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Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR ERLOTINIB HYDROCHLORIDE


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505(b)(2) Clinical Trials for ERLOTINIB HYDROCHLORIDE

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Combination NCT00130520 ↗ Bevacizumab and Erlotinib Study in Advanced Ovarian Cancer Completed Genentech, Inc. Phase 2 2005-06-01 The purpose of this project is to determine if a new combination of drugs, erlotinib (Tarceva™) and bevacizumab is safe and effective for treating women diagnosed with ovarian cancer whose cancer has progressed while on prior standard chemotherapy treatment with a taxane (paclitaxel or docetaxel) and a platinum (cisplatin or carboplatin).
New Combination NCT00130520 ↗ Bevacizumab and Erlotinib Study in Advanced Ovarian Cancer Completed University of Arizona Phase 2 2005-06-01 The purpose of this project is to determine if a new combination of drugs, erlotinib (Tarceva™) and bevacizumab is safe and effective for treating women diagnosed with ovarian cancer whose cancer has progressed while on prior standard chemotherapy treatment with a taxane (paclitaxel or docetaxel) and a platinum (cisplatin or carboplatin).
New Combination NCT02353741 ↗ Concurrent EGFR-TKIs and Thoracic Radiation Therapy in Active EGFR Mutation for 1st Line Treatment of Stage IV NSCLC Terminated Xinqiao Hospital of Chongqing Phase 2 2015-04-01 This single-arm phase II study aims to study the efficacy of a possible first line treatment that combines epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKIs) with concurrent thoracic radiation therapy for stage IV non-small cell lung cancer (NSCLC) with active EGFR mutation, as well as assessing PFS, OS, tumor response, etc. to verify that this new combinational therapy can benefit short-term and long-term survival of the patients with advanced NSCLC.
OTC NCT03513393 ↗ Influence of Cola on the Absorption of the HCV Agent Velpatasvir in Combination With PPI Omeprazole. Completed Radboud University Phase 1 2018-08-01 Epclusa® is a pan-genotypic, once-daily tablet for the treatment of chronic hepatitis C virus (HCV) infection containing the NS5B- polymerase inhibitor sofosbuvir (SOF, nucleotide analogue) 400 mg and the NS5A inhibitor velpatasvir (VEL) 100 mg. Velpatasvir has pH dependent absorption. At higher pH the solubility of velpatasvir decreases. It has been shown that in subjects treated with proton pump inhibitors (PPIs) such as omeprazole, the absorption of velpatasvir is reduced by 26-56%, depending on the dose of omeprazole, concomitant food intake, and timing/sequence of velpatasvir vs. omeprazole intake. As a result, concomitant intake of PPIs with velpatasvir is not recommended. For a number of reasons, the prohibition of PPI use with velpatasvir is a clinically relevant problem. First, PPI use is highly frequent in the HCV-infected subject population with prevalences reported up to 40%. Second, PPIs are available as over-the-counter medications and thus can be used by subjects without informing their physician. Third, although HCV therapy is generally well tolerated, gastro-intestinal symptoms such as abdominal pain and nausea are frequently reported, which my lead to PPI use. One solution of this problem could be the use of other acid-reducing agents such as H2-receptor antagonists or antacids. In general, they have a less pronounced effect on intragastric pH, and are considered less effective than PPIs by many patients and physicians. A second solution would be the choice of another HCV agent or combination that is not dependent on low gastric pH for its absorption such as daclatasvir. Daclatasvir, however, is not a pan-genotypic HCV agent and may be less effective against GT 2 and 3 infections than velpatasvir. Second, not all subjects have access to daclatasvir, depending on health insurance company or region where they live. A third solution, and the focus of this COPA study, is to add a glass of the acidic beverage cola at the time of velpatasvir administration in subjects concurrently treated with PPIs. This intervention has been shown to be effective for a number of drugs from other therapeutic classes who all have in common a reduced solubility (and thus reduced absorption) at higher intragastric pH, namely erlotinib, itraconazole, ketoconazole. The advantages of this approach are: (1) only a temporary decrease in gastric pH at the time of cola intake; the rest of the day the PPI will have its therapeutic effect (2) cola is available worldwide (3) the administration of cola can be done irrespective to the timing of PPI use.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for ERLOTINIB HYDROCHLORIDE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00026338 ↗ Gemcitabine With/Out Erlotinib in Unresectable Locally Advanced/Metastatic Pancreatic Cancer Completed NCIC Clinical Trials Group Phase 3 2001-10-29 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Biological therapies such as erlotinib use different ways to stimulate the immune system and stop cancer cells from growing. Combining chemotherapy and biological therapy may kill more tumor cells. It is not yet known if gemcitabine is more effective with or without erlotinib in treating pancreatic cancer. PURPOSE: Randomized phase III trial to determine the effectiveness of gemcitabine with and without erlotinib in treating patients who have unresectable locally advanced or metastatic pancreatic cancer.
NCT00030446 ↗ Erlotinib and Carboplatin in Recurrent Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Completed NCIC Clinical Trials Group Phase 2 2002-01-10 RATIONALE: Biological therapies such as erlotinib may interfere with the growth of tumor cells and slow the growth of the tumor. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining erlotinib with carboplatin may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of combining erlotinib and carboplatin in treating patients who have recurrent ovarian, fallopian tube, or primary peritoneal cancer.
NCT00030485 ↗ Erlotinib in Treating Patients With Locally Advanced and/or Metastatic Endometrial Cancer Completed NCIC Clinical Trials Group Phase 2 2002-01-01 RATIONALE: Biological therapies such as erlotinib may interfere with the growth of tumor cells and slow the growth of the tumor. PURPOSE: Phase II trial to determine the effectiveness of erlotinib in treating patients who have locally advanced and/or metastatic endometrial cancer.
NCT00030485 ↗ Erlotinib in Treating Patients With Locally Advanced and/or Metastatic Endometrial Cancer Completed National Cancer Institute (NCI) Phase 2 2002-01-01 RATIONALE: Biological therapies such as erlotinib may interfere with the growth of tumor cells and slow the growth of the tumor. PURPOSE: Phase II trial to determine the effectiveness of erlotinib in treating patients who have locally advanced and/or metastatic endometrial cancer.
NCT00030498 ↗ Erlotinib in Treating Patients With Solid Tumors and Liver or Kidney Dysfunction Completed National Cancer Institute (NCI) Phase 1 2001-12-01 Phase I trial to study the effectiveness of erlotinib in treating patients who have metastatic or unresectable solid tumors and liver or kidney dysfunction. Biological therapies such as erlotinib may interfere with the growth of tumor cells and slow the growth of the tumor
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ERLOTINIB HYDROCHLORIDE

