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Vitrakvi

Sourced directly from the authorized manufacturer network to ensure authenticity and quality.

Ready to proceed? Start a request for Vitrakvi on our secure patient portal to submit your prescription, upload documents and track your approval status.

Vitrakvi

Supplied with complete CDSCO-approved import and customs documentation, including Form 12A & 12B, CDEC, GST Bill of Entry, Commercial Invoice, and Packing List.

Medicine Name: Vitrakvi
Generic Name (API): Larotrectinib sulfate
Dosage Form & Strength: 25 mg/ 20 mg/ 100 mg
Route: Oral
Drug Class:

Manufacturer / Innovator:

Germany

Regulatory Approval:

  • FDA (US)
  • EMA (Europe)
  • HC (Canada)
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  • Medicines sourced from authorized manufacturers with full batch traceability

    Medicines sourced from authorized manufacturers with full batch traceability.

  • EU-GDP Compliant Warehousing for secure, quality-controlled global distribution.

    EU-GDP compliant warehousing for secure, quality-controlled global distribution.

  • Temperature-Controlled Logistics for Safe and Timely Delivery

    Temperature-controlled logistics ensuring safe, reliable, and timely medicine delivery.

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Understanding Vitrakvi and Its Medical Uses

Vitrakvi (larotrectinib) is a kinase inhibitor approved for the treatment of adult and pediatric patients with solid tumors that have a neurotrophic receptor tyrosine kinase (NTRK) gene fusion, without a known acquired resistance mutation, that are metastatic or where surgical resection is likely to result in severe morbidity, and who have no satisfactory alternative treatments or whose cancer has progressed following treatment.

How Vitrakvi Works

Vitrakvi selectively inhibits TRK (tropomyosin receptor kinase) proteins, blocking abnormal signaling caused by NTRK gene fusions that drive tumor growth, regardless of where in the body the tumor originates — a tumor-agnostic approach based on the underlying genetic alteration.

Approved Patient Population

Vitrakvi is intended for patients of any age, from infants to adults, whose tumors have been confirmed through an approved test to carry an NTRK gene fusion, across a wide range of solid tumor types.

Dosage and Administration

The recommended adult dose of Vitrakvi is 100 mg orally twice daily, with or without food, continued until disease progression or unacceptable toxicity. Pediatric dosing is based on body surface area, using capsules or oral solution as appropriate.

Warnings and Precautions for Vitrakvi

Vitrakvi does not carry a formal FDA boxed warning. However, patients and prescribers should be aware of the following important safety information.

Neurotoxicity

Neurologic reactions, including dizziness, gait disturbances, and cognitive changes, have been reported in a majority of patients in clinical trials. Dose modification may be needed for significant neurotoxicity.

Hepatotoxicity

Liver function tests should be monitored every two weeks during the first month of treatment, then monthly thereafter, as liver enzyme elevations have been observed.

Embryo-Fetal Toxicity

Vitrakvi may cause fetal harm. Effective contraception should be used during treatment and for a period after the final dose, as advised by the treating physician.

How to Access Vitrakvi in India: A 6-Step Process

Step 1 – Search & request your medicine: The patient or treating doctor submits a request with basic details to initiate the access process.

Step 2 – Verification & eligibility review: The team verifies availability and reviews eligibility against regulatory and clinical requirements to ensure a compliant pathway.

Step 3 – Receive quote & delivery timeline: A transparent quotation is shared, covering medicine cost, logistics, and a clear delivery timeline.

Step 4 – Regulatory approval process: Assistance is provided to secure the approvals and documentation required for legal cross-border access.

Step 5 – Temperature-controlled import & handling: The medicine is sourced and transported under strict GDP-compliant conditions to maintain product integrity.

Step 6 – Secure delivery: The medicine is delivered to the patient or treating hospital, with updates provided at each stage.

Note: From request to delivery, every step is designed to ensure your treatment reaches you safely, compliantly, and without unnecessary delays.

Documentation and Availability of Vitrakvi

Vitrakvi is manufactured and marketed by Bayer AG. It is sourced through authorized distribution channels for patients seeking named-patient import into India.

Required Documentation

Patients typically need a valid prescription from a treating oncologist confirming diagnosis and NTRK gene fusion testing results. NPP's regulatory team assists in preparing and verifying the documentation needed for a compliant import.

Availability

As an approved tumor-agnostic therapy for NTRK fusion-positive solid tumors, Vitrakvi is sourced through authorized channels and imported under GDP-compliant logistics to preserve product quality throughout transit.

Sourcing and Delivery of Vitrakvi

NPP sources Vitrakvi directly from authorized pharmaceutical distributors to ensure product authenticity and full traceability. Every shipment is handled under Good Distribution Practice (GDP) conditions from origin to the patient's doorstep.

Storage and Handling

Vitrakvi should be stored at 20°C to 25°C, with excursions permitted between 15°C and 30°C, and this condition is maintained throughout transit.

Delivery Timelines

Once documentation and regulatory approvals are in place, delivery timelines are communicated transparently at the time of quotation, accounting for import clearance and last-mile logistics to the patient's city.

Availability of Vitrakvi Across Major Cities in India

Patients across India can access Vitrakvi through NPP's regulated import pathway, with oncology specialists in major cities supporting the treatment process.

Mumbai

Leading hospitals in Mumbai support oncology care coordination and documentation for Vitrakvi access.

Delhi

Delhi's major hospitals assist patients with prescription support and documentation for Vitrakvi.

Bangalore

Bangalore's specialist network offers access coordination for eligible NTRK fusion-positive cancer patients seeking Vitrakvi.

Chennai

Chennai-based oncology specialists coordinate Vitrakvi access alongside comprehensive biomarker-driven cancer care.

Hyderabad

Hyderabad's care institutions support patients pursuing Vitrakvi therapy.

Kolkata

Kolkata's specialist centers help coordinate documentation and treatment access for Vitrakvi.

Pune

Pune-based specialists assist with prescription support and Vitrakvi treatment planning.

Ahmedabad

Ahmedabad's specialty hospitals support the import and treatment process for Vitrakvi.

Kochi

Kochi's specialist units assist patients with the documentation needed for Vitrakvi access.

Chandigarh

Chandigarh's care centers support Vitrakvi treatment coordination for patients from North India.

Jaipur

Jaipur's specialists help patients navigate the Vitrakvi access process.

Lucknow

Lucknow-based centers assist patients pursuing Vitrakvi therapy.

Bhubaneswar

Bhubaneswar's institutions support access to Vitrakvi for eligible patients.

Guwahati

Guwahati's specialists help coordinate Vitrakvi access for patients across the Northeast.

Patients in other cities across India can also access Vitrakvi through NPP's nationwide coordination network.

Author Details

Nitin Goswami

Written By

Nitin Goswami

Deputy Manager – Content & Social Media, Ikris Pharma Network

Sources: FDA

Dr. Chirag C Shah

Medically Reviewed By

Dr. Chirag C Shah

MBBS

Last Updated: 15 September 2026

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