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Phase 1 study of capmatinib in MET‐positive solid tumor patients: Dose escalation and expansion of selected cohorts

Authors: Yung‐Jue Bang; Wu‐Chou Su; Martin Schuler; Do‐Hyun Nam; Wan Teck Lim; Todd M. Bauer; Analia Azaro; +8 Authors

Phase 1 study of capmatinib in MET‐positive solid tumor patients: Dose escalation and expansion of selected cohorts

Abstract

AbstractCapmatinib is an oral, ATP‐competitive, and highly potent, type 1b MET inhibitor. Herein, we report phase 1 dose‐escalation results for capmatinib in advanced MET‐positive solid tumor patients and dose expansion in advanced non‐lung tumors. Capmatinib was well tolerated with a manageable safety profile across all explored doses. Dose‐limiting toxicities (DLT) occurred at 200 mg twice daily (bid), 250 mg bid, and 450 mg bid capsules; however, no DLT were reported at 600 mg bid (capsules). Capmatinib tablets at 400 mg bid had comparable tolerability and exposure to that of 600 mg bid capsules. Maximum tolerated dose was not reached; recommended phase 2 dose was 400 mg bid tablets/600 mg bid capsules; at this dose, Ctrough >EC90 (90% inhibition of c‐MET phosphorylation in animal models) is expected to be achieved and maintained. Among the dose‐expansion patients (N = 38), best overall response across all cohorts was stable disease (gastric cancer 22%, hepatocellular carcinoma 46%, other indications 28%); two other indication patients with gene copy number (GCN) ≥6 achieved substantial tumor reduction. Near‐complete immunohistochemically determined phospho‐MET inhibition (H‐score = 2) was shown following capmatinib 450 mg bid capsule in paired biopsies obtained from one advanced colorectal cancer patient. Incidence of high‐level MET GCN (GCN ≥6) and MET‐overexpressing (immunohistochemistry 3+) tumors in the expansion cohorts was 8% and 13%, respectively; no MET mutations were observed. Thus, the recommended phase 2 dose (RP2D) of capmatinib was 600 mg bid capsule/400 mg bid tablet. Capmatinib was well tolerated and showed antitumor activity and acceptable safety profile at the RP2D.(ClinicalTrials.gov Identifier: NCT01324479).

Keywords

Male, Otros calificadores::Otros calificadores::Otros calificadores::/farmacoterapia, Medizin, MET dysregulation, Neoplasms, Solid tumors, Phosphorylation, Other subheadings::Other subheadings::Other subheadings::/drug therapy, Triazines, PHARMACOPHORE APPROACH, Càncer - Tractament, Imidazoles, solid tumors, Middle Aged, Proto-Oncogene Proteins c-met, Treatment Outcome, Oncology, ENFERMEDADES::neoplasias, COMPUESTOS QUÍMICOS Y DROGAS::enzimas y coenzimas::enzimas::transferasas::fosfotransferasas::fosfotransferasas (grupo alcohol aceptor)::proteína cinasas::proteína-tirosina cinasas::receptores proteína-tirosina cinasas::proteínas protooncogénicas c-met, Benzamides, Female, SENSITIVITY, Life Sciences & Biomedicine, MET amplification, Proteïnes quinases - Inhibidors - Ús terapèutic, Tablets, TARGETING MET, CELL LUNG-CANCER, MOLECULE INHIBITORS BINDING, 610, Capsules, Phase 1, DISEASES::Neoplasms, Other subheadings::Other subheadings::Other subheadings::/antagonists & inhibitors, 616, Humans, Aged, capmatinib, Science & Technology, Dose-Response Relationship, Drug, MUTATIONS, AMPLIFICATION, KINASE INHIBITOR, Original Articles, Otros calificadores::Otros calificadores::Otros calificadores::/antagonistas & inhibidores, Capmatinib, phase 1, CHEMICALS AND DRUGS::Enzymes and Coenzymes::Enzymes::Transferases::Phosphotransferases::Phosphotransferases (Alcohol Group Acceptor)::Protein Kinases::Protein-Tyrosine Kinases::Receptor Protein-Tyrosine Kinases::Proto-Oncogene Proteins c-met, Mutation, C-MET, ACQUIRED-RESISTANCE

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    influence
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
53
Top 1%
Top 10%
Top 1%
Green
gold