Taletrectinib: ROS1-positive lung cancerTargeted options before and after resistance,
with specialist advice in Shanghai on choosing treatment.

Eligible adults starting targeted therapy for ROS1-positive lung cancer or progressing after crizotinib may use taletrectinib to seek tumour response. Shanghai specialist teams involved in TRUST-I can discuss medication according to the cause of resistance, brain lesions and tolerance; patient acceptance and supply need confirmation.

Free initial service consultation · Understand your options and budget before you travel

Chinese TRUST-I: confirmed response rates by group
No previous ROS1 TKI
90.6%, 106 patients
Previously treated with crizotinib
51.5%, 66 evaluable patients

From the 2024 single-arm phase II paper; not a superiority comparison between medicines or each patient's chance of success. View the evidence

Benefit differs between ROS1-TKI-naive patients and those previously treated with crizotinib; the US has also approved the medicine. The price entry, checked on 2026-10-03, is marked “patient-supplied” and does not establish stock or a price for foreigners. Fully self-funded without insurance or free drugs. View sources

Discuss initial treatment, resistance and brain lesions together

China's TRUST-I generated experience before ROS1 treatment and after crizotinib, with participation from Shanghai specialists. Previous treatment and progression sites can inform whether taletrectinib suits the next stage.

Include the cause of resistance when planning a switch

Consider progression sites and repeat testing. Not all resistance mechanisms can be assumed sensitive; evidence after other ROS1 medicines requires separate assessment.

Address brain lesions at the same time

The study observed intracranial activity, but symptomatic brain metastases still require discussion of radiotherapy or other local treatment. Do not consider only changes in lesions elsewhere in the body.

View approval, research and price sources for this page

Distinguish monthly consumption from actual medicine purchases

At 600mg once daily, calculate 30-day consumption and whole-box purchases separately. Foreign patients are fully self-funded without Chinese health insurance or free drugs. A published “patient-supplied” entry does not prove stock is available to purchase.

Zhejiang Cancer Hospital's published price
200mg × 33 capsules: RMB 4,187.04; marked “patient-supplied”
Drug consumption cost for 30 days
3 capsules daily, 90 capsules total = RMB 11,419.20
If buying whole boxes
3 boxes containing 99 capsules = RMB 12,561.12, with 9 capsules left for continued use
Tests and consultations additional
ROS1 testing, CT/brain MRI, liver function, ECG and ongoing prescriptions require pricing

A “patient-supplied” price entry does not establish hospital stock or that foreigners can buy at that price. Confirm the actual quote, supply and international consultation costs separately; accommodation and transport are additional.

View approval, research and price sources for this page

Finding treatment that fits you
starts with the reports you already have.

Clarifying your disease type and previous treatment helps establish whether this option could form part of a plan for you.

  • Confirm the targetReliable testing must establish ROS1 fusion/positivity; lung adenocarcinoma pathology alone is insufficient.
  • Check previous medicinesNo prior ROS1 treatment or prior crizotinib may match TRUST-I; evidence after other ROS1 medicines needs separate assessment.
  • Assess risksLiver disease, prolonged QTc, lung disease and concurrent medicines require prior medical review.

Interpret benefit by prior drug exposure, alongside ongoing treatment risks

TRUST-I was a Chinese multicentre study; outcomes before ROS1 treatment and after crizotinib must be interpreted separately. US approval in 2025 also considered TRUST data. This drug is not exclusive to China.

Median progression-free survival after crizotinib
7.6 months, reported in TRUST-I in 2024
More common problems
Diarrhoea, raised liver enzymes and dizziness
Serious toxicities to watch for
Hepatotoxicity, interstitial lung disease/pneumonitis and QTc prolongation

Do not mix data from different follow-up versions. This study cannot guarantee efficacy after repotrectinib failure.

View approval, research and price sources for this page

In Shanghai, let specialist experience
help inform your next step.

Explore Shanghai teams whose research and clinical focus relate to your condition and may warrant further discussion.

Zhou Caicun and the oncology research team

Zhou Caicun and the oncology research team

Key TRUST-I research team

Shanghai East Hospital, affiliated with Tongji University

If you wish to discuss initial treatment or options after crizotinib in Shanghai, consider the relevant Shanghai East Hospital specialty. The TRUST-I paper and official research sponsor announcements record Zhou Caicun and Li Wei's team's participation in the Chinese study. Specific appointments, prescriptions and drug supply require confirmation.

Learn about this Shanghai team

Published research and clinical information can inform hospital selection; specific doctors, drug availability, international clinic charges and appointment dates are subject to confirmation by the hospital.

You do not need to book flights first.
Clarify treatment and costs before you travel.

Tell us your diagnosis, previous treatments and main concerns. We help you communicate about Shanghai consultation requirements, budgets and travel arrangements.

  • Bring pathology, the ROS1 testing method and complete results to confirm the target and disease extent
  • List doses, dates and progression records for crizotinib and other previous medicines to assess subsequent options
  • Provide recent original chest and abdominal CT and brain MRI images to discuss brain and systemic lesions together
  • Prepare ECG, liver tests and all medicines to plan prescribing and ongoing monitoring

Start the first conversation with the records you already have.

You do not need to arrange new tests yourself for an initial consultation.

Download the records checklist

Get answers to the questions that matter to you
before you travel.

Costs, potential benefit and further treatment deserve specific answers before departure.

Will it be better than other ROS1 medicines available to me?

A single-arm study cannot establish that. Compare options in light of brain metastases, resistance mechanisms and tolerance. TRUST-I cannot guarantee efficacy after repotrectinib failure.

Must I keep taking medication and having checks after a response?

Treatment usually continues until progression or intolerance, with regular follow-up. Do not stop or change doses yourself. Liver function, ECG and lung risks still require monitoring.

If the same medicine is available at home, how do I judge whether Shanghai makes sense?

Compare your local self-funded bill, Shanghai team availability, actual supply and long-term follow-up costs together. A hospital's published “patient-supplied” price is not a confirmed international patient quote and cannot guarantee savings.

Connect your next treatment stage with Shanghai specialists and long-term follow-up.

Starting with your condition and budget, we help communicate about consultations and treatment arrangements in Shanghai.

The initial service consultation is free; the treating doctor assesses your specific medical plan.

Sources and image credits

Information is compiled from public approval documents, studies and prices and does not replace an individual medical assessment. Research and cost figures each have a defined scope; published prices are not personal international patient quotes. Costs are discussed on a self-funded basis without Chinese health insurance or free-drug assistance.

  1. Company submission published by the National Healthcare Security Administration: approved Chinese taletrectinib populations and dose · 2025-07-19
  2. Li et al.: original Chinese TRUST-I taletrectinib study · 2024; verified 2026-10-03
  3. Tongji University School of Medicine: official Zhou Caicun profile and source of existing project portrait · Verified 2026-10-03
  4. Innovent official announcement: Zhou Caicun and Li Wei participation in TRUST-I · 2024; verified 2026-10-03
  5. Zhejiang Cancer Hospital: taletrectinib 200mg × 33 capsule retail price (marked patient-supplied) · Verified 2026-10-03
  6. FDA: US taletrectinib approval and risks including hepatotoxicity, pneumonitis and QTc prolongation · 2025-06-11

Portraits and hospital images come from the cited public sources or existing project assets. Public accessibility does not constitute a commercial image licence.

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