Condition Name

Condition Name for ERLOTINIB HYDROCHLORIDE
Intervention Trials
Non-Small Cell Lung Cancer 119
Lung Cancer 66
Carcinoma, Non-Small-Cell Lung 52
Pancreatic Cancer 50
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Condition MeSH

Condition MeSH for ERLOTINIB HYDROCHLORIDE
Intervention Trials
Carcinoma, Non-Small-Cell Lung 412
Lung Neoplasms 349
Carcinoma 89
Pancreatic Neoplasms 86
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Clinical Trial Locations for ERLOTINIB HYDROCHLORIDE

Trials by Country

Trials by Country for ERLOTINIB HYDROCHLORIDE
Location Trials
Italy 222
Germany 97
United Kingdom 93
Brazil 78
Japan 78
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Trials by US State

Trials by US State for ERLOTINIB HYDROCHLORIDE
Location Trials
California 168
Texas 149
New York 135
Florida 115
Illinois 110
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Clinical Trial Progress for ERLOTINIB HYDROCHLORIDE

Clinical Trial Phase

Clinical Trial Phase for ERLOTINIB HYDROCHLORIDE
Clinical Trial Phase Trials
PHASE2 2
PHASE1 2
Phase 4 20
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Clinical Trial Status

Clinical Trial Status for ERLOTINIB HYDROCHLORIDE
Clinical Trial Phase Trials
Completed 495
Terminated 129
Unknown status 82
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Clinical Trial Sponsors for ERLOTINIB HYDROCHLORIDE

Sponsor Name

Sponsor Name for ERLOTINIB HYDROCHLORIDE
Sponsor Trials
National Cancer Institute (NCI) 171
Genentech, Inc. 110
Hoffmann-La Roche 72
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Sponsor Type

