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Clinical TrialsClinical TrialsLORVIQUA® Clinical TrialsPhase I/II StudyCROWN StudySafetySafetyLORVIQUA® Safety ProfileDosingDosingLORVIQUA® DosingResourcesResourcesLORVIQUA® ResourcesCase StudiesVideosMaterials

The content of this webpage has been produced in line with the LORVIQUA®▼ (lorlatinib) Summary of Product Characteristics for Great Britain.
If you are an HCP in Northern Ireland click here.

LORVIQUA®▼ (lorlatinib) Prescribing Information for Great Britain and Northern Ireland click here. XALKORI® (crizotinib) Prescribing Information for Great Britain and Northern Ireland click here. Adverse event reporting information can be found at the bottom of the page.

CROWN Study: Safety ProfileIncidence of adverse events (AEs) and treatment discontinuation1 

Adapted from Solomon BJ, et al. Lancet Respir Med. 2022.1
Data cutoff: September 20, 2021.1​
*The higher incidence of grade 3-4 AEs in patients in the LORVIQUA® arm was largely due to frequent recurrence of altered lipid concentration, including hypertriglyceridaemia (23% in the LORVIQUA® arm vs. 0% in the crizotinib arm) and hypercholesterolaemia (19% in the LORVIQUA® arm vs. 0% in the crizotinib arm), as well as weight gain (20% in the LORVIQUA® arm vs. 2% in the crizotinib arm) and hypertension (11% in the LORVIQUA® arm vs 1% in the crizotinib arm).1​​​​​​

AEs of any cause reported in >20% of patients in either arm that differed by more than 10% between arms2
Event*
Data are n (%)
             LORVIQUA® (n=149)                              Crizotinib (n=142)           
Any Grade Grade 3 Grade 4 Any Grade Grade 3 Grade 4
Any adverse event 149 (100) 94 (63) 19 (13) 140 (99) 69 (49) 12 (8)
Hypercholesterolaemia 108 (72) 27 (18) 2 (1) 5 (4) 0 0
Hypertriglyceridaemia 99 (66) 23 (15) 11 (7) 8 (6) 0 0
Oedema 83 (56) 6 (4) 0 61 (43) 2 (1) 0
Weight Increased 65 (44) 30 (20) 0 18 (13) 3 (2) 0
Peripheral neuropathy 60 (40) 2 (1) 0 21 (15) 1 (1) 0
Arthralgia 39 (26) 1 (1) 0 20 (14) 0 0
Cognitive effects 38 (26) 5 (3) 0 9 (6) 0 0
Anaemia 33(22) 5 (3) 0 13 (9) 4 (3) 0
Diarrhoea 33 (22) 2 (1) 0 75 (53) 1 (1) 0
Vision disorder 28 (19) 0 0 56 (39) 1 (1) 0
ALT increased 27 (18) 4 (3) 0 49 (35) 5 (4) 1 (1)
Constipation 29 (19) 0 0 43 (30) 1 (1) 0
Nausea 23 (15) 1 (1) 0 75 (53) 3 (2) 0
AST increased 22 (15) 3 (2) 0 39 (27) 5 (4) 0
Vomiting 20 (13) 1 (1) 0 56 (39) 2 (1) 0
Decreased appetite 6 (4) 0 0 35 (25) 4 (3) 0

Adapted from Solomon BJ, et al. Lancet Respir Med. 2022. Supplementary Appendix.2
Data cutoff: September 20, 2021.2
*Patients were only counted once per event.2
†This category comprised a cluster of AEs that may represent similar clinical symptoms or syndromes.

Summary of CNS events in the LORVIQUA® arm2
Event
Data are n (%)
                                                         LORVIQUA (n=149)                                                         
Any grade Grade 1 Grade 2 Grade 3 Grade 4
Any CNS AE 58 (39) 34 (23) 16 (11) 8 (5) 0
Cognitive effects* 38 (26) 23 (15) 10 (7) 5 (3) 0
Mood effects 26 (17) 14 (9) 10 (7) 2 (1) 0
Speech effects 8 (5) 6 (4) 1 (1) 1 (1) 0
Psychotic effects§ 7 (5) 5 (3) 1 (1) 1 (1) 0

Adapted from Solomon BJ, et al. Lancet Respir Med. 2022. Supplementary Appendix.2
Data cutoff: September 20, 2021.2
*Cognitive disorders were any event from cognitive and attention disorders and disturbances, or deliria (including confusion), or mental impairment disorders.2
†Mood effects were any event from anxiety disorders and symptoms, or depressed mood disorders and disturbances, or manic and bipolar mood disorders and disturbances, or mood disorders and disturbances NEC, or personality disorders and disturbances in behaviour.2
‡Speech effects were any event from speech and language abnormalities.

§Psychotic effects were any event from narrow psychosis and psychotic disorders or PT of psychotic symptom.2

Rate of CNS AEs decreases over time with LORVIQUA®3
Patients with event*
Data are n (%)
Time Interval
<6 months (n=149) 6 months-1 year (n=129) 1-2 years (n=177) 2-3 years (n=98) >3 years (n=92)
Any CNS AE 37 (25) 14 (11) 18 (15) 10 (10) 2 (2)

Adapted from Bearz A, et al. Poster 979P presented at ESMO 2022, 9-13 Sept.3
Data cutoff: September 20, 2021.3
* Patients were only counted once per time interval within each cluster. n was the number of patients at risk during the specified time period.3

For the most up-to-date safety information, please refer to the full LORVIQUA® Summary of Product Characteristics.4

Efficacy Outcomes

Outcomes for the primary endpoint of progression-free survival (assessed by BICR) and key secondary endpoints.

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Quality of Life

Outcomes for the secondary endpoint of patient-reported quality of life.

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AE: adverse event, ALT: alanine aminotransferase, AST: aspartate aminotransferase, CNS: central nervous system, NEC: not elsewhere classified, PT: preferred term

References

Solomon BJ, et al. Lancet Respir Med. 2022. Available at: https://doi.org/10.1016/S2213-2600(22)00437-4 [Accessed January 2023].Solomon BJ, et al. Lancet Respir Med. 2022. Supplementary Appendix. Available at: https://doi.org/10.1016/S2213-2600(22)00437-4 [Accessed January 2023].Bearz A, et al. Poster 979P presented at ESMO 2022, 9-13 Sept. LORVIQUA® Summary of Product Characteristics for Great Britain click here.
PP-LOR-GBR-0273. January 2023

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Adverse events should also be reported to Pfizer Medical Information on 01304 616161

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