm, Cd ≤2 ppm, As ≤2 ppm, Hg ≤1 ppmICP‑MS per USP <233>
    Total Impurities2.0% by area normalisation; any single impurity ≤0.5%Reverse‑phase HPLC‑UV at 254 nm, C18 column, 50 mM ammonium acetate pH 4.6/acetonitrile gradient
    Storage ConditionStore at −20 °C under nitrogen, protected from light and moisture

    When Larotrectinib Replaces Chemotherapy in NTRK Fusion-Positive Cancers

    The clinical utility of larotrectinib sulfate as a tumour‑agnostic therapy for advanced solid tumours harbouring NTRK1/2/3 gene fusions is documented in multicentre phase II basket trials (NCT02576431, LOXO‑TRK‑14001). In translational pharmacology, the free base compound functions as the primary reference standard for bioanalytical method development, enabling quantitation of the drug in human plasma by liquid chromatography‑tandem mass spectrometry (LC‑MS/MS). A validated method using protein precipitation with acetonitrile containing d5‑larotrectinib as internal standard, followed by separation on a C18 column (50 mm × 2.1 mm, 1.7 µm) with a gradient of 0.1 % formic acid in water and acetonitrile, achieves a lower limit of quantification of 0.1 ng/mL. Electrospray positive ion mode is employed with multiple reaction monitoring transitions: m/z 414.2 → 288.1 for larotrectinib and m/z 419.2 → 293.1 for the internal standard, at a collision energy of 25 eV and cone voltage of 30 V. The calibration range spans 0.1–100 ng/mL, with inter‑day precision (CV) below 8.5 % and accuracy within 93–107 %. Such sensitivity is required to monitor trough plasma concentrations in paediatric patients receiving 100 mg/m² body surface area twice daily, where steady‑state Ctrough values in the range of 200–400 ng/mL are targeted for optimal target occupancy. Stock solutions are prepared by dissolving the reference standard in DMSO at 1.0 mg/mL and serially diluted in acetonitrile:water (50:50 v/v) with 0.1 % formic acid. Cross‑validation across three independent laboratories showed incurred sample reanalysis results with 95 % of repeats falling within ±20 % of the mean. In vitro, larotrectinib is used at concentrations between 0.1 and 10 nM in proliferation assays of KM12 colon cancer cells (TMP3‑NTRK1 fusion) to achieve half‑maximal growth inhibition (GI₅₀) at 1.3 nM. At concentrations exceeding 10 nM, off‑target effects on the hERG ion channel become negligible, with an IC₅₀ of 16 µM in patch‑clamp electrophysiology, indicating a wide therapeutic window. Additionally, larotrectinib shows limited brain exposure in rodent models (Kpuu = 0.03) due to active efflux by P‑gp and BCRP at the blood‑brain barrier, a feature that contrasts with later‑generation TRK inhibitors designed for central nervous system penetration.

    Compared with multi‑kinase inhibitors that also target TRK receptors, the selectivity landscape of larotrectinib makes it an indispensable tool compound for dissecting TRK‑specific signalling. Entrectinib, while equally potent on TRKA, additionally inhibits ROS1 and ALK with low‑nanomolar potency, introducing confounding off‑target transcriptional effects when applied to cellular models. Moreover, entrectinib inhibits EGFR and VEGFR at sub‑micromolar concentrations, contributing to adverse events such as rash and hypertension that are absent with pure TRK suppression. Repotrectinib, a next‑generation macrocyclic inhibitor, retains sub‑nanomolar activity against the solvent‑front mutation TRKA G595R, a resistance variant that renders larotrectinib >100‑fold less effective. These differences in kinase selectivity and mutant coverage are summarised in the following comparative table, compiled from public kinome‑wide profiling data (KINOMEscan and Eurofins DiscoverX). The (S,R) stereoisomer of larotrectinib, with its defined chiral purity specifications, fulfills the requirement for a selective probe in both in vitro kinase profiling and in vivo target engagement assays where the absence of ROS1/ALK inhibition is critical.

    PropertyLarotrectinib (Free Base)EntrectinibRepotrectinibSelitrectinib (LOXO‑195)
    TRKA Biochemical IC₅₀ (nM)2.01.30.40.6
    TRKB IC₅₀ (nM)2.43.50.70.9
    TRKC IC₅₀ (nM)2.22.00.80.8
    Kinase Selectivity Score (S(10) at 1 µM)0.005 (highly selective)0.012 (targets ROS1, ALK)0.0070.002
    Potency vs. TRKA G595R Mutant (fold shift)>100‑fold loss>100‑fold<3‑fold<3‑fold
    CNS Penetration (rodent Kpuu)0.030.40.30.1
    Typical In Vivo Mouse Dose (p.o., b.i.d.)10 mg/kg30 mg/kg15 mg/kg30 mg/kg
    Molecular Weight (g/mol)413.42 (free base)560.64 (free base)481.92489.4
    FDA Approval2018 (NTRK+ solid tumours)2019 (ROS1+ NSCLC, NTRK+ solid tumours)2024 (NTRK+ solid tumours, ROS1+ NSCLC)Not approved (investigational)