Tepotinib in patients with non-small cell lung cancer with high-level MET amplification detected by liquid biopsy: VISION Cohort B

Xiuning Le, Luis G. Paz-Ares, Jan Van Meerbeeck, Santiago Viteri, Carlos Cabrera Galvez, Egbert F. Smit, Marina Garassino, Remi Veillon, David Vicente Baz, Jose Fuentes Pradera, María Sereno, Toshiyuki Kozuki, Young Chul Kim, Seung Soo Yoo, Ji Youn Han, Jin Hyoung Kang, Choon Hee Son, Yoon Ji Choi, Christopher Stroh, Dilafruz JuraevaHelene Vioix, Rolf Bruns, Gordon Otto, Andreas Johne, Paul K. Paik

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

High-level MET amplification (METamp) is a primary driver in ∼1%–2% of non-small cell lung cancers (NSCLCs). Cohort B of the phase 2 VISION trial evaluates tepotinib, an oral MET inhibitor, in patients with advanced NSCLC with high-level METamp who were enrolled by liquid biopsy. While the study was halted before the enrollment of the planned 60 patients, the results of 24 enrolled patients are presented here. The objective response rate (ORR) is 41.7% (95% confidence interval [CI], 22.1–63.4), and the median duration of response is 14.3 months (95% CI, 2.8–not estimable). In exploratory biomarker analyses, focal METamp, RB1 wild-type, MYC diploidy, low circulating tumor DNA (ctDNA) burden at baseline, and early molecular response are associated with better outcomes. Adverse events include edema (composite term; any grade: 58.3%; grade 3: 12.5%) and constipation (any grade: 41.7%; grade 3: 4.2%). Tepotinib provides antitumor activity in high-level METamp NSCLC (ClinicalTrials.gov: NCT02864992).

Original languageEnglish (US)
Article number101280
JournalCell Reports Medicine
Volume4
Issue number11
DOIs
StatePublished - Nov 21 2023

Keywords

  • MET amplification
  • MET inhibitor
  • biomarkers
  • non-small cell lung cancer
  • tepotinib

ASJC Scopus subject areas

  • General Biochemistry, Genetics and Molecular Biology

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