Evidence map›Paper›PMID 32328660›Full record

ArticleJapanese journal of clinical oncology2020

Phase I trial of the MET inhibitor tepotinib in Japanese patients with solid tumors.

Kohei Shitara, Kentaro Yamazaki, Takahiro Tsushima, Tateaki Naito, Nobuaki Matsubara, Morihiro Watanabe, Barbara Sarholz, Andreas Johne, Toshihiko Doi

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Japanese journal of clinical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01832506 (A Japanese Multicenter, Open Label, Phase I Trial of c-Met Inhibitor MSC2156119J Given Orally as Monotherapy to Subjects With Solid Tumors), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01832506 phase1completednot on this map

A Japanese Multicenter, Open Label, Phase I Trial of c-Met Inhibitor MSC2156119J Given Orally as Monotherapy to Subjects With Solid Tumors

TypeinterventionalSponsorMerck KGaA, Darmstadt, GermanyRan2013 to 2014Enrolled12ConditionsSolid TumorsArmsMSC2156119J
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Kohei ShitaraDivision of Gastrointestinal Oncology, National Cancer Center Hospital East, Chiba, Japan.
Kentaro YamazakiDivision of Gastrointestinal Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Takahiro TsushimaDivision of Gastrointestinal Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Tateaki NaitoDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Nobuaki MatsubaraDepartment of Breast and Medical Oncology, National Cancer Center Hospital East, Chiba, Japan.
Morihiro WatanabeMerck Biopharma Co., Ltd., Tokyo, Japan.
Barbara SarholzMerck KGaA, Darmstadt, Germany.
Andreas JohneMerck KGaA, Darmstadt, Germany.
Toshihiko DoiDivision of Gastrointestinal Oncology, National Cancer Center Hospital East, Chiba, Japan.
National Cancer Center Hospital East · JPShizuoka Cancer Center · JPMerck (Germany) · DEMerck (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTepotinib (MSC2156119J) is an oral, potent and highly selective small molecule mesenchymal-epithelial transition factor (MET) inhibitor for which the recommended Phase II dose of 500 mg once daily has been defined, based on the first-in-man trial conducted in the USA and Europe. We carried out a multicenter Phase I trial with a classic `3 + 3' design to determine the recommended Phase II dose in Japanese patients with solid tumors (NCT01832506).

methodsPatients aged ≥20 years with advanced solid tumors (refractory to standard therapy or for whom no effective standard therapy was available) received tepotinib at 215, 300 or 500 mg once daily in a 21-day cycle. Occurrence of dose-limiting toxicities during cycle 1 was used to determine the maximum tolerated dose. Efficacy, safety and pharmacokinetics were also evaluated to support the dose assessment.

resultsTwelve patients were treated. Tepotinib was generally well tolerated with no observed dose-limiting toxicities; treatment-related adverse events were mainly grades 1-2. The tolerability profile of tepotinib was similar to that observed in non-Japanese populations. Pharmacokinetics in Japanese and Western patients was comparable. One patient with gastric cancer and one patient with urachal cancer had stable disease of ≥12 weeks in duration. The observed safety profile and pharmacokinetics are comparable with those in patients from the USA and Europe, and the recommended Phase II dose of tepotinib in Japanese patients was confirmed as 500 mg once daily.

conclusionsThese results, including initial signals of antitumor activity, support further development of tepotinib in Japanese patients with cancer.

Indexed as

Asian PeopleAgedAntineoplastic AgentsBiomarkers, TumorFemaleHumansJapanMaleMaximum Tolerated DoseMiddle AgedNeoplasmsPiperidinesProtein Kinase InhibitorsProto-Oncogene Proteins c-metPyridazinesPyrimidinesAntineoplastic AgentsBiomarkers, TumorMET protein, humanPiperidinesProtein Kinase InhibitorsProto-Oncogene Proteins c-metPyridazinesPyrimidinestepotinibclinical trialsGI-stomach-Medmolecular diagnosis

Identifiers

PMID32328660
PMCPMC7401714
OpenAlexW3019909016

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.