Table 1.
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.