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. 2023 May 31;15(11):2998. doi: 10.3390/cancers15112998

Table 1.

Trials targeting both EGFR and MET using EGFR and MET TKIs.

EGFR TKI MET TKI Study (NCT ID, Name, Author, Year) Population Treatment MET Alteration N Objective Response Rate (ORR) Progression Free Survival (PFS)
Gefitinib Capmatinib NCT01610336,
Wu et al., 2018 [41]
EGFR+ NSCLC acquired resistance to first- or second-generation EGFR TKI Gefitinib 250 mg once daily
+
Capmatinib 400 mg twice daily
IHC 3+, IHC 2+ plus MET GCN 5, or MET GCN 4 100 29% 5.5 months
Osimertinib Savolitinib NCT02143466,
TATTON, Sequist et al., 2020 [42]
EGFR+ NSCLC progressed after prior therapy Osimertinib 80 mg once daily
+
Savolitinib 300 mg once daily
IHC 3+, MET GCN 5 or MET/CEP 2:1 138 33–67% 5.5–11.0 months
EGFR+ T790M- NSCLC with no prior third-generation EGFR TKI 42 62% 9.0 months
Osimertinib Savolitinib NCT03944772, ORCHARD, Yu et al., 2021 [43] EGFR+ advanced NSCLC with progression on first-line osimertinib Osimertinib 80 mg once daily
+
Savolitinib 300 or 600 mg once daily
MET amplification or exon 14 skipping by NGS 20 41% Not reported
Gefitinib Savolitinib NCT02374645, Yang et al., 2021 [44] EGFR+ advanced NSCLC progressed on prior EGFR-TKI with MET amplification Gefitinib 250 mg once daily
+
Savolitinib 600 mg once daily
MET amplification by FISH GCN 5 or MET/CEP 2:1) 51 31% 4.0 months
Erlotinib Capmatinib NCT01911507, McCoach et al., 2021 [45] Advanced MET-positive NSCLC (Cohort A EGFR+) Erlotinib 100–150 mg once daily
+
Capmatinib 100–600 mg twice daily
FISH GCN or MET/CEP outside of normal range, IHC 2-3+, +RT-PCR, or exon14 splice mutation 12 50% Not reported
Gefitinib Tepotinib NCT01982955,
INSIGHT 1, Liam et al., 2023 [46]
Advanced/metastatic EGFR+ NSCLC acquired resistance to first- or second-generation EGFR TKI T790M-, no prior MET therapy Gefitinib 250 mg once daily
+
Tepotinib 500 mg once daily
vs.
Chemo-
therapy
IHC 2+ or 3+, MET GCN 5, or MET/CEP 2:1 55 45% (vs. 33% with chemo-
therapy)
4.9 months (vs. 4.4 months with chemotherapy)
MET amplification by FISH GCN 5 or MET/CEP 2:1) 19 68% (vs. 43% with chemo- therapy) 16.6 months (vs. 4.2 months with chemo-therapy)
Osimertinib Tepotinib NCT03940703,
INSIGHT 2, Mazieres et al., 2022 [47]
Advanced EGFR+ NSCLC with MET amplification after progression on first-line osimertinib Osimertinib 80 mg once daily
+
Tepotinib 500 mg once daily
MET amplification by FISH GCN 5 or MET/CEP 2:1) 22 55% Not reported

EGFR: Epidermal growth factor receptor; MET: Mesenchymal-epithelial transition; TKI: Tyrosine kinase inhibitor.