Tepotinib in Non-Small-Cell Lung Cancer with
Adult
Aged
Aged, 80 and over
Antineoplastic Agents
/ adverse effects
Carcinoma, Non-Small-Cell Lung
/ drug therapy
Edema
/ chemically induced
Exons
Female
Humans
Lung Neoplasms
/ drug therapy
Male
Middle Aged
Mutation
Piperidines
/ adverse effects
Protein Kinase Inhibitors
/ adverse effects
Proto-Oncogene Proteins c-met
/ antagonists & inhibitors
Pyridazines
/ adverse effects
Pyrimidines
/ adverse effects
Journal
The New England journal of medicine
ISSN: 1533-4406
Titre abrégé: N Engl J Med
Pays: United States
ID NLM: 0255562
Informations de publication
Date de publication:
03 09 2020
03 09 2020
Historique:
pubmed:
30
5
2020
medline:
17
9
2020
entrez:
30
5
2020
Statut:
ppublish
Résumé
A splice-site mutation that results in a loss of transcription of exon 14 in the oncogenic driver In this open-label, phase 2 study, we administered tepotinib (at a dose of 500 mg) once daily in patients with advanced or metastatic NSCLC with a confirmed As of January 1, 2020, a total of 152 patients had received tepotinib, and 99 patients had been followed for at least 9 months. The response rate by independent review was 46% (95% confidence interval [CI], 36 to 57), with a median duration of response of 11.1 months (95% CI, 7.2 to could not be estimated) in the combined-biopsy group. The response rate was 48% (95% CI, 36 to 61) among 66 patients in the liquid-biopsy group and 50% (95% CI, 37 to 63) among 60 patients in the tissue-biopsy group; 27 patients had positive results according to both methods. The investigator-assessed response rate was 56% (95% CI, 45 to 66) and was similar regardless of the previous therapy received for advanced or metastatic disease. Adverse events of grade 3 or higher that were considered by investigators to be related to tepotinib therapy were reported in 28% of the patients, including peripheral edema in 7%. Adverse events led to permanent discontinuation of tepotinib in 11% of the patients. A molecular response, as measured in circulating free DNA, was observed in 67% of the patients with matched liquid-biopsy samples at baseline and during treatment. Among patients with advanced NSCLC with a confirmed
Sections du résumé
BACKGROUND
A splice-site mutation that results in a loss of transcription of exon 14 in the oncogenic driver
METHODS
In this open-label, phase 2 study, we administered tepotinib (at a dose of 500 mg) once daily in patients with advanced or metastatic NSCLC with a confirmed
RESULTS
As of January 1, 2020, a total of 152 patients had received tepotinib, and 99 patients had been followed for at least 9 months. The response rate by independent review was 46% (95% confidence interval [CI], 36 to 57), with a median duration of response of 11.1 months (95% CI, 7.2 to could not be estimated) in the combined-biopsy group. The response rate was 48% (95% CI, 36 to 61) among 66 patients in the liquid-biopsy group and 50% (95% CI, 37 to 63) among 60 patients in the tissue-biopsy group; 27 patients had positive results according to both methods. The investigator-assessed response rate was 56% (95% CI, 45 to 66) and was similar regardless of the previous therapy received for advanced or metastatic disease. Adverse events of grade 3 or higher that were considered by investigators to be related to tepotinib therapy were reported in 28% of the patients, including peripheral edema in 7%. Adverse events led to permanent discontinuation of tepotinib in 11% of the patients. A molecular response, as measured in circulating free DNA, was observed in 67% of the patients with matched liquid-biopsy samples at baseline and during treatment.
CONCLUSIONS
Among patients with advanced NSCLC with a confirmed
Identifiants
pubmed: 32469185
doi: 10.1056/NEJMoa2004407
pmc: PMC8422679
mid: NIHMS1731955
doi:
Substances chimiques
Antineoplastic Agents
0
Piperidines
0
Protein Kinase Inhibitors
0
Pyridazines
0
Pyrimidines
0
tepotinib
1IJV77EI07
Proto-Oncogene Proteins c-met
EC 2.7.10.1
Banques de données
ClinicalTrials.gov
['NCT02864992']
Types de publication
Clinical Trial, Phase II
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
931-943Subventions
Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States
Organisme : NCI NIH HHS
ID : P30 CA016672
Pays : United States
Informations de copyright
Copyright © 2020 Massachusetts Medical Society.
Références
N Engl J Med. 2018 Jun 14;378(24):2288-2301
pubmed: 29863955
J Thorac Oncol. 2016 Aug;11(8):1242-1245
pubmed: 27343442
Nature. 2014 Jul 31;511(7511):543-50
pubmed: 25079552
Clin Cancer Res. 2016 Jun 15;22(12):3048-56
pubmed: 26847053
N Engl J Med. 2017 Aug 31;377(9):829-838
pubmed: 28586279
J Clin Oncol. 2016 Mar 1;34(7):721-30
pubmed: 26729443
Transl Oncogenomics. 2015 Nov 23;7(Suppl 1):13-31
pubmed: 26628860
Clin Cancer Res. 2020 Mar 15;26(6):1237-1246
pubmed: 31822497
Clin Cancer Res. 2020 Jun 1;26(11):2615-2625
pubmed: 32034073
Clin Cancer Res. 2013 Jun 1;19(11):2941-51
pubmed: 23553846
Ann Oncol. 2019 Aug 1;30(8):1321-1328
pubmed: 31125062
Cancer Discov. 2016 Dec;6(12):1334-1341
pubmed: 27694386
Clin Cancer Res. 2020 Jan 15;26(2):439-449
pubmed: 31548343
J Natl Cancer Inst. 2017 May 1;109(5):
pubmed: 28376232
J Thorac Oncol. 2020 May;15(5):741-751
pubmed: 32169477
Curr Oncol. 2014 Feb;21(1):19-26
pubmed: 24523601
N Engl J Med. 2014 Nov 20;371(21):1963-71
pubmed: 25264305
Lancet Respir Med. 2020 Nov;8(11):1132-1143
pubmed: 32479794
N Engl J Med. 2018 Nov 22;379(21):2040-2051
pubmed: 30280635
Cancers (Basel). 2019 May 28;11(6):
pubmed: 31142054
Ann Oncol. 2018 Oct 1;29(10):2085-2091
pubmed: 30165371
Lung Cancer. 2020 Feb;140:46-54
pubmed: 31862577
Cancer Treat Rev. 2020 Jul;87:102022
pubmed: 32334240
N Engl J Med. 2018 Jan 11;378(2):113-125
pubmed: 29151359
Clin Cancer Res. 2019 Feb 15;25(4):1248-1260
pubmed: 30352902
Cancer Res. 2011 Feb 1;71(3):1081-91
pubmed: 21266357
N Engl J Med. 2016 Nov 10;375(19):1823-1833
pubmed: 27718847
J Thorac Oncol. 2017 Jan;12(1):137-140
pubmed: 27666659
J Clin Oncol. 2018 Jun 1;36(16):1631-1641
pubmed: 29504847
Clin Cancer Res. 2018 Dec 1;24(23):5963-5976
pubmed: 30072474
N Engl J Med. 2018 May 31;378(22):2078-2092
pubmed: 29658856
Cancer Discov. 2015 Aug;5(8):850-9
pubmed: 25971938
Nat Med. 2020 Jan;26(1):47-51
pubmed: 31932802
Cancer Discov. 2015 Aug;5(8):842-9
pubmed: 25971939
J Thorac Oncol. 2019 Oct;14(10):1753-1765
pubmed: 31279006