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Title:Real-world experience with capmatinib in MET exon 14-mutated non-small cell lung cancer (RECAP) : a retrospective analysis from an early access program
Authors:ID Illini, Oliver (Author)
ID Fabikan, Hannah (Author)
ID Swalduz, Aurélie (Author)
ID Vikström, Anders (Author)
ID Krenbek, Dagmar (Author)
ID Schumacher, Michael (Author)
ID Dudnik, Elizabeth (Author)
ID Studnicka, Michael (Author)
ID Öhman, Ronny (Author)
ID Wurm, Robert (Author)
ID Čufer, Tanja, Klinika Golnik, Medicinska fakulteta UL (Author)
ID Mohorčič, Katja, Klinika Golnik (Author)
ID Hochmair, Maximilian J (Author)
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URL URL - Source URL, visit https://journals.sagepub.com/doi/pdf/10.1177/17588359221103206
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo UKPBAG - University Clinic of Respiratory and Allergic Diseases Golnik
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 77years (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 9.5months (95% CI, 4.7–14.3), whereas it was 10.6months (95% CI, 5.5–15.7) in first-line and 9.1months (95% CI, 3.1–15.1) in pretreated patients. After a median follow-up of 11.0months, 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.
Keywords:non-small cell lung carcinoma -- drug therapy -- genetics, molecular targeted therapy, real-world data, capmatinib, targeted therapy
Publication status:In print
Publication version:Author Accepted Manuscript
Place of publishing:Velika Britanija
Publisher:Sage Publications
Year of publishing:2022
Number of pages:str. 1-22
Numbering:Vol. 14
PID:20.500.12556/DiRROS-15225 New window
UDC:616-006
ISSN on article:1758-8359
DOI:10.1177/17588359221103206 New window
COBISS.SI-ID:112187139 New window
Copyright:© The Author(s), 2022
Note:Nasl. z nasl. zaslona; Soavtorici iz Slovenije: Katja Mohorčič, Tanja Čufer; Opis vira z dne 20. 6. 2022;
Publication date in DiRROS:24.06.2022
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Downloads:561
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Record is a part of a journal

Title:Therapeutic advances in medical oncology
Shortened title:Ther. adv. med. oncol.
Publisher:SAGE Publications
ISSN:1758-8359
COBISS.SI-ID:519822105 New window

Licences

License:CC BY-NC 4.0, Creative Commons Attribution-NonCommercial 4.0 International
Link:http://creativecommons.org/licenses/by-nc/4.0/
Description:A creative commons license that bans commercial use, but the users don’t have to license their derivative works on the same terms.
Licensing start date:13.06.2022

Secondary language

Language:Undetermined
Keywords:nedrobnocelični karcinom pljuč -- terapija z zdravili -- genetika, molekularna tarčna terapija, podatki iz resničnega življenja, capmatinib, tarčna terapija


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