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Randomised Phase 1b/2 trial of tepotinib vs sorafenib in Asian patients with advanced hepatocellular carcinoma with MET overexpression
by
Ryoo, Baek-Yeol
, Zhou, Dongli
, Rau, Kun-Ming
, Ren, Zhenggang
, Pan, Hongming
, Park, Joong-Won
, Straub, Josef
, Yen, Chia Jui
, Lim, Ho Yeong
, Scheele, Juergen
, Choi, Hye Jin
, Berghoff, Karin
, Cheng, Ann-Li
, Qin, Shukui
, Kim, Tae-You
, Kim, Jee Hyun
in
692/4028/67/1504/1610/4029
/ 692/700/565/1436/2185
/ Administration, Oral
/ Adult
/ Adverse events
/ Aged
/ Asians - genetics
/ Biomedical and Life Sciences
/ Biomedicine
/ Cancer Research
/ Carcinoma, Hepatocellular - drug therapy
/ Carcinoma, Hepatocellular - genetics
/ Dosage
/ Drug Administration Schedule
/ Drug Resistance
/ Epidemiology
/ Female
/ Hepatocellular carcinoma
/ Humans
/ Inhibitor drugs
/ Liver cancer
/ Liver Neoplasms - drug therapy
/ Liver Neoplasms - genetics
/ Male
/ Middle Aged
/ Molecular Medicine
/ Oncology
/ Oral administration
/ Patients
/ Piperidines - administration & dosage
/ Piperidines - adverse effects
/ Proto-Oncogene Proteins c-met - genetics
/ Pyridazines - administration & dosage
/ Pyridazines - adverse effects
/ Pyrimidines - administration & dosage
/ Pyrimidines - adverse effects
/ Sorafenib - administration & dosage
/ Sorafenib - adverse effects
/ Survival Analysis
/ Targeted cancer therapy
/ Treatment Outcome
/ Up-Regulation
2021
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Randomised Phase 1b/2 trial of tepotinib vs sorafenib in Asian patients with advanced hepatocellular carcinoma with MET overexpression
by
Ryoo, Baek-Yeol
, Zhou, Dongli
, Rau, Kun-Ming
, Ren, Zhenggang
, Pan, Hongming
, Park, Joong-Won
, Straub, Josef
, Yen, Chia Jui
, Lim, Ho Yeong
, Scheele, Juergen
, Choi, Hye Jin
, Berghoff, Karin
, Cheng, Ann-Li
, Qin, Shukui
, Kim, Tae-You
, Kim, Jee Hyun
in
692/4028/67/1504/1610/4029
/ 692/700/565/1436/2185
/ Administration, Oral
/ Adult
/ Adverse events
/ Aged
/ Asians - genetics
/ Biomedical and Life Sciences
/ Biomedicine
/ Cancer Research
/ Carcinoma, Hepatocellular - drug therapy
/ Carcinoma, Hepatocellular - genetics
/ Dosage
/ Drug Administration Schedule
/ Drug Resistance
/ Epidemiology
/ Female
/ Hepatocellular carcinoma
/ Humans
/ Inhibitor drugs
/ Liver cancer
/ Liver Neoplasms - drug therapy
/ Liver Neoplasms - genetics
/ Male
/ Middle Aged
/ Molecular Medicine
/ Oncology
/ Oral administration
/ Patients
/ Piperidines - administration & dosage
/ Piperidines - adverse effects
/ Proto-Oncogene Proteins c-met - genetics
/ Pyridazines - administration & dosage
/ Pyridazines - adverse effects
/ Pyrimidines - administration & dosage
/ Pyrimidines - adverse effects
/ Sorafenib - administration & dosage
/ Sorafenib - adverse effects
/ Survival Analysis
/ Targeted cancer therapy
/ Treatment Outcome
/ Up-Regulation
2021
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Randomised Phase 1b/2 trial of tepotinib vs sorafenib in Asian patients with advanced hepatocellular carcinoma with MET overexpression
by
Ryoo, Baek-Yeol
, Zhou, Dongli
, Rau, Kun-Ming
, Ren, Zhenggang
, Pan, Hongming
, Park, Joong-Won
, Straub, Josef
, Yen, Chia Jui
, Lim, Ho Yeong
, Scheele, Juergen
, Choi, Hye Jin
, Berghoff, Karin
, Cheng, Ann-Li
, Qin, Shukui
, Kim, Tae-You
, Kim, Jee Hyun
in
692/4028/67/1504/1610/4029
