Head-to-head evidence

Alectinib vs Ensartinib

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Non-Small Cell Lung Cancer

Shared mechanism: ALK · full Non-Small Cell Lung Cancer pipeline

Alectinib · Alecensa

Marketed by Roche

Approved in Non-Small Cell Lung Cancersmall molecule
Partial signal

NCT02075840 · Phase 3 · completed

Participants were randomly assigned to alectinib or the active comparator crizotinib (152 versus 151), but the trial was open-label rather than double-blind. The primary progression-free survival endpoint was met, with alectinib showing a hazard ratio of 0.47 versus crizotinib (p<0.0001), but the lack of blinding limits the overall evidence strength.

Next expected readout: November 2026 · NCT05987956 (registry estimate)

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Ensartinib

Marketed by Xcovery Holdings

Approved in Non-Small Cell Lung Cancersmall molecule
Weak signal

NCT01625234 · Phase 1/2 · completed

This was a non-randomized, open-label, single-arm study with 131 participants and no placebo or active comparator. Its primary endpoint was the maximum tolerated dose, a dose-finding safety outcome rather than a clinical efficacy endpoint, so the findings provide limited controlled evidence for ensartinib’s treatment benefit.

Next expected readout: February 2027 · NCT05241028 (registry estimate)

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: Alectinib's landscape · Ensartinib's landscape