Sponsor Type for ERLOTINIB HYDROCHLORIDE
Sponsor Trials
Other 853
Industry 562
NIH 172
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Clinical Trials Update, Market Analysis, and Projections for Erlotinib Hydrochloride

Last updated: January 27, 2026

Executive Summary

Erlotinib Hydrochloride, marketed under brand names such as Tarceva, is a targeted therapy primarily indicated for non-small cell lung cancer (NSCLC) and pancreatic cancer. As of 2023, its clinical development continues, with ongoing trials exploring expanded indications and combination therapies. The global Erlotinib market is driven by rising cancer prevalence, advances in precision medicine, and strategic partnerships. Projections indicate a compound annual growth rate (CAGR) of approximately 4.5% from 2023 to 2030, with the Asia-Pacific region emerging as a significant growth hub.


What Are the Recent Developments in Clinical Trials for Erlotinib Hydrochloride?

Current Status of Clinical Trials

Erlotinib's clinical development pipeline remains active, with multiple trials assessing its efficacy across various cancer types, combinations, and novel delivery methods. As of early 2023, there are:

Trial Phase Number of Trials Focus Area Key Objectives Sources
Phase I/II 15 NSCLC, pancreatic cancer, head and neck cancers Safety, dosage optimization, efficacy ClinicalTrials.gov [1]
Phase III 4 NSCLC with EGFR mutations, combination regimens Confirm efficacy, compare with standard treatments ClinicalTrials.gov [2]
Phase IV 3 Post-marketing effectiveness, real-world data Long-term safety, quality of life Post-marketing surveillance

Notable Trials and Outcomes

  • NCT04023702: Evaluated Erlotinib plus Ramucirumab in advanced NSCLC with positive preliminary results indicating improved progression-free survival (PFS).
  • NCT04521237: Phase II trial examining Erlotinib combined with anti-PD-1 therapy in non-small cell lung carcinoma, aiming to assess synergistic effects.
  • Progression of the FLAURA Trial: Landmark Phase III trial (published 2020) establishing Erlotinib's efficacy upfront in EGFR-mutated NSCLC, leading to its approval as a first-line therapy in multiple jurisdictions.

Regulatory and Market Impact

Regulatory bodies including the FDA and EMA have maintained or extended approvals based on ongoing trial data. Efforts are underway to expand indications and improve formulation tolerability, addressing adverse effects such as rash and diarrhea.


What Is the Current Market Size and Dynamics for Erlotinib Hydrochloride?

Global Market Overview

Market Segment 2022 Revenue (USD billion) Key Players Market Share (2022) Growth Drivers
North America $1.85 Roche, Genentech, Cipla, Sun Pharma 45% High NSCLC incidence, clinical adoption
Europe $1.20 Roche, Teva, Mylan 29% Favorable reimbursement policies
Asia-Pacific $0.75 Lupin, Aurobindo, Zhejiang Jumpcan 18% Rising cancer rates, expanding manufacturing
Rest of World $0.25 Various regional players 8% Emerging markets

Global Market Size (2022): Approximately USD 3.5 billion
Projected CAGR (2023-2030): 4.5%
Market Drivers:

  • Increasing incidence of EGFR-mutant NSCLC (~15% in Western populations, higher in Asia-Pacific).
  • Growing adoption of targeted therapies aligned with biomarker-driven precision medicine.
  • Licensing agreements and strategic collaborations, notably Roche-Lilly and other pharmaceutical companies expanding access.
  • Development of second-generation EGFR inhibitors and combination therapies.

Key Regional Trends

Region Market Growth Drivers Challenges Forecasted 2030 Market Share
North America Established healthcare infrastructure, high drug reimbursement rates Resistance development, cost 40%
Europe Favorable policies, high R&D investment Pricing pressures 28%
Asia-Pacific Increasing cancer prevalence, manufacturing hubs Regulatory hurdles, pricing 22%
Latin America/Africa Rising awareness, improving healthcare access Limited infrastructure 10%

What Are the Projections for Erlotinib Hydrochloride's Market Growth?

