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SHR Neuro Cancer Cardio Lipid Metab Microb
Illini, O; Fabikan, H; Swalduz, A; Vikström, A; Krenbek, D; Schumacher, M; Dudnik, E; Studnicka, M; Öhman, R; Wurm, R; Wannesson, L; Peled, N; Kian, W; Bar, J; Daher, S; Addeo, A; Rotem, O; Pall, G; Zer, A; Saad, A; Cufer, T; Sorotsky, HG; Hashemi, SMS; Mohorcic, K; Stoff, R; Rovitsky, Y; Keren-Rosenberg, S; Winder, T; Weinlinger, C; Valipour, A; Hochmair, MJ.
Real-world experience with capmatinib in MET exon 14-mutated non-small cell lung cancer (RECAP): a retrospective analysis from an early access program.
Ther Adv Med Oncol. 2022; 14:17588359221103206
Doi: 10.1177/17588359221103206
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- Co-authors Med Uni Graz
- Wurm Robert
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- Abstract:
- BACKGROUND: Patients with non-small cell lung cancer (NSCLC) presenting with mesenchymal-epithelial transition (MET) exon 14 skipping mutation have an unfavorable prognosis with standard treatments. Capmatinib is a selective MET inhibitor, which showed promising efficacy in this patient population in early trials. METHODS: We performed a retrospective, international, multicenter efficacy and safety analysis in patients with NSCLC treated with capmatinib in an early access program between March 2019 and December 2021. RESULTS: Data from 81 patients with advanced MET exon 14 mutated NSCLC treated with capmatinib in first- or later-line therapy were analyzed. Median age was 77 years (range, 48-91), 56% were women, 86% had stage IV disease, and 27% had brain metastases. For all patients, the objective response rate (ORR) to capmatinib was 58% (95% CI, 47-69), whereas it was 68% (95% CI, 50-82) in treatment-naïve and 50% (95% CI, 35-65) in pretreated patients. The median progression-free survival was 9.5 months (95% CI, 4.7-14.3), whereas it was 10.6 months (95% CI, 5.5-15.7) in first-line and 9.1 months (95% CI, 3.1-15.1) in pretreated patients. After a median follow-up of 11.0 months, the median overall survival was 18.2 months (95% CI, 13.2-23.1). In patients with measurable brain metastases (n = 11), the intracranial ORR was 46% (95% CI, 17-77). Capmatinib showed a manageable safety profile. Grade ⩾ 3 treatment-related adverse events included peripheral edema (13%), elevated creatinine (4%), and elevated liver enzymes (3%). CONCLUSION: In patients with MET exon 14 skipping mutation, capmatinib showed durable systemic and intracranial efficacy and a manageable safety profile. This analysis confirms previously reported phase II data in a real-world setting.
- Find related publications in this database (Keywords)
- capmatinib
- MET exon 14 skipping mutation
- NSCLC
- lung cancer
- targeted therapy