Evidence map›Paper›PMID 33545388›Full record

Trial reportJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2021

A Phase 2 Study of Capmatinib in Patients With MET-Altered Lung Cancer Previously Treated With a MET Inhibitor.

Ibiayi Dagogo-Jack, Philicia Moonsamy, Justin F Gainor, Jochen K Lennerz, Zofia Piotrowska, Jessica J Lin, Inga T Lennes, Lecia V Sequist, Alice T Shaw, Kelly Goodwin and 7 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Non-small cell lung cancer withFrontiers in oncology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

Ibiayi Dagogo-JackMassachusetts General Hospital Cancer Center, Boston, Massachusetts; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Philicia MoonsamyDepartment of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Justin F GainorMassachusetts General Hospital Cancer Center, Boston, Massachusetts; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Jochen K LennerzCenter for Integrated Diagnostics, Massachusetts General Hospital, Boston, Massachusetts.
Zofia PiotrowskaMassachusetts General Hospital Cancer Center, Boston, Massachusetts; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Jessica J LinMassachusetts General Hospital Cancer Center, Boston, Massachusetts; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Inga T LennesMassachusetts General Hospital Cancer Center, Boston, Massachusetts; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Lecia V SequistMassachusetts General Hospital Cancer Center, Boston, Massachusetts; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Alice T ShawMassachusetts General Hospital Cancer Center, Boston, Massachusetts; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts; Novartis Institutes of Biomedical Research, Cambridge, Massachusetts.
Kelly GoodwinMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Sara E StevensMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Andrew DoMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Subba R DigumarthyDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Kristin PriceGuardant Health, Redwood City, California.
Alona MuzikanskyDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Aaron N HataMassachusetts General Hospital Cancer Center, Boston, Massachusetts; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Rebecca S HeistMassachusetts General Hospital Cancer Center, Boston, Massachusetts; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: rheist@partners.org.
Massachusetts General Hospital · USBoston Biomedical Research Institute · USGuardant (United States) · US

Funding

Project 2U54CA224068 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI CORCORAN, RYAN BRUCE, FLAHERTY, KEITH T · 2017 to 2021
$6.3M
NCI NIH HHS U54 CA224068
6 · The paper itself

Abstract

introductionCapmatinib is approved for MET exon 14-altered NSCLC on the basis of activity in targeted therapy-naive patients. We conducted a phase 2 study to assess the efficacy of capmatinib in patients previously treated with a MET inhibitor.

methodsPatients with advanced NSCLC harboring MET amplification or MET exon 14 skipping alterations received capmatinib 400 mg twice daily. The primary end point was the objective response rate. Secondary end points included progression-free survival, disease control rate (DCR), intracranial response rate, and overall survival. Circulating tumor DNA was analyzed to identify capmatinib resistance mechanisms.

resultsA total of 20 patients were enrolled between May 2016 and November 2019, including 15 patients with MET skipping alterations and five patients with MET amplification. All patients had received crizotinib; three had also received other MET-directed therapies. The median interval between crizotinib and capmatinib was 22 days (range: 4-374). Two patients (10%) achieved an objective response to capmatinib and 14 had stable disease, yielding a DCR of 80%. Among five patients who discontinued crizotinib for intolerance, the DCR was 83%, including two patients with the best tumor shrinkage of -25% and -28%. Intracranial DCR among four patients with measurable brain metastases was 100%, with no observed intracranial objective responses. Overall, the median progression-free survival and overall survival were 5.5 (95% confidence interval: 1.3-11.0) and 11.3 (95% confidence interval: 5.5-not reached) months, respectively. MET D1228 and Y1230 mutations and MAPK alterations were recurrently detected in postcrizotinib, precapmatinib plasma. New and persistent MET mutations and MAPK pathway alterations were detected in plasma at progression on capmatinib.

conclusionsCapmatinib has modest activity in crizotinib-pretreated MET-altered NSCLC, potentially owing to overlapping resistance mechanisms.

Indexed as

Lung NeoplasmsBenzamidesHumansImidazolesProtein Kinase InhibitorsProto-Oncogene Proteins c-metTriazinesBenzamidescapmatinibImidazolesProtein Kinase InhibitorsProto-Oncogene Proteins c-metTriazinesCapmatinibLung cancerMET amplificationMET skipping

Identifiers

PMID33545388
PMCPMC8922989
OpenAlexW3128342266

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.