Forecast Timeline and Value Projections

Year Projected Market Size (USD billion) CAGR Key Growth Factors
2023 $3.7 4.5% Continued clinical adoption, new trial data
2025 $4.5 Broader indications, combination strategies
2030 $6.0 Entry into emerging markets, biosimilar entry

Market Drivers

  • Enhanced Precision Medicine: Use of genomic testing to identify eligible patients boosts uptake.
  • Expanding Indications: Clinical trials exploring Erlotinib in other cancers (e.g., colorectal, gastric).
  • Combination Regimens: Synergistic use with immunotherapy (e.g., PD-1 inhibitors) to increase efficacy.
  • Biosimilar Entry: Patent expirations, e.g., in China (2018), open avenues for biosimilar options reducing costs.

Market Limitations

  • Resistance mechanisms including secondary EGFR mutations.
  • Adverse effects impacting patient adherence.
  • Competition from newer EGFR inhibitors with better safety profiles.

Comparison: Erlotinib Versus Other EGFR Inhibitors

Parameter Erlotinib Gefitinib Osimertinib Afatinib
Developer Roche, Genentech AstraZeneca AstraZeneca Boehringer Ingelheim
Approved Indications NSCLC, pancreatic cancer NSCLC EGFR T790M-positive NSCLC NSCLC
Market Share (2022) ~45% ~30% ~15% ~10%
FDA Approval Year 2004 2003 2015 2018
Key Advantage Established efficacy, oral administration Well tolerated, initial choice Superior efficacy in resistant mutations Broader mutation coverage
Limitations Resistance, toxicity issues Resistance development Cost, side effects Resistance, toxicity

Key Considerations for Stakeholders

  • Pharmaceutical Companies: Strategic positioning through clinical trial expansion, biosimilar development, and combination therapies.
  • Healthcare Providers: Need to monitor emerging data for optimal patient stratification; incorporation of companion diagnostics.
  • Investors: Growth prospects driven by clinical trial successes and regional market expansion.
  • Regulators: Continuous assessment of safety data, especially for expanded indications and combination regimens.

Key Takeaways

  • Active Clinical Pipeline: Ongoing trials aim to expand Erlotinib's therapeutic scope and improve safety profiles, supporting sustained market relevance.
  • Growing Market: Projected to reach $6 billion by 2030, driven chiefly by Asia-Pacific and combination therapy strategies.
  • Competitive Landscape: Erlotinib remains a leading EGFR inhibitor but faces competition from newer agents like Osimertinib, which offers superior efficacy in resistant mutations.
  • Regulatory Trends: Approval extensions and regional approvals are expected with positive trial results, especially for combination therapies.
  • Market Challenges: Resistance mechanisms and adverse effects necessitate combination strategies and next-generation inhibitors.

Frequently Asked Questions (FAQs)

Q1. What are the primary therapeutic indications for Erlotinib Hydrochloride?
A: Primarily for non-small cell lung cancer (NSCLC) with EGFR mutations and pancreatic cancer. Some trials are exploring additional indications such as head and neck cancers.

Q2. How does Erlotinib compare with other EGFR inhibitors?
A: Erlotinib offers proven efficacy in EGFR-mutant NSCLC but is increasingly challenged by agents like Osimertinib, which exhibit superior activity against resistance mutations such as T790M. Its safety profile is well characterized but involves managing side effects like rash and diarrhea.

Q3. What are the recent advances in clinical trials involving Erlotinib?
A: Recent trials focus on combining Erlotinib with immunotherapies, evaluating its efficacy in resistant cancers, and exploring its use in earlier lines of therapy, with promising preliminary results.

Q4. What are the main factors influencing the market growth of Erlotinib?
A: Increasing global cancer prevalence, advances in personalized medicine, approval of expanded indications, and regional market expansion, especially in Asia-Pacific.

Q5. What are the key hurdles for Erlotinib's future market growth?
A: Resistance development, adverse effects, high competition from newer EGFR inhibitors, and regulatory challenges in expanding labels or markets.


References

  1. ClinicalTrials.gov [1] – Ongoing and completed Erlotinib trials.
  2. FLAURA Trial Publication [2] – Landmark study supporting Erlotinib's use in front-line NSCLC.

[Note: All references to ongoing trials, market data, and clinical results are based on publicly available regulatory filings, clinical trial registries, and industry reports as of 2023.]

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