/ 692/700/565/1436/2185
/ Administration, Oral
/ Adult
/ Adverse events
/ Aged
/ Asians - genetics
/ Biomedical and Life Sciences
/ Biomedicine
/ Cancer Research
/ Carcinoma, Hepatocellular - drug therapy
/ Carcinoma, Hepatocellular - genetics
/ Dosage
/ Drug Administration Schedule
/ Drug Resistance
/ Epidemiology
/ Female
/ Hepatocellular carcinoma
/ Humans
/ Inhibitor drugs
/ Liver cancer
/ Liver Neoplasms - drug therapy
/ Liver Neoplasms - genetics
/ Male
/ Middle Aged
/ Molecular Medicine
/ Oncology
/ Oral administration
/ Patients
/ Piperidines - administration & dosage
/ Piperidines - adverse effects
/ Proto-Oncogene Proteins c-met - genetics
/ Pyridazines - administration & dosage
/ Pyridazines - adverse effects
/ Pyrimidines - administration & dosage
/ Pyrimidines - adverse effects
/ Sorafenib - administration & dosage
/ Sorafenib - adverse effects
/ Survival Analysis
/ Targeted cancer therapy
/ Treatment Outcome
/ Up-Regulation
2021
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Randomised Phase 1b/2 trial of tepotinib vs sorafenib in Asian patients with advanced hepatocellular carcinoma with MET overexpression
Journal Article
Randomised Phase 1b/2 trial of tepotinib vs sorafenib in Asian patients with advanced hepatocellular carcinoma with MET overexpression
2021
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Overview
Background
This open-label, Phase 1b/2 study evaluated the highly selective MET inhibitor tepotinib in systemic anticancer treatment (SACT)-naive Asian patients with advanced hepatocellular carcinoma (aHCC) with MET overexpression.
Methods
In Phase 2b, tepotinib was orally administered once daily (300, 500 or 1,000 mg) to Asian adults with aHCC. The primary endpoints were dose-limiting toxicities (DLTs) and adverse events (AEs). Phase 2 randomised SACT-naive Asian adults with aHCC with MET overexpression to tepotinib (recommended Phase 2 dose [RP2D]) or sorafenib 400 mg twice daily. The primary endpoint was independently assessed time to progression (TTP).
Results
In Phase 1b (
n
= 27), no DLTs occurred; the RP2D was 500 mg. In Phase 2 (
n
= 90, 45 patients per arm), the primary endpoint was met: independently assessed TTP was significantly longer with tepotinib versus sorafenib (median 2.9 versus 1.4 months, HR = 0.42, 90% confidence interval: 0.26–0.70,
P
= 0.0043). Progression-free survival and objective response also favoured tepotinib. Treatment-related Grade ≥3 AE rates were 28.9% with tepotinib and 45.5% with sorafenib.
Conclusions
Tepotinib improved TTP versus sorafenib and was generally well tolerated in SACT-naive Asian patients with aHCC with MET overexpression.
Trial registration
ClinicalTrials.gov NCT01988493.
Publisher
Nature Publishing Group UK,Nature Publishing Group
Subject
/ Adult
/ Aged
/ Biomedical and Life Sciences
/ Carcinoma, Hepatocellular - drug therapy
/ Carcinoma, Hepatocellular - genetics
/ Dosage
/ Drug Administration Schedule
/ Female
/ Humans
/ Liver Neoplasms - drug therapy
/ Male
/ Oncology
/ Patients
/ Piperidines - administration & dosage
/ Piperidines - adverse effects
/ Proto-Oncogene Proteins c-met - genetics
/ Pyridazines - administration & dosage
/ Pyridazines - adverse effects
/ Pyrimidines - administration & dosage
/ Pyrimidines - adverse effects
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