Omar Elghawy, Adam Barsouk, Lauren Reed-Guy, Margaret Stalker, Jonathan Sussman, Kyle Robinson, John Kosteva, Aditi Singh, Roger B. Cohen, Corey Langer, Christine Ciunci, Christopher D'Avella, Lova Sun, Melina E. Marmarelis, Charu Aggarwal
{"title":"Brief Report: Osimertinib Plus Capmatinib for Patients With MET-Altered EGFR-Mutant NSCLC Following Progression on Front Line Therapy","authors":"Omar Elghawy, Adam Barsouk, Lauren Reed-Guy, Margaret Stalker, Jonathan Sussman, Kyle Robinson, John Kosteva, Aditi Singh, Roger B. Cohen, Corey Langer, Christine Ciunci, Christopher D'Avella, Lova Sun, Melina E. Marmarelis, Charu Aggarwal","doi":"10.1016/j.cllc.2024.11.014","DOIUrl":null,"url":null,"abstract":"<div><div><ul><li><span>•</span><span><div>Osimertinib, a third generation EGFR TKI, has become the standard-of-care treatment for patients with classical sensitizing EGFR mutations and has significantly improved survival in these patients.</div></span></li><li><span>•</span><span><div>Alterations in the MET tyrosine kinase pathway is one of the most common drivers of resistance to EGFR TKIs.</div></span></li><li><span>•</span><span><div>Multiple early-phase studies have investigated dual EGFR/MET inhibition for EGFR mutant patients with MET amplification in the second-line setting after progression on osimertinib however real world data is limited.</div></span></li><li><span>•</span><span><div>We report a case series of 18 patients with MET amplification/overexpression treated with combination capmatinib/osimertinib after progression of first line osimertinib.</div></span></li><li><span>•</span><span><div>Most patients with combination capmatinib and osimertinib had clinical benefit and treatment was generally well tolerated.</div></span></li><li><span>•</span><span><div>Cap/osi is an effective and reasonably well tolerated treatment for osimertinib-resistant EGFR-mutant NSCLC with MET alteration. Further work is needed to optimize biomarker assessment to appropriately identify patients who will benefit from this strategy.</div></span></li></ul></div></div>","PeriodicalId":10490,"journal":{"name":"Clinical lung cancer","volume":"26 2","pages":"Pages 158-163.e2"},"PeriodicalIF":3.3000,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical lung cancer","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1525730424002638","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
•
Osimertinib, a third generation EGFR TKI, has become the standard-of-care treatment for patients with classical sensitizing EGFR mutations and has significantly improved survival in these patients.
•
Alterations in the MET tyrosine kinase pathway is one of the most common drivers of resistance to EGFR TKIs.
•
Multiple early-phase studies have investigated dual EGFR/MET inhibition for EGFR mutant patients with MET amplification in the second-line setting after progression on osimertinib however real world data is limited.
•
We report a case series of 18 patients with MET amplification/overexpression treated with combination capmatinib/osimertinib after progression of first line osimertinib.
•
Most patients with combination capmatinib and osimertinib had clinical benefit and treatment was generally well tolerated.
•
Cap/osi is an effective and reasonably well tolerated treatment for osimertinib-resistant EGFR-mutant NSCLC with MET alteration. Further work is needed to optimize biomarker assessment to appropriately identify patients who will benefit from this strategy.
期刊介绍:
Clinical Lung Cancer is a peer-reviewed bimonthly journal that publishes original articles describing various aspects of clinical and translational research of lung cancer. Clinical Lung Cancer is devoted to articles on detection, diagnosis, prevention, and treatment of lung cancer. The main emphasis is on recent scientific developments in all areas related to lung cancer. Specific areas of interest include clinical research and mechanistic approaches; drug sensitivity and resistance; gene and antisense therapy; pathology, markers, and prognostic indicators; chemoprevention strategies; multimodality therapy; and integration of various approaches.