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                                                                Synonyms: NMS-E628 | Rozlytrek® | RXDX-101
                                 
                                                         
                            
                            
                            
                                 
                                
                                entrectinib is an approved drug (Japan and FDA (2019), EMA (2020)) 
                                                        
                                                    
                                Compound class: 
                                                            Synthetic organic
                                 
                                
                                    
                                        Comment: Entrectinib is an oral, brain penetrant, receptor tyrosine kinase (RTK) inhibitor that targets solid tumours that harbour activating alterations in NTRK1, NTRK2, NTRK3 (the Trk family RTKs), ROS1 or ALK [6]. NTRK1 fusion proteins are becoming recognised as oncogenic-drivers in NSCLC [3], so the ability of the compound to target these and ALK- and ROS1-rearrangements suggests it has the potential to become a useful oncology agent. 
                            
                            
                          
                                
                                    
                                
                          
                                   
                                   
                                  
                                      
                                     
                                   
                                   
                                    
                                    
                                    More recently entrectinib has been shown to inhibit NLRP3 inflammasome assembly and activation via a direct interaction with NIMA related kinase 7 (NEK7) that disrupts the NLRP3-NEK7 interaction [5]. This discovery suggests a role for entrectinib as an intervention for inflammasome-related diseases.  | 
                                    
                                        
                                         
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| Bioactivity Comments | 
| Thus far in vitro and in vivo activity has only been reported in meeting abstracts (see references 71-73 in [2], or generated via PubChem Bioassay. PubChem Bioassay results report Ki values of 1nM (ALK), 1.58nM (TrkA, NTRK1), 2.51nM (TrkB, NTRK2) and 1.58nM (TrkC, NTRK3).  Entrectinib inhibits IL-1β formation (a proxy for NLRP3 inflammasome activation) by ~95% (at 10μ M in vitro [5].  |